1. Sit upright so that the patient sits in the middle of the wheelchair, leans back and looks up, and keeps the hip joint at about 90° as much as possible. If the wheelchair assembly cannot maintain its own balance, it should be fixed with a seat belt to ensure the safety of the patient.
2. Muscle strength training Strengthen the training of trunk muscle strength and control ability to ensure that patients can safely sit in a wheelchair for various activities. Training often chooses such as bridge movement, swallow balance, sit-ups and so on. Use dumbbells, barbells, etc. to strengthen the upper body muscle strength and endurance training to ensure that the upper body has sufficient support.
3. Electric wheelchair accessories Wheelchair transfer training In order to enable the patient to use the wheelchair to complete various transfers independently, the patient must be guided to carry out special rehabilitation training. Teach the patient to independently use various transfer techniques such as moving from side to side, up and down, sitting up in bed to wheelchair, wheelchair to bed or getting up from wheelchair or moving to another chair. When there is one step, you should practice to first lift the small wheel in front of the wheelchair, so that the wheelchair is tilted backward, put the small wheel on the step first, and then push the big wheel over the step.
4. To prevent pressure ulcers, patients who have been out in a wheelchair for a long time should decompress the buttocks every 30 minutes, that is, support the armrests of the wheelchair with both hands, so that the buttocks are suspended for about 15 seconds. Also pay attention to the pressure on all bony prominences.
5. Safety education Provide safety education to patients to help patients develop the habit of braking the wheelchair handbrake; strengthen protection. The appropriate parts (chest, hip) on the wheelchair are equipped with protective straps to facilitate immobilization of the patient.
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