Name of the Procedure:

Common Name: Lateral Trunk or Hip Support
Technical Term: Wheelchair Accessory, Lateral Trunk or Hip Support, Including Fixed Mounting Hardware (HCPCS E0956)

Summary

The lateral trunk or hip support is an accessory for wheelchairs designed to provide additional stability and comfort for the wheelchair user. This support system is installed on the wheelchair using fixed mounting hardware and helps maintain proper posture by preventing unwanted side-to-side movement.

Purpose

Medical Conditions:

• Scoliosis
• Muscular dystrophy
• Spinal cord injuries
• Other neuromuscular diseases or conditions

Goals/Outcomes:

• Improved posture and alignment
• Enhanced comfort and stability
• Reduced risk of pressure sores and other complications

Indications

Symptoms/Conditions:

• Recurrent slouching or leaning to one side
• Difficulty maintaining an upright posture
• Risk of developing pressure sores due to poor posture

Patient Criteria:

• Individuals with impaired trunk or hip control
• Patients experiencing discomfort or instability in their wheelchair
• Suitable for both adults and pediatric patients, based on assessment

Preparation

Pre-Procedure Instructions:

• No specific fasting or medication adjustments required
• A thorough assessment by a qualified healthcare professional, such as a physical therapist or occupational therapist, to determine the need and appropriate type of support

Diagnostic Tests:

• Postural assessment
• Evaluation of trunk and hip strength and control

Procedure Description

Step-by-Step Explanation:

1. Assessment: A healthcare professional assesses the patient's needs and wheelchair measurements.
2. Selection: The appropriate type and size of the lateral trunk or hip support are selected.
3. Preparation: The support and mounting hardware are prepared for installation.
4. Installation: The support is securely mounted onto the wheelchair frame using the fixed hardware.
5. Adjustment: The position and fit of the support are adjusted to ensure optimal comfort and effectiveness.
6. Final Check: A final check is conducted to ensure stability and comfort for the wheelchair user.

Tools and Equipment:

• Lateral trunk or hip support device
• Mounting hardware
• Tools for securing hardware (e.g., wrenches, screwdrivers)

Anesthesia/Sedation: Not required

Duration

Typically takes 30 minutes to 1 hour, including assessment and installation.

Setting

Performed in outpatient clinics, rehabilitation centers, or at home (for minor adjustments).

Personnel

• Physical therapists
• Occupational therapists
• Specialized wheelchair technicians

Risks and Complications

Common Risks:

• Initial discomfort as the patient adjusts to the support

Rare Risks:

• Poorly fitting supports may cause pressure sores
• Improper installation could lead to instability

Complication Management: Regular follow-ups and adjustments as needed.

Benefits

Expected Benefits:

• Immediate improvement in posture and stability
• Increased comfort while using the wheelchair

Recovery

Post-Procedure Care:

• Regular checks to ensure the support remains properly fitted
• Patient education on how to use and adjust the support

Expected Recovery Time:

• Immediate use with adjustments over time as needed

Restrictions/Follow-Up:

• Follow-up appointments for adjustments and to address any emerging issues

Alternatives

Other Options:

• Custom-molded seating systems
• Alternative positioning devices

Pros and Cons of Alternatives:

• Custom-molded systems offer a tailored fit but are often more expensive and time-consuming to make.
• Alternative devices may offer similar benefits but might not integrate as seamlessly with existing wheelchair setups.

Patient Experience

During the Procedure:

• Minimal discomfort during the fitting process

After the Procedure:

• Initial period of adjustment to the new support
• Improved comfort and stability
• Periodic adjustments may be required for optimal results

Pain Management:

• Typically not needed, but any discomfort can often be managed through further adjustment of the support.