Name of the Procedure

Common Name: Wheelchair Accessory, Manual Semi-Reclining Back
Technical/Medical Term: Reclining Wheelchair Back (Angle: 15-80 degrees)

Summary

This procedure involves the installation of a semi-reclining back accessory on a manual wheelchair. The reclining back allows the wheelchair to recline between 15 and 80 degrees, enhancing comfort and providing support for users who have difficulty sitting upright for extended periods.

Purpose

The semi-reclining back is used to improve comfort and support for wheelchair users, particularly those with conditions requiring varied sitting postures. It's also designed to prevent pressure sores and provide better posture.

Indications

• Spinal cord injuries
• Musculoskeletal disorders
• Postural instability
• Pressure sores
• Respiratory conditions requiring variable sitting positions

Patient criteria typically include:

• Manual wheelchair users
• Individuals with limited trunk stability
• Patients needing frequent changes in seating position

Preparation

Typically, no special preparation is required. However, an assessment by a healthcare professional, such as a physical therapist, may be needed to determine the appropriate angle and type of reclining back.

Procedure Description

1. Assessment: Evaluation of the patient's needs and current wheelchair setup.
2. Fitting: Measurement and selection of the appropriate recline angle (between 15-80 degrees).
3. Installation: Attachment of the reclining mechanism to the existing wheelchair frame.

4. Adjustment: Fine-tuning to ensure the reclining back fits securely and comfortably.

   Tools and Equipment:

   • Reclining back accessory kit
   • Measurement tools
   • Basic hand tools (screwdrivers, wrenches)

Anesthesia or sedation is not required.

Duration

The installation typically takes 30 minutes to an hour.

Setting

The procedure is usually performed in an outpatient clinic, rehabilitation center, or home setting.

Personnel

• Certified wheelchair technician
• Physical therapist
• Occupational therapist

Risks and Complications

• Improper installation leading to discomfort or instability
• Potential for increased risk of pressure sores if not correctly adjusted
• Minor mechanical failure of the reclining mechanism

Benefits

• Enhanced comfort and support
• Improved posture and reduction of pressure sore risk
• Better respiratory and digestive function due to varied positioning

The benefits are typically realized immediately after installation.

Recovery

Post-procedure care includes:

• Regular monitoring to ensure proper function and comfort
• Adjustments as needed based on patient feedback
• Follow-up appointments for reassessment

Recovery time is minimal, but the patient may need a short adaptation period to become accustomed to the new seating position.

Alternatives

• Motorized reclining wheelchairs
• Cushions and other ergonomic accessories

Pros of alternatives:

• Enhanced ease of use (motorized options)
• Customizable support with cushions

Cons:

• Higher cost (motorized options)
• Need for additional accessories

Patient Experience

Patients may feel increased comfort and relief from pressure points immediately. The reclining mechanism is user-friendly and can be adjusted with minimal effort. Pain management is usually not required since it's a non-invasive procedure, but discomfort from an improper fit should be addressed promptly.