(SCIRE logo appears on top right corner of screen with the words “Wheelchair Falls Prevention for Patients with SCI” in center and words “Part 3/6” on bottom right corner.)
(The word “Positioning” appears on screen.)
(Animation of a human model lifting its arms and performing the movements necessaryfor turning its wheelchair wheels.)
Female Narrator: Before patients leave their hospital room, have them lift their arms and attempt some typical functional movement to assess their balance point.
(Animation of a human model on a wheelchair with an aligned posture and assistive safety accessories applied.)
Depending on how they balance, shift their hips to achieve an aligned posture, aiming to have their head and shoulders centered.
Apply any assistive safety accessories such as chest straps, arm rests, and lateral supports.
(Medium close-up of Ian Denison, Physiotherapist and Equipment Specialist)
Ian Denison: Correct posture is a very complex equation that has to take into account a person’s needs, and it’s ever-changing, depending on what these needs are at a specific moment in time.
(Graphic emphasizing what to factor by listing the following words: “Posture,”“Stability,”“Mobility,” and “Physiological Functions.”)
You have to factor their posture, their stability, their mobility, physiological functions like the ability of the lungs to be able to accept oxygen, the compression on the digestive tract, and the drainage of the urinary tract.
(Woman wheeling her friend and wheelchair along the sidewalk.)
If someone is put into a slightly more hazardous situation, then take that into account.
(Graphic emphasizing ways to increase stability by listing the following words: “Move the hips forward,”“Consider a chest strap,” and “Consider applying anti-tippers.”)
Increase the stability, move the hips forwards, consider putting a chest strap on, consider applying anti-tippers to the wheelchair.
(Brief scene of a woman on a wheelchair using a computer followed by a medium close-up shot of Ian Denison.)
When the person is sitting at a meal or at a computer, you don’t have to have the same level of stability. You need to consider some of those other elements; they should be weighted more appropriately.
(Words “To learn more visit scireproject.com” and “follow us @SCIREProject” appear.)
(Fades into next screen with bolded words “Thank you to” followed by the words “Equipment Specialist: Ian Denison,” and “Participants: Kim McIntosh, Gail McIntosh, Bob Thomas, Michelle Miller, Jami Bennett, Matthew Querée, Shannon Sproule and the rest of the SCIRE Team.” Below: logos of the Rick Hansen Institute, University of British Columbia, icord, and Ontario Neurotrauma Foundation.)
(Words “Created by MerilinPaart at the Knowledge Mobilization Studio at the Centre for Hip Healthy and Mobility” and Knowledge Mobilization Studio logo appear on screen before dipping to black.)