Wheelchair, pediatric size, folding, adjustable, with seating system
HCPCS code
Name of the Procedure:
Common Name(s): Pediatric Folding Wheelchair
Technical/Medical Terms: E1236 – Wheelchair, pediatric size, folding, adjustable, with seating system
Summary
A pediatric folding wheelchair is a mobility aid designed for children. It features a foldable frame for easy transport and storage, adjustable components to accommodate growth, and a specialized seating system to ensure comfort and proper posture.
Purpose
This specialized wheelchair aims to provide increased mobility for children with disabilities. It helps promote independence, improved posture, and overall comfort. It's particularly beneficial for children with conditions that impair their mobility, such as cerebral palsy, spinal cord injuries, muscular dystrophy, or other neuromuscular disorders.
Indications
- Limited or impaired mobility due to congenital conditions or injuries
- Poor posture or need for enhanced seating support
- Inability to operate a standard wheelchair
- Need for a wheelchair that accommodates growth and changing body sizes
Preparation
- Pre-procedure Instructions: No specific fasting or medication adjustments required.
- Assessments: Patients may undergo a physical evaluation by a physical therapist or pediatric orthopedic specialist to determine specific seating and mobility needs.
Procedure Description
- Assessment: A detailed evaluation of the child's physical condition, mobility needs, and environment.
- Customization: The wheelchair is adjusted for size, seating alignment, and comfort. This may involve adjusting the height, width, depth, and angle of various components.
- Fitting: The child tries the wheelchair to ensure it fits properly and meets their needs.
- Instruction: The child and caregivers are trained on how to use, transport, and maintain the wheelchair.
- Tools and Equipment Used: Adjustable pediatric wheelchair with seating system, measuring tools, padding, straps.
- Anesthesia/Sedation: None required.
Duration
The fitting and adjustment session typically takes 1–2 hours.
Setting
Fitting and customization are usually performed in a clinic or outpatient setting specializing in mobility aids.
Personnel
- Pediatric physical therapist
- Wheelchair specialist or seating specialist
- Occasionally, a pediatrician or orthopedic surgeon may be involved for complex cases
Risks and Complications
- Common Risks: Minor skin irritation or pressure sores if the fit is not perfect
- Rare Risks: Mechanical failure or injury due to improper use
- Management: Regular follow-up appointments to check fit and function; adjustments as needed
Benefits
- Increased independence and mobility
- Improved posture and comfort
- Enhanced participation in daily activities and social inclusion
- Realization of benefits typically occurs immediately upon receiving the properly fitted wheelchair.
Recovery
- Post-Procedure Care: Regular maintenance of the wheelchair, monitoring for any signs of discomfort or wear and tear.
- Expected Recovery Time: Not applicable as it's a non-invasive procedure.
- Restrictions/Follow-up: Periodic follow-ups to reassess fit as the child grows, usually every 6–12 months.
Alternatives
- Manual wheelchairs without adjustable features
- Power wheelchairs for children with very limited strength
- Walkers or other mobility devices
- Pros and Cons: Simpler wheelchairs might be easier to use but lack adjustability, while power wheelchairs offer more mobility but have higher costs and maintenance.
Patient Experience
- During the Procedure: The fitting process is non-invasive; the child might sit in various positions for adjustments.
- After the Procedure: They might feel excited or awkward initially. It's essential to monitor for discomfort.
- Pain Management: Not typically required, but comfort measures include cushions and proper alignment to avoid pressure points.