Name of the Procedure:

Semi-reclining Wheelchair, Fixed Full Length Arms, Swing Away Detachable Elevating Leg Rests (HCPCS Code: E1100)

Summary

A semi-reclining wheelchair with fixed full-length arms and swing-away detachable elevating leg rests is a specialized mobility device designed to provide support, comfort, and ease of transfer for individuals with mobility impairments.

Purpose

The device is used to assist individuals who have difficulty walking or maintaining a seated position due to various medical conditions. The goals are to improve mobility, comfort, and independence, as well as to prevent complications such as pressure sores.

Indications

• Individuals with limited or no ability to walk.
• Patients with conditions such as spinal cord injuries, muscular dystrophy, cerebral palsy, or severe arthritis.
• Patients requiring adjustments in leg elevation and reclining back support for extended periods.

Preparation

• No specific pre-procedure preparation is needed.
• Ensure a proper wheelchair assessment by a healthcare professional to determine the suitable model and features based on the patient’s needs.

Procedure Description

1. Assessment: Patient undergoes an evaluation by a healthcare provider to determine suitability for the semi-reclining wheelchair.
2. Customization: The wheelchair is customized to the patient's body dimensions and specific needs (e.g., armrests, leg rests).
3. Training: The patient and caregivers receive training on proper usage and safety measures.
4. Usage: Patient uses the wheelchair daily, manually adjusting the recline and leg rest positions as needed.
5. Maintenance: Routine checks and maintenance of the wheelchair are performed to ensure its functionality and safety.

Tools/Equipment Used:

• Semi-reclining wheelchair (E1100)
• Cushioning and support accessories, if needed

Duration

The initial assessment and fitting can take around 1–2 hours. Daily use of the wheelchair is ongoing.

Setting

• Healthcare provider's office or specialized wheelchair clinic for the initial assessment and fitting.
• Home, workplace, or community settings for daily use.

Personnel

• Physical therapist or occupational therapist
• Rehabilitation specialist
• Technician for wheelchair customization and maintenance

Risks and Complications

• Potential for pressure sores if not properly cushioned and adjusted.
• Risk of tipping over if the wheelchair is not used correctly.
• Minor discomfort during initial adjustment period.

Benefits

• Improved mobility and independence.
• Enhanced comfort with adjustable recline and leg rest features.
• Prevention of pressure sores and other complications associated with immobility.
• Enhanced quality of life through increased social interaction and activity.

Recovery

• No recovery period required; patients can use the wheelchair immediately after fitting and training.
• Regular follow-ups with a healthcare provider to ensure the wheelchair remains suitable over time.

Alternatives

• Standard wheelchairs without reclining or elevating leg rest features.
• Power wheelchairs for individuals requiring motorized assistance.
• Mobility scooters for those who have partial mobility but need assistance for longer distances.
• Each alternative comes with its own set of advantages and limitations.

Patient Experience

• Patients typically experience increased comfort and mobility.
• Initial adjustment period to get used to manipulating the wheelchair features.
• Pain management is generally not required, but physical therapists may provide exercises to prevent discomfort from long-term wheelchair use.