Final answer:
The recommended wheelchair for stroke patients who have lost function in one arm and one leg is the One arm drive wheelchair. Upper motor neuron issues can lead to an inability to move the arm voluntarily while muscle tone remains. Sidewalk ramps and Braille signs are forms of accessibility required by the Americans with Disabilities Act.
Step-by-step explanation:
The type of wheelchair recommended for patients who have had a stroke and lost function in one upper and one lower extremity is a. One arm drive wheelchair. This type of wheelchair is specifically designed to be operated with only one arm, accommodating the patient's ability to maneuver the chair using a single limb. In the case of stroke survivors, who may experience paralysis or weakness on one side (also known as hemiplegia), one arm drive wheelchairs provide a practical mobility solution. These wheelchairs often have special mechanisms that allow the wheels on both sides to be controlled with one hand, either through interconnected handrims or a lever system.
For patients with motor disorders that render them unable to move their arm voluntarily yet retain muscle tone, the upper motor neuron is likely affected. Upper motor neurons originate in the brain and carry signals to lower motor neurons, which then act on muscles. An issue with upper motor neurons can interrupt the voluntary movement commands but often leaves some muscle tone intact due to the remaining influence of reflex arcs and lower motor neurons.
Accommodations such as sidewalk ramps and Braille signs fall under c. forms of accessibility for people with disabilities and are also b. accommodations required by the Americans with Disabilities Act. These features ensure that individuals with disabilities can navigate and access public spaces and services, which is a critical aspect of creating an inclusive society.
Spinal cord injuries leading to paralysis, such as quadriplegia or paraplegia, affect the capacity to feel or move parts of the body depending on the level and severity of injury. People with paralysis due to spinal cord injuries may experience different levels of mobility impairment, which influences the type of wheelchair that would best suit their needs.