Name of the Procedure:

Seat, Planar, for Pediatric Size Wheelchair (E2292)

Summary

A planar seat is a flat seating surface designed for pediatric wheelchairs. It includes fixed attaching hardware to ensure stability and safety. This seating solution is commonly used to improve comfort and posture for children using wheelchairs.

Purpose

This procedure addresses the need for a stable and comfortable seating surface for pediatric wheelchair users. The goal is to improve sitting posture, enhance comfort, and facilitate better functional ability while using the wheelchair.

Indications

• Poor posture or discomfort in the current wheelchair seat
• Pressure sores or skin breakdown due to inadequate seating support
• Neuromuscular conditions requiring specific seating solutions
• Recommendations from a physical therapist or mobility specialist

Preparation

• Consultation with a healthcare provider, such as an occupational therapist, to assess seating needs
• Measurement and fitting session to ensure the seat’s size and attachment are appropriate
• No special pre-procedure preparations like fasting or medication adjustments are typically necessary

Procedure Description

1. Assessment: A healthcare professional assesses the child's seating needs and takes measurements.
2. Selection: The appropriate planar seat is selected based on the child's size and needs.
3. Installation: The planar seat is attached to the wheelchair using the fixed hardware.

4. Adjustment: Adjustments are made to ensure the seat is secure and comfortable.

   Tools and Equipment:

   • Planar seating unit
   • Fixed attaching hardware
   • Measurement tools
   • Screwdrivers or wrenches for hardware installation

Anesthesia or sedation is not required for this procedure as it is non-invasive.

Duration

The procedure typically takes 1-2 hours, including assessment, fitting, and final adjustments.

Setting

The procedure is performed in an outpatient setting, such as a physical therapy clinic, a rehabilitation center, or a wheelchair services facility.

Personnel

• Occupational Therapist or Physical Therapist
• Rehabilitation Specialist
• Seating Technician (in some cases)

Risks and Complications

• Minor risks include discomfort or pressure sores if the seat is not fitted correctly.
• Rare complications might involve hardware failure or improper attachment affecting the wheelchair's stability.

Benefits

• Improved seating posture and comfort
• Enhanced mobility and functional ability

• Reduced risk of pressure sores and discomfort

  Benefits can often be realized immediately after the fitting but may continue to improve as the child adapts to the new seating arrangement.

Recovery

• Immediate use of the wheelchair with the new seat
• Follow-up appointments to ensure the fit remains optimal and make any necessary adjustments
• Regular checks for signs of wear or discomfort

Alternatives

• Custom-molded seating systems, which offer more personalized support but are more expensive and time-consuming to produce
• Off-the-shelf cushion solutions, which might not provide the same level of support or might require frequent replacements

Patient Experience

• During the procedure, the child may need to sit still for measurements and fitting adjustments.
• The experience is typically painless, with discomfort being minimal and limited to the fitting process.
• Post-procedure, patients should experience improved comfort and posture immediately.
• Pain management is not generally necessary, but initial adjustments might involve some minor comfort issues, which are resolved through follow-up sessions.