Name of the Procedure:

Manual Wheelchair Accessory, Solid Seat Support Base

Common name(s): Solid Seat Support Base
Technical/Medical term: E2231 - Solid Seat Support Base

Summary

A solid seat support base replaces the standard sling seat in a manual wheelchair, providing a more stable and firm seating surface. This accessory includes all necessary mounting hardware for installation.

Purpose

This solid seat support base is designed to improve posture and support for individuals using manual wheelchairs by replacing the less supportive sling seat. It helps distribute body weight more evenly, reducing the risk of pressure sores and improving overall comfort.

Indications

• Chronic discomfort or pain due to a sling seat
• Posture correction needs
• Risk of developing pressure sores
• Individuals with poor trunk control requiring improved stability

Preparation

• Patients should discuss with their healthcare provider to ensure this accessory is appropriate for their specific needs.
• No specific pre-procedure fasting or medication steps are required.
• An assessment by a physical or occupational therapist may be needed.

Procedure Description

1. Assessment: A healthcare professional evaluates the wheelchair user's needs.
2. Selection: Choosing the appropriate solid seat support base that fits the wheelchair.
3. Preparation: The existing sling seat is removed from the wheelchair.
4. Installation: The solid seat support base, along with its mounting hardware, is securely installed onto the wheelchair.
5. Adjustment: Ensuring the base is level and properly aligned for optimal support.

Tools may include wrenches and screwdrivers. No anesthesia or sedation is required.

Duration

The installation typically takes about 30-60 minutes, depending on wheelchair type and complexity of the attachment.

Setting

This procedure can be performed in various settings such as:

• Outpatient clinics
• At-home by a professional
• Physical therapy centers

Personnel

• Physical or occupational therapist
• Wheelchair technician or a trained healthcare provider

Risks and Complications

• Common risks: Minor adjustments may be needed post-installation to ensure comfort.
• Rare risks: Improper installation could lead to discomfort or reduced wheelchair stability.

Benefits

• Improved posture and reduced risk of pressure sores.
• Enhanced comfort and stability in the wheelchair.
• Benefits are usually realized immediately after installation and adjustment.

Recovery

• No significant recovery time is needed.
• Follow-up appointments may be necessary to make any required adjustments.
• Patients are advised to monitor their comfort and report any issues.

Alternatives

• Sling seat: Less support and stability, may be cheaper but less effective for certain conditions.
• Customized seating solutions: Tailored to individual needs but may be more expensive.
• Cushions or padding: Easier and less expensive but might not offer comparable support.

Patient Experience

• During: Minimal discomfort during the installation process.
• After: Immediate feeling of improved support and stability; any discomfort can often be resolved with minor adjustments. Pain management and comfort measures are addressed primarily by ensuring proper fit and adjustment of the support base.