Name of the Procedure:

• Common Name(s): Pediatric Wheelchair Back Planar
• Technical Term: E2291 Back, planar, for pediatric size wheelchair including fixed attaching hardware

Summary

A planar back support for a pediatric wheelchair aimed at providing comfort and proper spinal alignment for children requiring mobility aids.

Purpose

To offer enhanced comfort and spinal support for children who use wheelchairs. It aims at improving posture, reducing discomfort, and preventing potential complications related to prolonged sitting.

Indications

• Children with muscular dystrophy, cerebral palsy, or other conditions causing decreased mobility.
• Patients requiring better postural control while seated in their wheelchair.
• Indications include poor trunk control, risk of scoliosis, or existing spinal deformity.

Preparation

• No specific preparation is typically required.
• Ensure the child is comfortably positioned for fitting.
• Assessments may include physical examination to tailor the back support to the child's needs.

Procedure Description

1. Assessment: A healthcare professional evaluates the child's sitting posture and spinal alignment.
2. Measurement: Measurements are taken to customize the planar back support to fit the child.
3. Installation: The planar back is mounted onto the wheelchair using fixed attaching hardware.
4. Adjustment: Final adjustments are made to ensure optimal support and comfort.
5. Fitting Check: The child is seated, and the fit is checked to ensure it meets all their needs.

Tools and Equipment:

• Pediatric planar back support
• Fixed attaching hardware
• Measuring tools

Duration

• The procedure typically takes around 30-60 minutes, including assessment, fitting, and adjustments.

Setting

• This procedure is performed in a clinical setting such as an outpatient clinic, rehabilitation center, or specialized wheelchair fitting facility.

Personnel

• Primary: Physical therapist or occupational therapist
• Support: Assistive technology specialist (if available)

Risks and Complications

• Common Risks: Skin irritation or pressure sores if not fitted correctly.
• Rare Risks: Discomfort or worsening of spinal alignment if improperly installed or adjusted.

Benefits

• Improved posture and spinal alignment.
• Enhanced comfort and reduction in pressure sores.
• Better overall mobility and functionality.

Recovery

• Minimal recovery time; children can usually use their wheelchair immediately.
• Follow-up appointments to reassess fit and make further adjustments as needed.

Alternatives

• Alternative Options: Contoured backrests, adjustable tension backrests, custom-molded seating systems.
• Pros and Cons: Custom-molded options provide tailored support but are often more expensive and less adjustable over time.

Patient Experience

• During the Procedure: The child will remain seated while measurements and fittings are done. Minimal discomfort is expected.
• Post-Procedure: Improved comfort and support, with guidance provided for proper use and maintenance.

Pain management and comfort measures are typically unnecessary given the non-invasive nature of the procedure. Regular follow-up will ensure continued comfort and proper fit.