Name of the Procedure:

Manual Wheelchair Accessory, Insert for Pneumatic Propulsion Tire
Common names: Pneumatic tire insert, wheelchair tire insert
Technical/medical term: E2213

Summary

A pneumatic propulsion tire insert for a manual wheelchair is a removable accessory designed to improve the function and comfort of wheelchair tires. It can be used in any type or size of pneumatic (air-filled) wheelchair wheel to enhance grip, reduce wear, and provide a smoother ride.

Purpose

The insert is used to address issues like poor traction and rapid wear of wheelchair tires. It aims to:

• Enhance the user's ability to maneuver the wheelchair
• Improve comfort by providing a smoother ride
• Extend the lifespan of the wheelchair tires

Indications

This accessory is suitable for:

• Wheelchair users experiencing frequent tire wear and tear
• Individuals needing better traction for safer navigation
• Those looking for increased comfort during prolonged wheelchair use

Patient criteria include:

• User of a manual wheelchair with pneumatic tires
• Experiencing difficulties with current tire performance

Preparation

• Ensure the correct size and type of insert for the wheelchair's pneumatic tires.
• No specific pre-procedure preparation is required, but it may be helpful to clean the existing tires and review the wheelchair’s maintenance manual.

Procedure Description

1. Deflate the tire: Begin by deflating the pneumatic tire on the wheelchair.
2. Remove the tire: Gently detach the tire from the wheel rim.
3. Insert placement: Place the pneumatic insert inside the tire, ensuring it sits evenly.
4. Reattach the tire: Refit the tire onto the wheel rim securely.
5. Inflate the tire: Reinflate the tire to the manufacturer's recommended pressure.
6. Check alignment: Ensure that the tire and insert are well-aligned and secure.

Tools and equipment used:

• Tire deflation tool
• Wheel rim removal tools
• Air pump for tire inflation

Duration

The procedure typically takes 15 to 30 minutes per tire.

Setting

This procedure is usually performed in a home setting but can also be done in an outpatient clinic, mobility services center, or a rehabilitation facility.

Personnel

• Often carried out by the wheelchair user or a caregiver
• May require assistance from a mobility technician or physical therapist if deemed necessary

Risks and Complications

• Common risks: Incorrect installation leading to tire misalignment or pressure issues
• Rare risks: Damage to the tire or wheel rim during the installation

Possible complications include:

• Reduced tire performance if the insert is not installed properly
• Potential for punctures if the insert is not suitable for the tire type

Benefits

• Enhanced maneuverability: Improved traction and control
• Increased comfort: Smoother ride reducing vibration and impact on joints
• Extended tire life: Reduced frequency of tire replacement

Benefits are generally realized immediately after installation.

Recovery

No special recovery is needed. Users can typically start using their wheelchair immediately after the installation.

Alternatives

Other treatment options include:

• Using solid or foam-filled tires instead of pneumatic ones
• Periodically replacing worn-out pneumatic tires without inserts

Pros and cons:

• Solid or foam-filled tires may offer less comfort than pneumatic tires with inserts.
• Replacing tires frequently can be costlier and less sustainable than using inserts.

Patient Experience

During the procedure:

• The user might feel minor discomfort if manually handling tires and tools.

After the procedure:

• Enhanced wheelchair performance with better grip and smoother rides.
• Minor adjustments and checks to ensure optimal tire pressure and alignment.

Pain management and comfort:

• Little to no pain is expected during and after the procedure.
• Comfort measures include proper hand protection when handling tires and tools.