Name of the Procedure:

Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat (HCPCS Code: E0144)

Common Names:

• Four-wheeled posterior seat walker
• Rollator with posterior seat
• Wheeled walking frame with a built-in seat

Summary:

This procedure involves providing a type of walker that has a four-sided frame and wheels, along with a posterior seat for resting. It is either rigid or foldable, designed to help individuals with mobility issues move around safely and independently.

Purpose:

The walker is designed for individuals who require support for walking due to conditions such as arthritis, neurological disorders, muscle weakness, or balance issues. The goals are to enhance mobility, reduce the risk of falls, and provide a seat for resting when needed.

Indications:

• Difficulty walking or maintaining balance
• Need for a rest seat during ambulation
• Muscle weakness or joint pain that impairs walking
• Neurological conditions affecting mobility (e.g., Parkinson’s disease, multiple sclerosis)
• Recovery from surgery or injury requiring mobility assistance

Preparation:

• No special fasting or medication adjustments required.
• Initial assessment by a healthcare provider to ensure the walker is appropriate for the patient’s needs.

Procedure Description:

1. Assessment: Healthcare provider evaluates the patient’s mobility needs and determines the correct walker type and size.
2. Fitting: The walker is adjusted to the correct height for the patient, ensuring it provides optimal support.
3. Instruction: Patient and/or caregiver receive instructions on how to use the walker safely, including how to use the posterior seat for resting.
4. Practice: Patient is assisted in practicing walking with the walker both indoors and outdoors to ensure confidence and safety.

Tools, Equipment, and Technology:

• Four-wheeled walker with a posterior seat
• Adjustment tools (e.g., wrenches) for customizing walker height

Duration:

• Initial fitting and instruction session typically lasts 30-45 minutes.
• Continuous usage as long as needed for mobility support.

Setting:

• Outpatient clinic
• Rehabilitation center
• Patient’s home

Personnel:

• Physical Therapist
• Occupational Therapist
• Healthcare provider (Primary care physician or specialist)

Risks and Complications:

• Minimal risks; improper use could lead to falls or injuries.
• Regular maintenance and proper fitting mitigate most risks.

Benefits:

• Improved mobility and independence
• Enhanced safety and reduced fall risk
• Convenience of having a seat available for resting

Recovery:

• No recovery required, as this is a mobility aid rather than a surgical procedure.
• Regular follow-up appointments recommended to adjust the fit of the walker and reassess mobility needs.

Alternatives:

• Traditional non-wheeled walkers
• Three-wheeled rollators
• Motorized scooters
• Crutches or canes

Pros and Cons Compared to Alternatives:

• Pros: Offers a seat for resting, better suited for individuals needing frequent breaks.
• Cons: Larger and potentially less portable than simpler aids like canes.

Patient Experience:

Patients typically feel increased stability and confidence in their ability to move around independently. The seat offers opportunities for rest during longer walks, which is particularly beneficial for individuals with reduced endurance. Pain management would involve ensuring the walker is adjusted correctly to avoid any strain on the body.

Comfort measures include padded grips and potentially a cushioned seat, ensuring the patient can use the walker without discomfort.