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  • Ic24 Wheelchair Evaluation Form - Iss Pitt

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Wheelchair and Seating Evaluation To be completed by therapist PATIENT INFORMATION Name DOB: Sex: Date seen: Time: Address Phone Physician Phone: Evaluating Therapist Phone: Primary Therapist: Phone:.

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Related content

IC24 Wheelchair Evaluation Form - RSTCe
Wheelchair and Seating Evaluation ... Equipment eval/justification form ... Method of...
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It is a form of biomechanical assessment and physical evaluation, forms the second part of the Wheelchair Assessment Process, and consists of three elements, with information from each of these assisting wheelchair service personnel to decide how much support the wheelchair user needs.

Check that the footrests/leg rests are in the locked position towards the front of the chair and that the footplates are folded upward to vertical position. Alternatively, remove the footrests/leg rests from the wheelchair.

Pelvic positioning and stability affect the alignment of the head, trunk, upper and lower extremities. Asymmetrical pelvic alignment may increase risk of pressure injury development, so the pelvis is usually assessed first in the MAT.

To assess the seated position effectively, you must: Ensure the seat depth matches the person's leg length correctly. Are the hips level? Ensure the seat or footplate height is set for correct loading of the legs and feet. Make sure the seat cushion is given maximum pressure management.

Once the pelvis and trunk are supported in the most neutral sitting posture that is comfortable, check the posture of the head and neck, hips, thighs and lower legs. Use your hands to find out how close to neutral each body part can comfortably move. Continue to check how any change affects the rest of the body.

You do not have to measure the range of every joint of someone's body. The main areas to assess are an adequate range at the hips for a seated posture and determining what the angles of the seating system will be.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232