Name of the Procedure:

Manual Wheelchair Accessory, Wheel Lock Brake Extension (Handle), Each (E0961)
Common name(s): Brake handle extension, Wheel lock extension
Technical/medical terms: E0961 manual wheelchair accessory

Summary

A wheel lock brake extension handle for a manual wheelchair is an add-on device that extends the reach of the wheelchair's brake handle. This makes it easier for users with limited strength or dexterity to operate the brake system.

Purpose

The wheel lock brake extension handle primarily addresses issues faced by manual wheelchair users with limited upper body strength or dexterity in their hands and arms. The goal is to enable these individuals to easily and safely lock and unlock their wheelchair wheels to prevent unintended movement, enhancing their control and independence.

Indications

• Limited hand strength or dexterity
• Reduced upper body strength
• Difficulty operating standard wheelchair brakes
• Need for increased leverage to effectively use brake systems

Preparation

• No specific pre-procedure preparation is necessary.
• Ensure the wheelchair undergoes a general maintenance check prior to installation.
• Confirm the compatibility of the brake extension handle with the particular make and model of the wheelchair.

Procedure Description

1. Assessment: A qualified technician or healthcare provider assesses the wheelchair and user needs.
2. Selection: Choose an appropriate brake extension handle compatible with the wheelchair.
3. Installation:
   • Apply the brake to stabilize the wheelchair.
   • Remove any existing brake handles if necessary.
   • Attach the extension handle to the brake mechanism following the manufacturer's instructions.
   • Secure the handle and test its stability and function.
4. Adjustment: Adjust the length or angle of the handle as needed for optimal user comfort and accessibility.
5. Education: Provide the user with instructions and demonstrations on how to use the new brake handle effectively.

Tools: Screwdriver, wrench, Allen keys, or specific tools recommended by the handle manufacturer.
Anesthesia or sedation: Not applicable.

Duration

The installation typically takes about 15-30 minutes.

Setting

The procedure is performed in an outpatient setting, such as a medical equipment supply store, rehabilitation center, or the user’s home.

Personnel

• Rehabilitation technician or specialist
• Occupational therapist (optional, for functional assessment and training)

Risks and Complications

• Improper installation leading to reduced brake effectiveness
• Potential for handle to become loose over time requiring re-tightening or adjustment

Benefits

• Improved user control over wheelchair movements
• Increased safety and independence for the wheelchair user
• Enhanced accessibility for users with limited physical abilities
• Benefits often realized immediately after installation

Recovery

• No recovery time is needed since this is an accessory attachment.
• Instruction on usage should be provided immediately post-installation.
• Follow-up may be required to ensure handle remains secure and effective.

Alternatives

• Custom-built brake handles
• Electric wheelchairs with built-in manual lock braking systems
• Pros and Cons:
  • Custom handles may offer more tailored solutions but can be costlier.
  • Electric wheelchairs provide more automation but may not be suitable for all users or environments.

Patient Experience

During the installation, patients may observe and learn. Post-installation, they should find brake operation significantly easier and more manageable. Pain management and comfort measures are generally not needed for this procedure.