Name of the Procedure:

Shock Absorber for Manual Wheelchair, Each (HCPCS Code: E1015)

Summary

The shock absorber for a manual wheelchair is a device installed to reduce the impact and vibration felt while navigating various terrains. This device helps improve comfort and ease for wheelchair users.

Purpose

The shock absorber addresses discomfort, pain, or potential injuries caused by constant impacts and vibrations when using a manual wheelchair. The primary goals are to enhance user comfort, reduce physical strain, and improve overall mobility experience.

Indications

• Chronic pain or discomfort in the back, neck, or shoulders due to wheelchair use.
• Increased risk of pressure sores or skin breakdown from constant vibration.
• Need for a smoother ride in rough terrains.
• Recommendations from healthcare professionals for specific conditions such as arthritis or spinal cord injuries.

Preparation

• No specific fasting or medication adjustments are necessary.
• A professional assessment of the wheelchair and user's needs will be conducted to ensure proper fit and adjustment.

Procedure Description

1. Assessment: A healthcare professional will assess the wheelchair to choose the appropriate shock absorber compatible with the model.
2. Preparation: The wheelchair will be cleaned and prepped for installation.
3. Installation:
   • The old shock absorbers (if any) are removed.
   • The new shock absorber (E1015) is aligned and fixed in place using specialized tools.
   • The assembly is adjusted to fit the user's height and weight specifications.
4. Testing: The wheelchair is tested to ensure the shock absorber is functioning properly.
5. Final Adjustments: Necessary tweeks are made for optimal performance and comfort.

Duration

The installation typically takes 30 to 60 minutes.

Setting

The procedure is commonly performed in a wheelchair service center, outpatient clinic, or at home by a professional technician.

Personnel

• Wheelchair technician or specialist
• Occupational therapist or rehabilitation professional (optional for assessment and adjustment)

Risks and Complications

• Risk of improper installation leading to reduced effectiveness.
• Potential for mechanical failure if not maintained properly.
• Minor adjustments may be needed post-installation to ensure continued comfort.

Benefits

• Significant reduction in discomfort and pain while using the wheelchair.
• Enhanced mobility and user experience over various terrains.
• Possible extension of the wheelchair's lifespan by reducing wear and tear.

Recovery

• Immediate use of the wheelchair post installation.
• Users are advised to monitor for any unusual noise or discomfort and report it for further adjustment.
• Follow-up appointments may be scheduled to ensure proper functioning and user comfort.

Alternatives

• Cushioned or gel-filled seat pads to reduce impact directly on the user.
• Comprehensive shock-absorbing wheels rather than just the shocks.
• Powered wheelchairs with built-in suspension systems.

Pros of Alternatives:

• Cushions are less expensive and easy to install.
• Comprehensive wheels may offer better overall shock absorption.

Cons of Alternatives:

• Cushions might not offer enough relief for severe cases.
• Comprehensive wheels could be more expensive and complicated to install.

Patient Experience

Patients might feel immediate improvement in comfort after the shock absorber is installed. Any initial discomfort should be reported for quick adjustments. Existing pain should gradually decrease with continued use, while the overall experience of using the wheelchair should notably improve.

Pain management and comfort measures include periodic checks and adjustments by professionals to ensure optimal performance and user satisfaction.