Name of the Procedure:

Manual Wheelchair Accessory, Power Add-On to Convert Manual Wheelchair to Motorized Wheelchair with Joystick Control

Summary

This procedure involves attaching a power add-on device to a manual wheelchair, converting it into a motorized wheelchair that can be controlled with a joystick. This add-on enhances mobility and independence for individuals who have difficulty propelling a manual wheelchair.

Purpose

The power add-on is designed to assist individuals with limited upper body strength or endurance, enabling them to navigate more easily and independently. The expected outcome is increased mobility and improved quality of life for the user.

Indications

This procedure is suitable for:

• Individuals with conditions like muscular dystrophy, spinal cord injuries, or severe arthritis.
• Patients who find it difficult to propel a manual wheelchair due to fatigue or limited strength.
• Those who require enhanced mobility to perform daily activities effectively.

Preparation

Patients should:

• Consult with a healthcare provider to assess the suitability of the power add-on.
• Ensure the wheelchair is in good condition and appropriately sized.
• No specific fasting or medication adjustments are typically required.
• Undergo a basic functional assessment to confirm cognitive and motor skills adequate for joystick control.

Procedure Description

1. Assessment: The healthcare provider evaluates the patient's manual wheelchair and ensures it is compatible with the power add-on.
2. Installation: The power add-on unit is attached to the manual wheelchair. This involves securing the power module, wheels, and joystick control.
3. Configuration: The system is calibrated to match the user's needs, including joystick sensitivity and speed settings.
4. Demonstration: The patient is instructed and guided on how to use the joystick control to operate the motorized features.
5. Safety check: A final assessment is conducted to ensure that the setup is safe and functioning correctly.

Duration

The installation and setup process typically takes 1 to 2 hours.

Setting

This procedure is usually performed in an outpatient clinic or a medical equipment provider's facility.

Personnel

• Healthcare providers such as a physical therapist or an occupational therapist.
• Technicians or specialists in medical mobility equipment.

Risks and Complications

Common risks include:

• Difficulty in mastering joystick controls.
• Mechanical failures or malfunctions. Rare risks include:
• Accidents due to incorrect use or malfunctions.
• Potential for increased fatigue from transitioning or using the powered system.

Benefits

• Enhanced mobility with less physical effort.
• Increased independence in daily activities.
• Improved quality of life and potential for increased social interaction.

Recovery

There is no recovery period required as it is not a surgical procedure. However, there may be a short adjustment period as the patient gets accustomed to using the joystick control. Follow-up appointments may be needed to make adjustments to the device settings.

Alternatives

• Using a fully motorized wheelchair.
• Employing a manual wheelchair with a caregiver's assistance.
• Using a scooter or other mobility devices. Each alternative has its own benefits and limitations concerning cost, ease of use, and degrees of independence.

Patient Experience

Patients may initially find the transition challenging but often quickly adapt with practice. Pain is not typically associated with this procedure. Comfort measures include ensuring the joystick is positioned ergonomically, and the device settings are finely tuned to the user’s preferences.