Name of the Procedure:

Manual Wheelchair Accessory, Headrest Extension, Each (E0966) Common Name: Wheelchair Headrest Extension Technical/Medical Term: E0966 - Manual Wheelchair Accessory, Headrest Extension

Summary

A headrest extension is an accessory added to a manual wheelchair to provide additional support for the user's head and neck. It helps in improving comfort and maintaining proper posture.

Purpose

The headrest extension addresses conditions requiring additional head and neck support, such as muscular dystrophy, cerebral palsy, or spinal cord injuries. The goal is to improve the user's comfort and posture, prevent neck strain, and enhance mobility and independence.

Indications

• Poor head and neck stability
• Fatigue or discomfort in the neck muscles
• Medical conditions like muscular dystrophy, cerebral palsy, or spinal cord injuries
• Difficulty maintaining an upright posture in a wheelchair

Preparation

• No specific pre-procedure instructions are necessary.
• An assessment by a healthcare provider or physical therapist to determine the need for a headrest extension.
• Measurements of the wheelchair and user to ensure proper fit.

Procedure Description

1. Assessment and Fitting: A healthcare provider or wheelchair specialist assesses the user's needs and measures for proper fit.
2. Selection: Choose a headrest extension that is compatible with the user's wheelchair.
3. Installation: Attach the headrest extension to the wheelchair using manufacturer-provided tools and instructions.
4. Adjustment: Adjust the headrest position to ensure optimal support and comfort for the user.

No anesthesia or sedation is needed for this non-invasive procedure.

Duration

The fitting and installation typically take about 30 minutes to 1 hour.

Setting

• Outpatient clinic
• Medical supply store
• At the patient's home with visiting healthcare provider

Personnel

• Healthcare provider (e.g., physical therapist, occupational therapist)
• Wheelchair specialist or technician

Risks and Complications

• Improper fitting could lead to discomfort or skin irritation.
• Rare risks include pressure sores if not adjusted correctly.
• Loose installation might cause instability and safety issues.

Benefits

• Enhanced head and neck support
• Improved comfort and posture
• Reduced neck strain and associated discomfort
• Increased mobility and independence

Recovery

• Immediate use after installation
• Instruction on adjustment and maintenance from a healthcare provider

• Follow-up appointments to ensure the headrest remains properly fitted and adjusted

  Alternatives

• Padded headrests integrated into the wheelchair
• Custom-fabricated seating systems
• Non-prescription head and neck support devices

Pros of using headrest extension: Customizable, can be adjusted as needed, specific to user's existing wheelchair. Cons of alternatives: May not offer the same level of customization or adjustability, could be more expensive.

Patient Experience

During the Procedure: The user will be seated in their wheelchair while measurements and initial adjustments are made. There should be minimal discomfort. After the Procedure: Users should experience enhanced comfort and support immediately. Initial slight discomfort is possible as they adjust to the new headrest. Regular follow-up ensures optimal comfort and effectiveness. Pain management is generally not necessary, but minor adjustments can help improve comfort.