Name of the Procedure:

• Common Name: Standard Wheelchair
• Technical Term: Standard wheelchair with fixed full length arms and fixed or swing-away detachable footrests (HCPCS Code: E1130)

Summary

A wheelchair with fixed full length arms and either fixed or swing-away detachable footrests provides mobility assistance for individuals with limited walking ability. This type of wheelchair is designed to be durable and comfortable for everyday use.

Purpose

• Medical Conditions Addressed: Mobility impairments due to injury, chronic conditions (e.g., arthritis, multiple sclerosis), or post-surgery recovery.
• Goals: To enhance mobility, improve quality of life, and promote independence for individuals with impaired walking ability.

Indications

• Symptoms: Difficulty walking, inability to walk, pain during walking.

• Conditions: Paralysis, severe arthritis, neurological disorders, post-surgical recovery.

  Preparation

• Pre-Procedure Instructions: Generally, no special preparation is required.
• Assessments: An evaluation by a healthcare provider or a physical therapist to ensure the wheelchair meets the patient’s needs.

Procedure Description

1. Assessment: Patient’s mobility needs are evaluated.
2. Selection: Appropriate wheelchair model is selected, considering the user’s physical requirements.
3. Measurements: Adjustments for seat height, arm length, and footrest positioning are made to ensure comfort and support.
4. Instruction: Patient and caregivers are instructed on the safe use and maintenance of the wheelchair.
   • Tools & Equipment: Standard wheelchair, measurement tools, user manuals.
   • Anesthesia/Sedation: Not applicable.

Duration

The process of selecting, fitting, and instructing the patient may take around 1-2 hours.

Setting

Typically performed in a medical supply store, outpatient clinic, or rehabilitation center.

Personnel

• Physical Therapist
• Medical Equipment Specialist
• Possibly a primary care physician or rehabilitation physician

Risks and Complications

• Common Risks: Minor discomfort if not correctly fitted.
• Rare Risks: Pressure sores from prolonged use, muscle atrophy due to reduced mobility.
• Management: Regular adjustment, use of cushions, physical therapy.

Benefits

• Improved mobility and independence.
• Enhanced participation in daily activities.
• Immediate positive impact on quality of life.

Recovery

• Post-Procedure Care: Regular checks and adjustments, skin inspections to prevent sores.
• Recovery Time: No recovery time necessary, instant use.
• Follow-up: Periodic evaluations and adjustments.

Alternatives

• Other Options: Motorized wheelchairs, custom-built wheelchairs, walkers.
• Pros and Cons: Motorized wheelchairs offer more convenience but are bulkier and more expensive. Walkers are less supportive than wheelchairs.

Patient Experience

• During Procedure: Mild discomfort during fitting.
• After Procedure: Enhanced mobility, adjustment period needed for new users.
• Pain Management: Not typically necessary, but comfort measures like cushions and proper adjustments will improve usability.