SMS Neurological and Medical Conditions 3

Question 1

A client with C7 complete SCI has an advantage over C6 in which key seating-related functional area?

Accepted Answer

Ability to perform push-up pressure relief due to intact triceps (elbow extensors)

Answer

Full intrinsic hand strength for grip

Answer

Intact shoulder abduction for transfers

Answer

Ability to operate a power wheelchair independently

Question 2

Orthostatic hypotension is MOST commonly a seating and positioning concern for clients with which condition?

Accepted Answer

High-level spinal cord injury (T6 and above)

Answer

Cerebral palsy (spastic diplegia)

Answer

Post-stroke hemiplegia

Answer

Relapsing-remitting multiple sclerosis

Question 3

A seating specialist evaluating a client with Friedreich's ataxia should prioritize which intervention for the PRIMARY trunk control challenge?

Accepted Answer

Lateral trunk supports to manage trunk ataxia and improve midline stability

Answer

Tilt-in-space to prevent forward falls

Answer

Anti-tip devices for rear stability

Answer

Rigid seat insert to improve proprioceptive feedback

Question 4

Which medical condition creates the HIGHEST combined risk for seating-related pressure injury due to simultaneous sensory impairment AND vascular compromise?

Accepted Answer

Diabetes mellitus with peripheral neuropathy

Answer

Multiple sclerosis with heat sensitivity

Answer

Parkinson's disease with rigidity

Answer

Rheumatoid arthritis with joint deformity

Question 5

A client with post-polio syndrome who currently uses a manual wheelchair reports increasing upper extremity pain and weakness with propulsion. What does this finding indicate?

Accepted Answer

A need for reassessment and likely transition to power mobility to protect remaining function

Answer

That the client should increase propulsion to strengthen upper extremity muscles

Answer

A normal finding that requires no equipment change

Answer

That a heavier, more durable manual frame should be prescribed

Question 6

A client with Huntington's disease exhibits involuntary choreiform movements while seated. Which wheelchair feature is MOST important for safety?

Accepted Answer

Posterior anti-tip devices and securely mounted positioning components to prevent falls during involuntary movements

Answer

Solid seat insert for improved postural base

Answer

Power tilt-in-space for repositioning

Answer

High-friction push rims for propulsion control

Question 7

When prescribing a propulsion system for a client with rheumatoid arthritis affecting the wrists and hands, which joint protection principle should guide the selection?

Accepted Answer

Minimize ulnar deviation and reduce joint stress during the propulsion stroke

Answer

Encourage maximum resistance during propulsion to maintain joint strength

Answer

Prioritize grip strength testing to determine appropriate resistance

Answer

Focus on finger flexor exercises to improve push rim contact