Name of the Procedure:

Manual Wheelchair Accessory, Anti-Tipping Device, Each (E0971)

Summary

An anti-tipping device is an accessory added to a manual wheelchair to prevent it from tipping backward. It provides extra stability and safety for the wheelchair user.

Purpose

The anti-tipping device addresses the risk of a wheelchair tipping over, which can occur when navigating uneven terrain, going up ramps, or during sudden movements. The primary goal is to enhance safety and stability for the wheelchair user, reducing the likelihood of falls and injuries.

Indications

• Users who have experienced tipping incidents with their wheelchair.
• Conditions that cause balance issues or sudden movements.
• Using the wheelchair on uneven or inclined surfaces.
• Patients who require additional stability and confidence in their wheelchair usage.

Preparation

• No specific fasting or medication adjustments are needed.
• An assessment by a healthcare provider to ensure the accessory fits the patient's wheelchair model and needs.

Procedure Description

1. Selection: Choose the appropriate anti-tipping device compatible with the wheelchair model.
2. Attachment: Securely attach the device to the rear of the wheelchair frame following the manufacturer's instructions. This usually involves:
   • Aligning the anti-tip bars or wheels with the frame.
   • Using bolts, screws, or clips to fasten them in place.
3. Adjustment: Adjust the device to the correct height and angle, ensuring it provides the needed stability without interfering with the normal operation of the wheelchair.

Tools: Screwdrivers, wrenches, and other small hand tools. Anesthesia: Not applicable.

Duration

The installation typically takes about 15-30 minutes.

Setting

• Can be performed in various settings such as an outpatient clinic, rehabilitation center, or even at home by a trained caregiver or healthcare provider.

Personnel

• Occupational therapist, physical therapist, or a trained technician specializing in wheelchair accessories.

Risks and Complications

• Improper installation could lead to device malfunction.
• Compatibility issues with certain wheelchair models.
• Minimal risk of the device impeding wheelchair function if not correctly adjusted.

Benefits

• Enhanced safety by preventing tipping accidents.
• Increased confidence and independence for the wheelchair user.
• Immediate stability improvement upon proper installation.

Recovery

• No specific recovery time needed as this is a non-invasive modification.
• Users may need a brief adjustment period to get used to the new accessory.
• Regular inspection and maintenance to ensure the device remains securely attached and functional.

Alternatives

• Using a power-operated wheelchair with built-in stabilization features.
• Employing a spotter or caregiver assistance for additional safety.
• Adding weight to the front of the wheelchair for better balance (though this might reduce maneuverability).

Pros and Cons of Alternatives:

• Power wheelchairs offer more stability but at a higher cost and less portability.
• Caregiver assistance adds human reliability but reduces independence.
• Adding weight is a low-cost solution but can impact wheelchair performance.

Patient Experience

During the installation, the patient might need to stay seated in or out of the wheelchair based on the clinician's instruction. After the installation, they should experience increased stability and safety. Pain management is not necessary; however, comfort measures include ensuring the device does not negatively influence wheelchair performance or comfort. Regular follow-up appointments can help fine-tune the accessory for optimal performance.