Name of the Procedure:

Wheelchair Accessory Installation, Shoulder Harness/Straps or Chest Strap (HCPCS Code: E0960)

Summary

The installation of a shoulder harness, shoulder straps, or chest strap to a wheelchair. These accessories help provide additional support and stability for wheelchair users, preventing falls and promoting better posture.

Purpose

This procedure is aimed at individuals who use wheelchairs and require extra support to stay securely seated. It helps enhance safety by reducing the risk of falls and promotes proper alignment and posture.

Indications

• Individuals with poor trunk control
• Conditions like cerebral palsy, muscular dystrophy, or spinal cord injuries
• Postural instability
• Risk of sliding or falling from the wheelchair

Preparation

• No specific fasting or medication adjustments required.
• A physical assessment to determine the necessity and type of harness/strap.
• Measurement and fitting of the wheelchair for proper accessory installation.

Procedure Description

1. Assessment: Evaluating the patient’s specific needs and the type of harness/strap most suitable.
2. Fitting: Measuring the patient to ensure the chosen accessory provides proper support without discomfort.
3. Installation: Attaching the shoulder harness/straps or chest strap to the wheelchair using mounting hardware.
4. Adjustment: Fine-tuning the fit to ensure maximum comfort and effectiveness.

Duration

The procedure typically takes about 30 minutes to an hour, including assessment, fitting, and instructions.

Setting

This procedure is usually performed in a medical clinic, rehabilitation center, or outpatient setting.

Personnel

• Occupational therapists or physical therapists
• Rehabilitation specialists
• Assistive technology professionals

Risks and Complications

• Skin irritation or pressure sores from improper fit.
• Potential discomfort if the straps are too tight.
• Limited mobility or restricted breathing if incorrectly adjusted.

Benefits

• Enhanced safety by reducing the risk of falls.
• Improved posture and trunk support.
• Increased comfort and stability while seated in the wheelchair.
• These benefits are often realized immediately upon proper installation.

Recovery

• Immediate usability upon fitting.
• Follow-up appointments may be required for adjustments.
• Users are advised to monitor for signs of discomfort or skin issues.

Alternatives

• Lateral supports or foam inserts.
• Customized wheelchair cushions.
• Pros: Other options might offer different forms of support.
• Cons: May not provide the same level of stability or security as shoulder or chest straps.

Patient Experience

Patients might feel the initial pressure of the harness or straps but should not feel any pain. Adjustments ensure comfort. Over time, the sense of stability and improved posture often leads to greater confidence and peace of mind while using the wheelchair. Pain management is generally unnecessary, but if there is any discomfort, it can be adjusted by a professional.