Name of the Procedure:

PED WC LAT/ANT SUPPORT (E1027) Common names: Pediatric Wheelchair Lateral/Anterior Support

Summary

PED WC LAT/ANT SUPPORT refers to the use of specialized supports on a pediatric wheelchair designed to provide additional stability and positioning for a child. It involves attaching lateral (side) and anterior (front) supports to ensure proper posture, minimize the risk of falling, and improve overall comfort.

Purpose

• Medical Conditions Addressed: Cerebral palsy, muscular dystrophy, spinal cord injuries, and other conditions leading to poor trunk control or posture.
• Goals: Provide stability, enhance comfort, prevent scoliosis or other postural deformities, and facilitate improved mobility and independence.

Indications

• Children with significant trunk instability or postural irregularities.
• Patients diagnosed with conditions affecting muscle control and posture.
• Children who are at risk of injury due to poor wheelchair positioning.

Preparation

• Instructions: No special preparations such as fasting or medication adjustments are typically required.
• Assessments: A detailed physical and postural assessment by a healthcare professional like a physical or occupational therapist.

Procedure Description

1. Assessment:
   • Initial evaluation by a healthcare professional to determine the child's needs.
2. Selection:
   • Choosing the appropriate lateral and anterior supports based on measurements and specific requirements.
3. Installation:
   • Attaching the supports to the wheelchair. This may involve brackets, straps, or custom-made components.
4. Adjustment:
   • Adjusting the supports for optimal fit and comfort.
   • Ensuring the child is secure but not constrained.
5. Evaluation:
   • Checking the setup for effectiveness and making necessary adjustments.

Tools/Equipment: Specialized supports (pads, straps), wheelchair brackets, installation tools. Anesthesia: Not required.

Duration

The entire fitting procedure may take approximately 1-2 hours from assessment to final adjustments.

Setting

Typically performed in a:

• Hospital rehabilitation unit
• Outpatient clinic
• Specialized wheelchair service center

Personnel

• Occupational therapist
• Physical therapist
• Assistive technology professional or wheelchair technician

Risks and Complications

• Common Risks: Skin irritation or pressure sores if supports are not properly cushioned.
• Rare Risks: Misalignment leading to discomfort or worsening posture issues.
• Management: Regular follow-ups to adjust and ensure correct positioning.

Benefits

• Expected Benefits: Immediate improvement in posture and stability, increased comfort, and better control of the wheelchair.
• Timeframe: Benefits are typically realized right after installation and adjustment.

Recovery

• Post-Procedure: Minimal downtime; children can use the wheelchair immediately.
• Care Instructions: Regular monitoring for signs of discomfort or pressure sores.
• Recovery Time: No recovery period; however, follow-up visits might be needed.

Alternatives

• Other Options: Utilizing standard wheelchair configurations without supports, custom-molded seating solutions.
• Pros and Cons:
  • Standard Wheelchairs: Less initial cost but may not provide adequate support.
  • Custom Seating: Higher cost but potentially better tailored to the child's needs.

Patient Experience

• During Procedure: Minimal discomfort; the child might be required to stay still for fitting.
• After Procedure: Increased comfort and improved sitting posture with potential for more independence.
• Pain Management: Generally not necessary, but comfort measures include regular reassessment and adjustment of the supports.

Regular follow-ups with healthcare providers are essential to ensure the continued effectiveness and comfort of the supports.