Name of the Procedure:

Manual Wheelchair Accessory, Anti-Rollback Device (HCPCS E0974)

Summary

This procedure involves the installation of an anti-rollback device on a manual wheelchair. This accessory helps prevent the wheelchair from rolling backward, thus ensuring the user's safety and preventing potential accidents.

Purpose

The anti-rollback device is designed to enhance the safety of manual wheelchair users by preventing backward movement. This is particularly beneficial on inclines or when the user is shifting weight in the chair. The expected outcome is increased stability and reduced risk of falls or rollbacks.

Indications

1. Patients who use manual wheelchairs and have difficulty controlling backward movement.
2. Users who frequently navigate inclines.
3. Individuals with limited upper body strength or coordination.
4. Patients advised by their healthcare provider to improve wheelchair safety.

Preparation

No special preparation is required for the patient. The device installation is done on the wheelchair rather than involving any direct medical procedure on the patient.

Procedure Description

1. Assessment: A healthcare professional assesses the wheelchair to ensure compatibility with the anti-rollback device.
2. Installation: The anti-rollback device is securely attached to the frame of the wheelchair.
3. Testing: After installation, the device is tested to ensure it functions correctly and that the wheelchair does not roll backward unintentionally.
4. Adjustment: Any necessary adjustments are made to ensure optimal performance and user comfort.

Tools and equipment include the anti-rollback device components, standard tools like screwdrivers and wrenches, and possibly a user manual for specific installation instructions.

Duration

The installation of the anti-rollback device typically takes about 30 to 60 minutes.

Setting

The installation is usually performed in an outpatient clinic, rehabilitation center, or at home by a trained technician.

Personnel

• Wheelchair technician or medical equipment specialist
• Occupational therapist or physical therapist (optional, for user training)

Risks and Complications

• Minimal risk involved as it is a non-invasive procedure.
• Improper installation might lead to device failure or wheelchair instability.
• Regular maintenance is required to ensure long-term functionality.

Benefits

• Improved safety and stability for manual wheelchair users.
• Reduced risk of falls or unintentional backward rolling.
• Increased confidence and independence for the user. Benefits are generally realized immediately upon correct installation and usage.

Recovery

No recovery is required as it is not an invasive medical procedure. However, users may require a short period to get accustomed to the new device.

Alternatives

• Attendant-controlled wheelchair with no rollback risk.
• Power wheelchair with built-in safety features.
• Regular physical therapy to improve strength and control.

Pros and Cons:

• Pros of Anti-Rollback Device: Low cost, immediate safety benefits, minimal training required, easily added to existing wheelchair.
• Cons of Alternatives: Higher costs (for power wheelchairs), increased dependency on an attendant, or longer time commitment (physical therapy).

Patient Experience

During the installation, the patient may be asked to sit in the wheelchair to ensure the device is properly adjusted. Post-installation, they might experience an immediate improvement in safety, particularly when navigating inclines or shifting within the chair. Pain management and comfort measures are generally not needed.