SMS Postural Support and Positioning 3

Question 1

A suboccipital headrest is indicated for clients who need support primarily at the:

Accepted Answer

Occiput and upper cervical region

Answer

Suboccipital headrests contact the base of the skull (occiput) and upper cervical region to support head position.

Question 2

Which seating system feature is most appropriate for a client with high tone who frequently extends into extensor patterns?

Accepted Answer

Anterior trunk support and tilt-in-space

Answer

Tilt-in-space combined with anterior trunk support can inhibit extensor tone and maintain positioning for high-tone clients.

Question 3

Which measurement determines the appropriate seat depth for a wheelchair user?

Accepted Answer

Distance from the back of the buttock to the back of the knee minus 1-2 inches

Answer

Seat depth equals the measurement from the back of the buttock to the popliteal fossa minus 1-2 inches to prevent pressure behind the knee.

Question 4

What is the primary purpose of a pommel or medial knee block in seating?

Accepted Answer

Reduce hip adduction and internal rotation

Answer

A pommel or medial knee block is placed between the knees to prevent excessive hip adduction and internal rotation.

Question 5

A client with C5 level spinal cord injury typically requires which type of upper extremity support in the wheelchair?

Accepted Answer

Arm troughs or lap tray to support flaccid arms

Answer

C5 SCI results in limited hand and elbow extension function, so arm troughs or a lap tray support the upper extremities and prevent shoulder subluxation.

SMS - Certified Seating and Mobility Specialist Practice Test

SMS - Certified Seating and Mobility Specialist Practice Test

SMS Postural Support and Positioning 3