Name of the Procedure:

Heel loop/holder, any type, with or without ankle strap, each (E0951)

Summary

A Heel loop/holder is a supportive device designed to maintain proper foot alignment and positioning in a wheelchair. It often includes an ankle strap for additional support.

Purpose

This device is used to prevent the foot from sliding backwards off the footrest, ensuring the foot remains in a safe and stable position. This can help prevent foot drop and other positioning problems for people who use wheelchairs.

Indications

• Difficulty in keeping feet properly positioned on wheelchair footrests.
• Conditions causing muscle weakness or paralysis of the lower extremities.
• Risk of foot drop or other positioning issues.
• Post-surgical or injury-related immobilization needs.

Preparation

• No special preparation is needed.
• A proper fitting might be required, which involves measuring the patient’s foot and ankle dimensions.

Procedure Description

1. Assessment: Evaluate the patient’s needs and wheelchair specifications.
2. Fitting: Choose the appropriate size and type of heel loop/holder.
3. Attachment: Secure the heel loop/holder to the wheelchair footrests.
4. Adjustment: Ensure the device is snug but comfortable, and if it includes an ankle strap, secure it around the ankle to provide additional support.

Duration

The fitting process typically takes 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic, a medical supply store, or at the patient’s home by a healthcare professional.

Personnel

• Physical therapist
• Occupational therapist
• Rehabilitation specialist

Risks and Complications

• Skin irritation or pressure sores if not fitted properly.
• Discomfort due to improper adjustment.
• Risk of device malfunction if not maintained properly.

Benefits

• Improved safety and stability for the foot.
• Enhanced comfort while using a wheelchair.
• Prevention of foot drop and related complications.
• Better overall body alignment and posture.

Recovery

• No recovery period is required.
• Patients may need an adjustment period to get used to the device.
• Regular follow-up to ensure the device remains well-fitted and functional.

Alternatives

• Custom foot orthotics.
• Adjustable wheelchair footrests.
• Modification of the wheelchair seating position.

Patient Experience

Patients should experience enhanced comfort and safety while using the wheelchair. Initial discomfort may occur as they adjust to the new positioning device. Pain management is generally not needed, but comfort can be ensured by proper fitting and periodic checks.