Quantum Rehab
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Meeting the needs of people living with Spinal Cord Injuries

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Condition


Spinal Cord Injury (SCI) is damage to the spinal cord that results in loss of function such as mobility or sensation. An SCI may result from trauma, tumor, ischemia, a developmental birth defect (such as spina bifida), transverse myelitis or vascular malformations.

There are two main classifications of spinal cord injuries, complete and incomplete. A complete injury means there is no voluntary movement or sensation below the level of the injury. An incomplete injury means that the ability of the spinal cord to convey messages to or from the brain is not completely lost. Additionally, some sensation (even if it’s faint) and movement is possible below the level of injury.

Kiel Eigen - Spinal Cord Injury

Mobility and Assistive Technology Needs


Depending on the level of the injury, some individuals may only require the use of a walker or braces to accomplish independent mobility.

A large percentage of those with an SCI rely on the use of power mobility to live independently or achieve independent mobility in their environment. Some individuals will require the assistance of a ventilator to aid with breathing.

If a power mobility device is required, it is suggested the client be evaluated during rehabilitation in order to promote increased independence, improved confidence in his/her mobility and to achieve as high a level of independence as possible with the power mobility device.

The client should be fitted with a power base that can meet various seating, positioning and electronics needs. Clients with a high level of injury will require a power positioning system to provide them with the ability to perform independent pressure relief, changes in positioning and gravity assisted positioning. Power seating options for this group of individuals are power tilt, power recline, and power tilt and recline. Additional options are a power adjustable seat lift, power articulating leg rests and a power articulating foot platform.

A customized seating system is an important part of helping a client compensate for weakness or lack of muscle control and providing proper support and pressure distribution for the prevention of pressure ulcer development. There are also many custom accessories that can be added to the seating system in order to maximize the individual’s independence with Mobility Related Activities of Daily Living (MRADLs).

Often, a client’s needs and abilities will change over time due to gravity’s effect on the body (years or months). A modular seating system should be considered to accommodate these changes. Also, for this reason, periodic evaluation of the client should be performed to prevent orthopedic deformity from occurring.

The Quantum® Solution


Q6 Edge 2.0 with iLevel

Clients with SCI who have significant mobility needs due to the level of injury will benefit from a power base that has the ability to accept full seating and positioning options like power tilt, recline, and power tilt and recline. This offers a client with decreased ability to shift weight with independent pressure relief and allows the individual to maintain healthy skin integrity at the tissue surfaces making contact with the seat cushion.

The Q6 Series fits this criteria by possessing a proven track record of quality, reliability and customer satisfaction. All chairs in this series have the capability to accept expandable electronics that meet the changing needs of your client.


The TRU-Balance® 3 Power Tilt, Power Recline, and 10” Power Adjustable Seat Lift with iLevel® provides clients with dynamic seating essential for positioning, comfort, skin integrity and function within the seating system. iLevel has up to 10” of lift that can be beneficial to your client during transfers and help to maintain independence in a variety of environments. iLevel can also potentially assist your SCI client with easier transfers to examination tables for medical appointments, which is a critical part of care for an individual living with an SCI. TRU-Comfort 2 Seating provides excellent comfort and pressure management in addition to having an aesthetically pleasing look. Synergy® Cushions allow for added stability and support for a client’s positioning and provide exceptional envelopment to assist with pressure management.


Q-Logic 2 Expandable Controller

The Q-Logic 2 expandable controller offers standard Bluetooth® access to computer, tablet and phone functions. Q-Logic 2 Drive Controls allow for easy “plug and play” capability for alternative drive controls. The Q-Logic 2 joystick comes standard with a color graphic display along with switch jacks. If a proportional joystick is not an appropriate option for your client to control the power base, alternative drive controls should be considered. The Q-Logic 2 Enhanced Display provides your client with the ability to utilize alternative drive controls like the Stealth i-DriveTM. A sip-n-puff, head array, chin control and other devices are also available options. In addition, Q-Logic 2 electronics are highly programmable to meet the specific needs of the individual with an SCI.

The Q-Logic 2 Enhanced Display features infrared capabilities and a wireless Bluetooth option. The Q-Logic 2 Enhanced Display is equipped with a wireless Bluetooth mouse emulator that can provide access to a computer for the individual’s leisure and school or work activities. The Enhanced Display also has the ability to learn infrared commands for your client to control devices like televisions and X10 technology to further improve independence.

Stealth i-Drive


Stealth iDrive

The i-Drive is the most advanced wheelchair drive control in the world. The drive control works at a frequency of 16kHz, which provides real time user interface and results in improved driving efficiency, better feedback, smoother control and a more intuitive “feel.” Our superior positioning and head control products produce a mechanical framework for the i-Drive technology that offers limitless combinations of head, trunk and cervical positioning options. stealthproducts.com


Level Implications Equipment to Consider
C1-C3 Poor head control, weak neck muscles, respiratory problems Power wheelchair, alternative drive controls, power positioning system, pressure managing seat cushion, solid backrest support, trunk and extremity supports, ventilator
C4 Good head control, can shrug shoulders, no upper extremity function, possible respiratory problems Power wheelchair, alternative drive control, power positioning system, vent tray, pressure managing seat cushion, solid backrest support, trunk and extremity supports, ventilator
C5 Good shoulder abduction and extension, elbow flexion Power wheelchair, possible alternative drive controls, modified joystick handle, power positioning system, pressure managing seat cushion, solid backrest support, trunk support, ultra-lightweight manual wheelchair with handrim projections
C6 Good shoulder function, radial wrist extension, strong elbow flexion Power wheelchair, modified joystick handle, power positioning system, pressure managing seat cushion, solid backrest support, trunk support, ultra-lightweight manual wheelchair with handrim projections or coated handrims
C7 Good elbow extension, good wrist function, minimal grasp Power wheelchair, modified joystick handle, power positioning system, pressure managing seat cushion, solid backrest support, trunk support, ultra-lightweight manual wheelchair with coated handrims
C8 Good elbow extension, good grasp with minimal dexterity Power wheelchair, possibly modified joystick handle, power positioning, pressure managing seat cushion, solid backrest support, trunk support, ultra-lightweight manual wheelchair possibly with coated handrims
T1 Full hand dexterity Power wheelchair, power positioning system, pressure managing seat cushion, solid backrest support, trunk support, ultra-lightweight manual wheelchair
T2-T7 Chest muscles, no abdominal muscles Power wheelchair, ultra-lightweight manual wheelchair, pressure managing seat cushion, solid mid-height backrest, possible lateral trunk supports
T8-T10 Upper abdominal muscles Ultra-lightweight manual wheelchair unless other medical diagnoses call for a power wheelchair, pressure managing seat cushion, mid-height solid backrest support
T10-T12 Lower abdominal muscles Ultra-lightweight manual wheelchair, pressure managing seat cushion, low solid backrest support
L2 Hip flexors Ultra-lightweight manual wheelchair, pressure managing seat cushion, low solid backrest support
L3 Knee extensors Ultra-lightweight manual wheelchair, pressure managing seat cushion, low solid backrest support
L4 Ankle dorsiflexion Ultra-lightweight manual wheelchair, pressure managing seat cushion, low solid backrest support
L5 Toe extension Ultra-lightweight manual wheelchair, pressure managing seat cushion, low solid backrest support
S1 Ankle plantarflexion Ultra-lightweight manual wheelchair, pressure managing seat cushion, low solid backrest support

About Quantum Rehab

Quantum Rehab® was born out of the desire to delight customers with the most advanced, consumer-inspired complex rehab power wheelchairs and related technologies possible.

At Quantum, consumer needs and wishes are the driving force. We’re dedicated to not just meeting medical and clinical needs, but also quality-of-life needs. From the most advanced power seating for pressure management to USB ports, Bluetooth and fender lights, no consumer need is overlooked.


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Quantum Rehab
401 York Avenue
Duryea, PA 18642

1-866-800-2002

Monday - Friday
8:30am - 5:00pm ET