Wheelchair Users

What you need

This is what you need for this check-in:

1. A CaptureProof account - Sign up here
2. A mobile phone with a camera
3. A well lit, open area (do not be back lit)
4. A helper willing to take videos of you
5. Lock and key, like a front door
6. A set of cutlery
7. Something with buttons and something with a zipper
8. A t-shirt or sweater
9. Something to tie your hair back if it sits on your shoulders
10. Safety pin or paper clip
11. Any aids that you typically use

Hands in Hair

CAMERA VIEW

Hair Washing

Participant:

Mime that you are washing your hair and then use a brush to brush your hair. Do the best that you can and use any aids you would typically use.
Tap the arrow to close the words. Tap the screen to set focus

Key in a lock

CAMERA VIEW

Turn the key in the lock to both lock and unlock the door. Do the best that you can and use any aids you would typically use.

Tap the arrow to close the words. Tap the screen to set focus

Use of Cutlery

CAMERA VIEW

Show how you use a fork and a knife. If you do not use a knife and fork, your usual eating implements should be substituted (e.g. chopsticks). Do the best that you can and use any aids you would typically use.

Tap the arrow to close the words. Tap the screen to set focus

Buttons or Zips

CAMERA VIEW

Do or undo Buttons or Zips on a shirt or jacket. Do the best that you can and use any aids you would typically use.

Tap the arrow to close the words. Tap the screen to set focus

Upper Body Dress

CAMERA VIEW

Put on a sweater or a t-shirt on over your head. Do the best that you can and use any aids you would typically use.

Tap the arrow to close the words. Tap the screen to set focus

Finger Tap Right

CAMERA VIEW

Line up to the overlay. Hold RIGHT hand next to face and have the palm face directly to the camera. Tap each Fingers to your thumb.

Make a Fist Right

CAMERA VIEW

Line up to the overlay. Hold your right hand up beside your head and open and close your hand fully three times. Make the tightest fist you are able to do. If you can not make a fist do the best you can.

Finger Tap Left

CAMERA VIEW

Line up to the overlay. Hold RIGHT hand next to face and have the palm face directly to the camera. Tap each Fingers to your thumb.

Make a Fist Left

CAMERA VIEW

Line up to the overlay. Hold your left hand up beside your head and open and close your hand fully three times. Make the tightest fist you are able to do. If you can not make a fist do the best you can.

Hand Steadiness Right

CAMERA VIEW

INSTRUCTIONS:

Holding the phone with your right hand, match up the green line on the screen to the line on your ceiling where the wall meets the ceiling. Press record with your left hand and hold steady for 5 seconds.

Be sure to have a clean background and good light.

Hand Steadiness Left

CAMERA VIEW

INSTRUCTIONS:

Holding the phone with your left hand, match up the green line on the screen to the line on your ceiling where the wall meets the ceiling. Press record with your right hand and hold steady for 5 seconds.

Be sure to have a clean background and good light.

External Arch Right Seated

CAMERA VIEW

CAMERA - SET UP:

Camera 12 inches or more from the leg. Take a picture with a small space in front and behind the foot. Be sure to have clean background, good light and get the entire foot in view.

Participant:

Please sit and show the RIGHT foot so that the outside arch can be photographed. Arch near your little toe.

Internal Arch Left Seated

CAMERA VIEW

CAMERA - SET UP:

Camera 12 inches or more from the leg. Take a picture with a small space in front and behind the foot. Be sure to have clean background, good light and get the entire foot in view.

Participant:

Please sit and show the LEFT foot so that the INSIDE arch can be photographed. Arch near your big toe.

Ankle Left RoM

CAMERA VIEW

FRAME side view, Sitting in a chair.

Participant:

INSTRUCTIONS do each 3 times.
(1) lift your LEFT foot off of the floor;
(2) point your toes DOWN toward the floor;
(3) point your toes UP to the ceiling;
(4) point your SIDE -TO-SIDE;
(5) rotate toes in a CIRCLE moving ankle one direction then the other.

Move as much as possible in each direction.

External Arch Left Seated

CAMERA VIEW

CAMERA - SET UP:

Camera 12 inches or more from the leg. Take a picture with a small space in front and behind the foot. Be sure to have clean background, good light and get the entire foot in view.

Participant:

Please sit and show the LEFT foot so that the outside arch can be photographed. Arch near your little toe.

Internal Arch Right Seated

CAMERA VIEW

CAMERA - SET UP:

Camera 12 inches or more from the leg. Take a picture with a small space in front and behind the foot. Be sure to have clean background, good light and get the entire foot in view.

Participant:

Please sit and show the RIGHT foot so that the INSIDE arch can be photographed. Arch near your big toe.

Ankle Right RoM

CAMERA VIEW

FRAME side view, Sitting in a chair.

Participant:

(1) lift your RIGHT foot off of the floor;
(2) point your toes DOWN toward the floor;
(3) point your toes UP to the ceiling;
(4) point your SIDE -TO-SIDE;
(5) rotate toes in a CIRCLE moving ankle one direction then the other.

Move as much as possible in each direction.

Pin Prick

CAMERA VIEW

CAMERA - SET UP:

In tripod, make sure not to stand blocking the action.

Participant:

Exposing the skin on the dominant leg (kick a ball?) Using a safety pin you will test the sensation of the leg. Randomly pick the pin side / round side of the pin. At each point tap 3-5 times. Locations to tap, in order: mid thigh; below knee cap; mid shin; either side of ankle bone; inch down foot to big toe.

Journal

CAMERA VIEW

INSTRUCTIONS:

Please tell us any other information about how CMT impacts you and your daily life