Name of the Procedure:

Static Progressive Stretch Wrist Device Application (HCPCS Code E1806)

Summary

A Static Progressive Stretch Wrist Device is a medical device used to aid in the rehabilitation of wrist movement. It helps improve wrist flexion and extension by gradually stretching the soft tissues. The device includes all necessary components and accessories.

Purpose

The device is utilized primarily to address conditions leading to limited wrist motion, such as after surgery, injury, or due to chronic diseases like arthritis. The goal is to regain or improve wrist range of motion and function by applying a controlled and progressive stretch.

Indications

• Stiffness or contractures in the wrist area
• Post-surgical recovery to prevent scar tissue from limiting motion
• Chronic conditions such as arthritis leading to limited wrist mobility
• Patients with neurological conditions affecting hand and wrist movement

Preparation

Typically, no specific preparation is required. However, patients should:

• Discuss with their healthcare provider about any relevant medical history
• Have a consultation to determine proper fitting and adjustments

Procedure Description

1. The patient sits comfortably with their arm rested.
2. The healthcare professional fits the static progressive stretch device onto the patient's wrist.
3. Adjustments are made to set the range of motion and stretch level.
4. The patient is instructed on how to gradually increase the tension as tolerated.
5. Regular follow-up visits may be required to monitor progress and adjust settings.

Duration

Application and initial fitting typically take around 30 minutes.

Setting

This procedure is often performed in an outpatient clinical setting or a rehabilitation center.

Personnel

• Certified Orthotist or physical therapist
• Potentially supervised by a physician for initial consultation

Risks and Complications

• Skin irritation or pressure sores from the device
• Temporary discomfort or pain
• Not achieving desired range of motion if not used properly

Benefits

• Improved wrist flexibility and function
• Non-invasive method to regain range of motion
• Can be used at home under guidance, promoting patient independence

Recovery

• Patients typically use the device daily as per the healthcare provider’s instructions.
• Recovery time varies from weeks to months, depending on the condition and patient adherence.
• Regular follow-up appointments to adjust the device and monitor progress.

Alternatives

• Physical therapy exercises
• Dynamic splinting devices
• Surgical intervention in severe cases

Pros and Cons:

• Alternative methods like dynamic splinting might offer more immediate flexibility adjustments but can be costlier.
• Surgery poses higher risks and a longer recovery period compared to non-invasive methods.

Patient Experience

• Initial discomfort may be experienced, which generally reduces as the wrist becomes more flexible.
• Pain management can include over-the-counter pain relievers as recommended by the healthcare provider.
• Patients may need to adjust their daily activities initially to accommodate the usage of the device.