Name of the Procedure:

Dynamic Adjustable Finger Extension/Flexion Device - HCPCS Code E1825

Summary

A Dynamic Adjustable Finger Extension/Flexion Device is an orthotic device designed to aid in the movement and rehabilitation of fingers. It includes soft interface material for comfort, allowing for adjustable and dynamic support to assist in both extension (straightening) and flexion (bending) of the fingers.

Purpose

This device addresses conditions involving finger immobility or limited range of motion due to injury, surgery, arthritis, or neurological impairments. The primary goal is to restore functional movement, improve flexibility, and reduce stiffness in the fingers.

Indications

• Post-surgical recovery, particularly following finger tendon repair
• Rehabilitation following finger fractures
• Management of arthritis affecting the fingers
• Neurological conditions leading to finger spasticity or contractures
• Any condition resulting in reduced finger mobility

Preparation

• No specific pre-procedure preparations are typically required.
• Patients might undergo a physical assessment of hand and finger function.
• Ensure the device is fitted by a qualified healthcare professional.

Procedure Description

1. Assessment: A healthcare professional assesses the patient's hand and finger mobility.
2. Device Fitting: The device is adjusted to fit the patient's finger(s) comfortably.
3. Adjustment: The device allows for dynamic adjustments to help with both extension and flexion. This involves setting resistance levels and ensuring proper alignment.
4. Wearing Schedule: Patients are given a schedule on how long and how frequently to wear the device.
5. Follow-Up: Regular follow-up appointments to adjust the device and monitor progress.

Duration

Fitting and initial instruction session typically takes about 30-60 minutes. Usage duration varies depending on individual rehabilitation plans, often involving several sessions or a period of weeks to months.

Setting

This procedure is usually performed in outpatient clinics, rehabilitation centers, or specialized orthotic and prosthetic facilities.

Personnel

• Orthotists
• Physical or Occupational Therapists
• Rehabilitation Physicians (as needed)

Risks and Complications

• Skin irritation or pressure sores from device use
• Discomfort if not properly fitted
• Limited effectiveness if not used as directed
• Rarely, joint or tendon aggravation

Benefits

• Improved finger flexibility and range of motion
• Enhanced hand functionality and dexterity
• Reduction in stiffness and discomfort
• Potential to speed up recovery time from injuries

Recovery

• Regular use of the device as prescribed by a healthcare provider.
• Follow-up visits to adjust the device and ensure optimal progression.
• Gradual improvement in finger mobility should be noticeable within weeks.

Alternatives

• Physical or occupational therapy
• Static splints or other orthotic devices
• Surgical intervention in severe cases
• Each alternative has its pros and cons; static splints may be less flexible but simpler, while surgery could offer a more permanent solution at higher risk.

Patient Experience

• Initial discomfort as the fingers adjust to the movements incorporated by the device.
• The device is designed to be as comfortable as possible, with soft interface materials.
• Pain management strategies such as over-the-counter pain relievers might be recommended.
• Patients may notice progressive improvement in finger movement and reduction in pain over time.