Name of the Procedure:

Walker, Folding, Wheeled, Adjustable or Fixed Height (HCPCS code: E0143)

Summary

A Folding Wheeled Walker is a medical device that aids individuals with mobility issues. It consists of a lightweight, foldable frame with wheels at the front. The height can be either adjustable to fit the user's needs or fixed.

Purpose

The primary purpose of this walker is to provide support and stability for individuals with difficulty walking. It aims to improve mobility, reduce the risk of falls, and help users maintain their independence.

Indications

Indicated for patients experiencing:

• Balance issues
• Weakness in the legs
• Post-surgery recovery (e.g., hip or knee surgery)
• Chronic conditions like arthritis or Parkinson's disease

Patient criteria:

• Limited ability to walk without assistance
• Good upper body strength to grip and maneuver the walker

Preparation

Patients should:

• Receive proper fitting and adjustment instructions from a healthcare provider.
• Learn safe usage techniques.
• Possibly undergo a physical therapy session to ensure proper use and balance.

Procedure Description

1. Fitting: The walker is adjusted to match the user's height. The hand grips should be at hip level to allow for a comfortable grip.
2. Usage: The patient grasps the handles and steps forward, using the walker for balance and support.
3. Maintenance: Regularly check for wear and tear, particularly on the wheels and hand grips.

Tools, Equipment, or Technology Used

• Folding wheeled walker, often made of aluminum for lightweight and durability.

Anesthesia or Sedation

• Not applicable.

Duration

1-2 hours for fitting and instruction.

Setting

Typically performed in:

• Outpatient clinics
• Physical therapy centers
• Home health care settings

Personnel

Involves:

• Physical therapists
• Occupational therapists
• Healthcare providers Specialized in mobility aids

Risks and Complications

• Improper adjustment can lead to discomfort or falls.
• Wear and tear can compromise walker stability.
• Misuse leading to strains or injuries.

Benefits

• Improved mobility and independence.
• Reduced risk of falling.
• Enhanced quality of life.

Realization of Benefits: Immediately upon proper use and adjustment.

Recovery

• Regularly follow up with a healthcare provider for adjustments.
• Maintain and regularly clean the walker.
• No significant recovery time; immediate use post-fitting.

Alternatives

• Crutches: Limited support for weight distribution.
• Canes: Less stability compared to a walker.

• Wheelchairs: More support but limits physical activity and requires greater assistance.

  Pros and Cons of Alternatives:

• Crutches and canes are less cumbersome but provide less support.
• Wheelchairs offer more support but decrease physical activity and require more assistance.

Patient Experience

During the procedure:

• Patients may feel awkward initially while learning how to use the walker.
• Ensuring comfort and proper balance through practice.

After the procedure:

• Increased confidence with improved mobility.
• Possible mild discomfort or muscle fatigue which improves with time.

Pain Management and Comfort Measures:

• Instruction on ergonomic use to prevent discomfort.
• Recommendations for padded hand grips or accessories for added comfort.