Name of the Procedure:

Wheelchair Accessory, Manual Fully Reclining Back

• Common names: Reclining wheelchair back, fully reclining manual wheelchair
• Technical/medical term: HCPCS Code E1226

Summary

A fully reclining back accessory for a manual wheelchair allows the user’s seat to recline past 80 degrees, providing a near-lying down position. This can be added to the existing wheelchair to improve comfort and support for medical needs.

Purpose

• Addresses: Postural support, pressure relief, and comfort for wheelchair users
• Goals: To provide semi-lying down support, reduce the risk of pressure sores, and alleviate pain related to prolonged sitting

Indications

• Symptoms/conditions: Severe mobility impairment, spinal injuries, postural instability, pressure ulcers
• Patient criteria: Individuals who need significant postural support, have limited ability to change position, or are at high risk of developing pressure sores

Preparation

• Pre-procedure instructions: No specific instructions; ensure the wheelchair is compatible with the accessory
• Diagnostic tests: Assessment by a rehabilitation specialist or therapist to determine need and fit

Procedure Description

1. Evaluation by a medical professional to determine the need for a reclining back.
2. Selection of a compatible manual wheelchair and reclining back accessory.
3. Installation of the recline-back mechanism onto the manual wheelchair by a trained technician.
4. Adjustment of the recline angle and safety checks.
   • Tools/Technology: Manual recline mechanism, installation tools, wheelchair-compatible parts
   • Anesthesia/Sedation: Not applicable

Duration

• Installation typically takes 30-60 minutes.

Setting

• Performed in a medical supply facility, rehabilitation center, or outpatient clinic.

Personnel

• Involved professionals: Rehabilitation specialists, wheelchair technicians, occupational or physical therapists

Risks and Complications

• Common risks: Minor mechanical issues or discomfort during initial use
• Rare risks: Improper installation leading to reduced safety, exacerbation of existing medical conditions
• Management: Regular maintenance checks, adjustments by professionals

Benefits

• Expected benefits: Improved comfort, better posture, enhanced pressure relief, and reduced risk of pressure sores
• Realization timeline: Immediate, with ongoing benefits from regular use

Recovery

• Post-procedure care: Regular adjustments and maintenance as advised; monitor for any discomfort or mechanical issues
• Recovery time: Immediate functional use; ongoing adjustment and familiarization with the new equipment
• Restrictions/Follow-up: Regular follow-ups with rehabilitation specialist to ensure proper fit and function

Alternatives

• Other options: Cushioned or contoured seating, alternating pressure wheelchairs, motorized recline mechanisms
• Pros and Cons: Cushioned seating may be less effective for severe needs; motorized options may offer more ease but at higher costs

Patient Experience

• During: Comfortable installation process; no invasive procedures
• After: Enhanced comfort and support in daily wheelchair use, possible initial adjustment period
• Pain management: Typically not required; discomfort managed through proper adjustments