Name of the Procedure:

Lightweight Wheelchair with Detachable Arms and Swing-Away, Elevating Legrest
Technical Term: HCPCS Code E1240

Summary

A lightweight wheelchair with detachable arms and an elevating legrest is a mobility aid designed to help individuals with limited mobility. It is characterized by its lightweight frame, making it easier to transport and maneuver. The detachable arms can be removed for easier transfers in and out of the chair, and the swing-away, elevating legrests provide added comfort and flexibility.

Purpose

This type of wheelchair is designed to assist individuals who have difficulty walking or standing for extended periods. It aims to provide increased mobility and independence, making daily activities easier to perform. The elevating legrest also helps alleviate discomfort or swelling in the legs.

Indications

• Chronic mobility impairments.
• Conditions like arthritis, muscular dystrophy, or severe osteoporosis.
• Recovery from surgery, particularly joint replacements.
• Neuromuscular conditions such as multiple sclerosis or spinal cord injuries.
• Any mobility restriction that prevents effective ambulation.

Preparation

• No specific pre-procedure instructions are needed, but the user should be properly fitted for the wheelchair to ensure comfort and safety.
• A healthcare provider may conduct an assessment to determine the most suitable type of wheelchair and necessary adjustments.

Procedure Description

1. Assessment: A healthcare provider assesses the patient's mobility needs.
2. Selection: Based on the assessment, a lightweight wheelchair with detachable arms and an elevating legrest is chosen.
3. Fitting: Adjustments are made to the armrests, legrests, and footplates to suit the user's comfort and mobility needs.
4. Instruction: The patient and/or caregivers are instructed on the usage, maintenance, and troubleshooting of the wheelchair.

Tools & Equipment

• Lightweight wheelchair frame.
• Detachable arms (desk or full length).
• Swing-away, elevating legrests.
• Cushions and additional accessories as needed.

Anesthesia/Sedation

Not applicable.

Duration

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

Setting

This process is usually performed in a clinic, outpatient setting, or at home.

Personnel

• Occupational therapist or physical therapist.
• Mobility or rehabilitation specialist.
• Technicians for fitting and adjustments if necessary.

Risks and Complications

• Minimal risk with proper fitting and maintenance.
• Potential for skin irritation or pressure sores if the wheelchair is not fitted properly.
• Mechanical issues, such as wheel or brake failures, which require regular maintenance.

Benefits

• Improved mobility and independence.
• Enhanced comfort with the ability to elevate legs and detach arms.
• Easier to transport and store due to the lightweight frame.
• Better posture and reduced risk of secondary complications from immobility.

Recovery

• Immediate use post-fitting.
• Regular follow-up appointments to ensure proper fit and function.
• Daily maintenance to ensure longevity and performance of the wheelchair.

Alternatives

• Standard heavyweight wheelchairs: Heavier but sometimes more durable.
• Motorized wheelchairs: More independent mobility but heavier and usually more expensive.
• Mobility scooters: Suitable for outdoor use but less practical indoors.

Pros and Cons

• Lightweight Wheelchair: Easier to transport but may not support very heavy individuals.
• Motorized Wheelchair: Provides more freedom but is less portable and higher maintenance.
• Mobility Scooters: Great for long-distance travel but large and cumbersome inside homes.

Patient Experience

• Initial discomfort may occur as the user adjusts to the new mobility aid.
• Some learning curve for operating detachable arms and legrests.
• Generally minimal pain or discomfort with proper fitting and occasional adjustments.
• Increase in overall mobility, likely leading to improved quality of life.