Name of the Procedure:

Manual Wheelchair Accessory Installation
Common name: Propulsion Wheel Replacement
Technical term: Manual wheelchair accessory, propulsion wheel (excludes tire), any size, replacement only, each (E2224)

Summary

Replacing the propulsion wheel of a manual wheelchair involves removing the old or damaged wheel and installing a new one to ensure optimal wheelchair functionality.

Purpose

Medical Conditions Addressed

• Damaged or worn-out propulsion wheels on a manual wheelchair
• Improvement in wheelchair maneuverability and user safety ##### Goals/Outcomes
• Restored functionality and safety of the wheelchair
• Enhanced ease of movement for the user

Indications

Specific Symptoms/Conditions

• Difficulty in maneuvering the wheelchair
• Noticeable damage or wear on existing propulsion wheels ##### Patient Criteria
• Individuals who use a manual wheelchair with replaceable propulsion wheels

Preparation

Pre-procedure Instructions

• Ensure the wheelchair is clean and accessible
• Collect necessary tools for wheel replacement (e.g., wrench) ##### Diagnostic Tests/Assessments
• Inspect the wheelchair to confirm that replacement of the propulsion wheel is required

Procedure Description

1. Prepare the Wheelchair: Secure the wheelchair to prevent movement during the replacement.
2. Remove the Old Wheel: Use appropriate tools to detach the old or damaged propulsion wheel.
3. Install the New Wheel: Align the new wheel with the wheel hub and secure it using the necessary bolts or screws.
4. Check for Security: Ensure the new wheel is firmly attached and spins freely without obstruction. ##### Tools, Equipment, Technology
   • Wrench or appropriate tools for wheel removal and installation ##### Anesthesia/Sedation
   • Not applicable for this procedure

Duration

Typically, the wheel replacement procedure takes about 15-30 minutes.

Setting

• This procedure can be performed at home, in an outpatient clinic, or at a wheelchair service center.

Personnel

• The procedure can be performed by a trained caregiver, technician, or healthcare professional.

Risks and Complications

Common Risks

• Improperly secured wheel leading to unsafe wheelchair operation ##### Rare Risks
• Difficulty maneuvering due to incorrect wheel size ##### Management
• Follow the manufacturer's guidelines to avoid improper installation

Benefits

Expected Benefits

• Improved safety and wheelchair performance
• Enhanced user mobility ##### Realization Timeline
• Immediate improvement upon proper installation of the new wheel

Recovery

Post-procedure Care

• Test the wheelchair for smooth operation
• Monitor for any unusual noises or performance issues ##### Recovery Time
• Immediate return to use with no specific recovery time needed ##### Restrictions/Follow-ups
• No specific restrictions, but regular inspection and maintenance are recommended

Alternatives

Other Treatment Options

• Repairing the existing wheel if possible
• Replacing the entire wheelchair if multiple components are worn out ##### Pros and Cons
• Repairing may be a temporary fix but not as lasting as full replacement
• Replacing the entire wheelchair can be more costly but ensures all components are new

Patient Experience

During the Procedure

• Minimal discomfort; primarily mechanical adjustments ##### After the Procedure
• Immediate improvement in movement
• Potential for smoother and safer wheelchair operation ##### Pain Management and Comfort
• No pain management required since it is a mechanical adjustment rather than a medical procedure.