Mary is a 12-year-old student with a C4 spinal cord injury. She has normal cognitive function, vision, and hearing, plus head movement. What type of wheelchair do you expect Mary would be able to use independently?
  1. A manual wheelchair with postural supports, a custom seat, and push knobs on the wheels.
  2. An electric wheelchair with postural supports, a custom seat, and joystick controls.
  3. A manual wheelchair with a custom seat and padded wheelchair rims.
  4. An electric wheelchair with postural supports, a custom seat, and a head control.
Explanation
Answer: D. You would expect Mary would be able to use an electric wheelchair with postural supports, a custom seat, and a head control. Mary’s injury is at C4, which means she is paralyzed from the neck down. So she would not be capable of propelling a manual wheelchair by herself. She also would not be capable of operating a joystick control with her hand, but would be able to operate a head control since she has some head movement.
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