Name of the Procedure:

Platform Attachment, Forearm Crutch, Each (E0153)

Summary

The platform attachment for a forearm crutch is an adaptive device that helps individuals who have difficulty gripping standard crutches due to conditions affecting the hands, wrists, or arms. It provides additional stability and support.

Purpose

The attachment is designed to provide enhanced support for individuals with limited hand or wrist function, allowing them to use crutches without relying on grip strength. The goal is to improve mobility and safety.

Indications

• Arthritis
• Cerebral palsy
• Muscular dystrophy
• Post-surgical recovery involving hands, wrists, or arms
• Any condition causing weakness or pain in the hand or wrist

Patients who have difficulty using traditional crutches due to hand or wrist limitations.

Preparation

• Ensure a proper fitting and adjustment of the attachment by a healthcare professional.
• Check for updates on underlying conditions with a healthcare provider.
• No specific diagnostic tests are required, although reviewing any recent medical changes with your doctor is advised.

Procedure Description

1. A healthcare professional evaluates the patient's needs and measures the arm for the correct size of the platform attachment.
2. The platform attachment is securely installed on the forearm crutch.
3. Adjustments are made to ensure the correct height and alignment.
4. The patient receives training on how to use the modified crutch safely and effectively.

Tools used: Forearm crutch, platform attachment, measuring devices.

No anesthesia or sedation is required.

Duration

The fitting and adjustment typically take about 30 minutes to 1 hour.

Setting

The fitting process is usually conducted in an outpatient clinic, rehabilitation center, or at a medical equipment supplier's facility.

Personnel

• Physical therapist or occupational therapist
• Medical equipment specialist

Risks and Complications

• Skin irritation or pressure sores if not fitted correctly.
• Muscle strain from improper use.
• Rare risk of falling if the attachment is not securely installed. Management: Regular follow-up and adjustments, patient education.

Benefits

• Improved mobility.
• Enhanced comfort during use.
• Less reliance on hand and wrist strength. Benefits can be realized immediately after proper fitting and adjustment.

Recovery

There is no recovery period as it is a non-invasive procedure. Follow-up appointments may be needed for re-evaluation and adjustments. Instructions on proper use and maintenance will be provided.

Alternatives

• Traditional crutches without modifications.
• Walking frames or walkers.
• Wheelchairs. Pros and cons vary; traditional crutches may not be suitable for everyone, while walkers or wheelchairs provide more stability but lesser mobility convenience.

Patient Experience

Patients may experience an initial period of adjustment while becoming accustomed to using the platform attachment. Proper training and practice can mitigate any discomfort. Pain management is typically not necessary, but comfort measures include padding and correct fitting.

Overall, this platform attachment is aimed at enhancing the quality of life by making mobility aids more accessible for those with upper limb limitations.