Name of the Procedure:

Wheel Attachment for Rigid Pick-Up Walker (HCPCS Code: E0155)

Summary

Attaching wheels to a rigid pick-up walker allows for smoother and easier movement over various surfaces. This modification can help improve the mobility and independence of users who have difficulty lifting and moving a traditional non-wheeled walker.

Purpose

Medical Conditions Addressed

• Arthritis
• Musculoskeletal disorders
• Muscle weakness or fatigue ##### Goals
• To facilitate easier movement and reduce effort and strain.
• To enhance stability and prevent falls.
• To improve overall mobility and independence.

Indications

• Patients experiencing difficulty with the manual lifting of a standard walker.
• Reduced upper body strength.
• Chronic conditions impacting mobility, such as arthritis or muscular dystrophy.

Preparation

• No special preparation is generally required.
• Ensure the walker is compatible with the wheel attachment.
• Consult with a healthcare provider for assessment.

Procedure Description

1. Assessment and Selection: A healthcare provider assesses the patient's walker for compatibility and selects appropriate wheels.
2. Attachment: The wheel attachment is fitted onto the front legs of the rigid pick-up walker. This may involve:
   • Removing existing caps or tips.
   • Affixing the wheel brackets securely.
   • Ensuring the wheels are properly aligned and functional.
3. Adjustment: The walker height might be adjusted to accommodate the new wheels for optimal ergonomic use.

Tools and Equipment

• Compatible wheel attachments (per pair).
• Basic tools like screwdrivers or wrenches as needed.

Anesthesia or Sedation

• Not applicable for this procedure.

Duration

The procedure typically takes about 15-30 minutes.

Setting

• Outpatient clinic or at home with instruction from a healthcare provider.

Personnel

• Physical Therapist or Occupational Therapist.
• Medical equipment supplier or technician, if necessary.

Risks and Complications

• Common Risks: Minimal, typically includes improper fit or alignment issues.
• Rare Risks: Increased risk of falls if the walker becomes unstable. ##### Management
• Regular follow-up to ensure proper alignment and operation.

Benefits

• Immediate improvement in ease of use and mobility.
• Enhanced stability and reduced risk of falls.
• Increased independence for the user.

Recovery

• Immediate use allowed following the attachment.
• Continued use as needed, with possible follow-up for adjustments.

Post-Procedure Care

• Regular checks for wheel wear and tear.
• Follow-up appointments for alignment and height adjustments.

Alternatives

• Standard Walker: May still be used if the patient prefers.
• Rollator Walker: Offers built-in wheels and additional features (e.g., brakes, seats) but may be bulkier.
• Cane: Suitable for those needing minimal support, though less stable than a walker.

Patient Experience

During the Procedure

• Minimal discomfort; primarily involves observation and minor tool usage. ##### After the Procedure
• Significant improvement in ease of movement.
• Minor adjustments might be necessary to optimally fit the walker to the patient's height and comfort level. ##### Pain Management
• Generally not required; any discomfort should be minimal and infrequent.