Wheelchair, Pediatric Size, Folding, Adjustable, without Seating System (E1238)

Name of the Procedure

• Common Name(s): Pediatric Folding Wheelchair
• Technical/Medical Term: E1238 - Pediatric size, folding, adjustable, wheelchair without seating system

Summary

A pediatric folding wheelchair is a lightweight, portable wheelchair designed to support children with mobility issues. This type of wheelchair can be adjusted to fit the child’s size and needs but does not come with a seating system.

Purpose

• Medical Conditions: This wheelchair primarily assists children with mobility limitations due to conditions like cerebral palsy, muscular dystrophy, spina bifida, or other neuromuscular disorders.
• Goals/Expected Outcomes: The aim is to provide enhanced mobility, independence, and quality of life for the child, enabling them to participate in daily activities with greater ease.

Indications

• Specific Symptoms or Conditions: Children with difficulty walking, limited range of motion, or severe muscle weakness.
• Patient Criteria: Pediatric patients who require mobility assistance and can safely use a manually operated wheelchair.

Preparation

• Pre-Procedure Instructions: Often, parents or caregivers should ensure a recent physical assessment to determine the child’s specific needs.
• Diagnostic Tests or Assessments: Evaluation by a pediatrician and possibly a physical or occupational therapist to customize the wheelchair appropriately.

Procedure Description

1. Assessment: Healthcare provider evaluates the child's mobility needs.
2. Customization: The wheelchair is adjusted for height, width, and other specifications.
3. Test and Adjust: The child is seated in the wheelchair to ensure proper fit and comfort. Adjustments are made as necessary.
4. Training: Parents and the child are instructed on how to use and maintain the wheelchair.

• Tools/Equipment: Pediatric folding wheelchair, measuring tools, adjustment tools.
• Anesthesia or Sedation: None required.

Duration

The fitting and adjustment procedure typically takes about 1-2 hours.

Setting

This procedure is usually performed in an outpatient clinic or a specialized rehabilitation facility.

Personnel

• Physical therapists
• Occupational therapists
• Rehabilitation specialists

Risks and Complications

• Common Risks: Discomfort due to improper fit, skin irritation from prolonged use.
• Rare Risks: Pressure sores, postural issues, compromised circulation.
• Management: Regular follow-ups to adjust fit and address any complications.

Benefits

• Expected Benefits: Increased mobility, higher independence level, better quality of life.
• Timeframe to Realize Benefits: Benefits are typically immediate once the child is accustomed to the wheelchair.

Recovery

• Post-Procedure Care: Regular monitoring of fit and condition, maintenance of the wheelchair.
• Recovery Time: No recovery time needed, but ongoing fitting assessments are recommended.
• Restrictions/Follow-Up: Follow-up every 6-12 months or as needed to reassess fit and functionality.

Alternatives

• Treatment Options: Motorized wheelchairs, other mobility aids like walkers or crutches.
• Pros and Cons: Motorized wheelchairs provide increased autonomy but are more costly and may require more maintenance. Walkers and crutches are less supportive for severe conditions.

Patient Experience

• During the Procedure: Minimal discomfort during fitting and adjustment.
• Post-Procedure: Generally comfortable with some short-term adjustments required for optimal comfort.
• Pain Management: Usually, there is no pain associated with the use of a wheelchair itself, but parental guidance is necessary to monitor minor issues like skin discomfort. Comfort measures include proper cushioning and skin care routines.