Name of the Procedure:

Common Name: Power Wheelchair with Tilt and Recline Function
Technical Term: Power Seating System, Combination Tilt and Recline, with Mechanical Shear Reduction (E1007)

Summary

A power wheelchair accessory that allows users to tilt and recline their seat for better comfort and positioning. It helps distribute weight, reduce pressure on specific body areas, and improve posture for people with mobility issues.

Purpose

Medical Conditions Addressed:

• Spinal cord injuries
• Severe arthritis
• Neuromuscular disorders (e.g., multiple sclerosis, muscular dystrophy)
• Cerebral palsy

Goals/Expected Outcomes:

• Enhanced user comfort and posture
• Prevention of pressure sores
• Improved access to various activities and environments
• Better respiratory function and circulation

Indications

Specific Symptoms/Conditions:

• Persistent discomfort in standard wheelchair
• High risk of pressure ulcers
• Postural instability
• Need for frequent positional changes for medical reasons

Patient Criteria:

• Users unable to independently reposition themselves
• Individuals with deteriorating physical conditions requiring pressure management

Preparation

Pre-Procedure Instructions:

• Consultation with a healthcare provider
• Assessment by a physical or occupational therapist
• Preliminary fitting to ensure custom adjustments

Diagnostic Tests/Assessments:

• Mobility and seating analysis
• Physical examination to evaluate pressure points and skin integrity

Procedure Description

Steps Involved:

1. Initial assessment by a therapist to determine specific needs
2. Custom fitting of the wheelchair and power seating system
3. Adjustments made for optimal comfort, tilt, and recline angles safely
4. Training session for the user on operating the power functions

Tools/Equipment:

• Power wheelchair base
• Power seating system with tilt and recline mechanisms
• Remote control interface

Anesthesia/Sedation:

• Not applicable

Duration

Typically takes several hours, including initial fitting and training sessions spread across multiple visits.

Setting

Usually performed in an outpatient clinic or a specialized wheelchair clinic.

Personnel

• Physical or occupational therapist
• Rehabilitation specialist
• Medical equipment technician

Risks and Complications

Common Risks:

• Device malfunction or breakdown
• Skin irritation from seating materials
• Incorrect adjustment leading to discomfort

Rare Risks:

• Pressure sores if tilt and recline functions are improperly used
• Mechanical failure causing injury
• User inability to operate the system independently

Benefits

Expected Benefits:

• Immediate improvement in seating comfort and posture
• Reduced risk of pressure ulcers
• Enhanced quality of life through better mobility and independence
• Potential improvements in respiratory and circulatory health

Recovery

Post-Procedure Care:

• Regular follow-up appointments to check for fit and function adjustments
• Routine maintenance of the wheelchair and accessories

Expected Recovery Time:

• Immediate benefits post fitting
• Continuous adaptations as user condition changes

Restrictions/Follow-Up:

• Periodic reassessment by a healthcare provider
• Adherence to scheduled maintenance checks

Alternatives

Other Treatment Options:

• Manual wheelchair with tilt and recline functions
• Use of specialized cushions

Pros and Cons:

• Manual Wheelchair:
  • Pros: Cheaper, less technical maintenance
  • Cons: Requires physical strength, less automated comfort
• Specialized Cushions:
  • Pros: Simple, affordable
  • Cons: Limited adjustment, less effective pressure distribution

Patient Experience

During Procedure:

• Assessment and fitting sessions may last a few hours
• No pain or discomfort during fitting

Post-Procedure:

• Initial adaptation period to learn to use the system
• Potential mild discomfort as the body adjusts to the new seating positions
• Pain management measures generally not required, focus on comfort adjustments

Overall, the power seating system aims to significantly improve daily living for individuals with severe mobility limitations by offering unparalleled comfort and functional support.