Name of the Procedure:

Wheelchair Accessory Positioning Belt/Safety Belt/Pelvic Strap (E0978)

• Common name: Positioning belt, safety belt, pelvic strap
• Technical/medical term: Wheelchair positioning belt

Summary

A wheelchair positioning belt, often referred to as a safety belt or pelvic strap, is a device that helps ensure the user remains securely seated in their wheelchair. It is similar to a seatbelt in a car, providing support and preventing falls or improper seating posture.

Purpose

Medical Conditions/Problems Addressed:

• Inadequate trunk control
• Risk of falling from the wheelchair
• Poor seating posture

Goals/Expected Outcomes:

• Enhanced stability and safety in the wheelchair
• Reduced risk of falls or injuries
• Improved seating posture and comfort

Indications

Symptoms/Conditions Warranting the Procedure:

• Difficulty maintaining an upright and stable position
• History of falls or slipping out of wheelchair
• Neuromuscular conditions affecting trunk control

Patient Criteria:

• Patients with conditions like cerebral palsy, spinal cord injury, muscular dystrophy, or other disorders that impair motor control and stability

Preparation

Pre-Procedure Instructions:

• No specific fasting or medication adjustments are typically required
• A fitting assessment to ensure correct size and placement of the belt

Diagnostic Tests/Assessments:

• Physical assessment by a healthcare provider to evaluate seating needs
• Possibly a seating and mobility evaluation by an occupational or physical therapist

Procedure Description

Step-by-Step Explanation:

1. The wheelchair user is seated comfortably in the wheelchair.
2. The healthcare provider positions the belt around the user's pelvic area.
3. The belt is securely fastened using buckles or Velcro, ensuring it is snug but not restrictive.

4. Adjustments are made to the belt to align it properly and provide optimal support.

   Tools/Equipment:

   • Positioning belt with appropriate fastening mechanisms
   • Foam padding or additional supports if needed

Anesthesia/Sedation:

• Not applicable

Duration

• The fitting and securing of the wheelchair belt usually takes about 10-15 minutes.

Setting

• Typically performed in a clinic, outpatient center, or home setting.

Personnel

• Occupational therapist or physical therapist
• Rehabilitation specialist
• Wheelchair technician (if adjustments or customizations are needed)

Risks and Complications

Common Risks:

• Minor skin irritation or discomfort

Rare Risks:

• Restriction of movement leading to pressure sores
• Improper fit causing discomfort or ineffective support

Possible Complications Management:

• Regular monitoring and readjustment to prevent skin issues
• Educating caregivers and patients on correct application and usage

Benefits

Expected Benefits:

• Improved safety and stability in the wheelchair
• Enhanced comfort and positioning
• Reduced caregiver burden associated with continual repositioning

Realization Time:

• Immediate

Recovery

Post-Procedure Care and Instructions:

• Regular checks to ensure the belt remains in position
• Ensuring the belt is clean and free from wear and tear
• Monitoring for any skin irritation

Expected Recovery Time:

• No recovery time is necessary as this is a non-invasive procedure

Restrictions and Follow-Up:

• Regular follow-up appointments to reassess fit and condition of the belt

Alternatives

Other Treatment Options:

• Custom-molded seating systems
• Four-point harness systems for more extensive support
• Cushions and wedges for added stability

Pros and Cons of Alternatives:

• Custom systems offer more personalized support but are more expensive
• Harness systems provide more restraint but can be less comfortable
• Cushions and wedges are easy to use but may need frequent readjustment

Patient Experience

During the Procedure:

• Minimal discomfort as the belt is adjusted

After the Procedure:

• Initial period of adaptation to the belt
• Improved sense of security and comfort

Pain Management and Comfort Measures:

• Ensuring the belt is well-padded and correctly positioned to avoid pressure points
• Regular adjustments based on feedback from the user to maintain comfort and effectiveness