An OT practitioner is working with a client who had a unilateral below-knee amputation 4 days ago. With regard to wheelchair and positioning, what should be the therapist's priority?
A. To provide a residual limb support
B. To place the large wheelchair wheels farther back to distribute weight
C. To remove both leg rests
D. To issue an extra-heavy wheelchair for stability
ANS: A
A client with a below-knee amputation is at risk for developing a flexion contracture of the knee. A residual limb support can facilitate extension of the knee joint while sitting in the wheelchair to help prevent edema in the residual limb and contracture of the knee. Relocating the large wheels is not necessary with a unilateral below-knee amputation, but it may be necessary with bilateral below- or above-knee amputations.
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