SMS Mobility and Propulsion

Question 1

Which propulsion pattern is most biomechanically efficient and least injurious for manual wheelchair users?

Accepted Answer

Semicircular pattern with long smooth strokes

Answer

Short choppy strokes with frequent hand repositioning

Answer

Rear push pattern starting behind the axle

Answer

Two-finger push technique

Question 2

Rear axle position on a manual wheelchair affects all of the following EXCEPT:

Accepted Answer

Seating depth measurement

Answer

Propulsion efficiency

Answer

Wheelie stability

Answer

Rolling resistance

Question 3

A more posterior (rearward) rear axle position on a manual wheelchair:

Accepted Answer

Improves propulsion efficiency by moving the wheel closer to the hand but decreases anti-tip stability

Answer

Increases the effort needed to propel

Answer

Reduces propulsion efficiency but improves rearward stability

Answer

Has no effect on propulsion effort

Question 4

Which type of manual wheelchair is most appropriate for an active user who self-propels full time?

Accepted Answer

Ultra-lightweight rigid frame wheelchair

Answer

Heavy-duty transport chair

Answer

Standard folding hospital-style wheelchair

Answer

Reclining wheelchair

Question 5

The concept of 'wheelchair skills training' includes which of the following techniques?

Accepted Answer

Propulsion techniques, curb negotiation, wheelies, and ramp navigation

Answer

How to clean and maintain the wheelchair only

Answer

How to order replacement parts

Answer

Cognitive training for wheelchair decision making

Question 6

When measuring for hand rim diameter on a manual wheelchair, the goal is to:

Accepted Answer

Position the rim so the client's elbow is at 100–120 degrees when the hand is at the top of the rim

Answer

Match the rim diameter to the client's hand size

Answer

Select the largest possible rim for maximum leverage

Answer

Match the rim to the wheel diameter exactly