Name of the Procedure:

Seat, contoured, for pediatric size wheelchair including fixed attaching hardware (E2294)

Summary

A contoured seat for a pediatric wheelchair is a custom-molded cushion designed to provide optimal support and comfort for a child using a wheelchair. The seat is attached using fixed hardware to ensure stability and safety.

Purpose

This procedure is intended to improve the comfort, posture, and overall well-being of pediatric wheelchair users. Its primary goal is to ensure that children with mobility impairments have a supportive seating arrangement that minimizes discomfort and prevents pressure sores.

Indications

• Children with neuromuscular disorders (e.g., cerebral palsy, muscular dystrophy)
• Orthopedic conditions leading to abnormal sitting posture
• Severe scoliosis or other spinal deformities
• Conditions causing weakness or paralysis, requiring specialized seating support

Preparation

• No special preparation like fasting is needed.
• A thorough assessment by a healthcare professional to measure the child's dimensions and evaluate seating needs.
• Discussions with a physical therapist or occupational therapist to ensure the seat meets functional requirements.

Procedure Description

1. Assessment: A healthcare professional evaluates the child's posture and seating needs.
2. Measurement: Detailed measurements of the child's body are taken.
3. Custom Fabrication: The contoured seat is custom-made based on the child’s measurements to fit perfectly.
4. Attachment: The seat is securely attached to the wheelchair using fixed hardware to prevent movement or instability.
5. Evaluation: Once attached, the seat is evaluated to ensure it provides the intended support and comfort.

Tools and Equipment:

• Measuring tools for dimensions
• Custom-molded seat construction materials
• Fixed attaching hardware specific to wheelchair models

Anesthesia/Sedation:

• Not applicable; this is a non-invasive procedure.

Duration

Fitting and attachment of the contoured seat may take 30-60 minutes. The creation of the custom seat may take several weeks.

Setting

The procedure is typically performed in an outpatient clinic or a specialized medical facility with the required fabrication equipment.

Personnel

• Occupational therapists
• Physical therapists
• Assistive technology professionals
• Wheelchair technicians

Risks and Complications

• Minimal risks associated with the procedure.
• Potential for improper fit, which may cause discomfort or skin irritation.
• Frequent follow-ups may be necessary for adjustments.

Benefits

• Improved comfort and proper posture.
• Reduced risk of pressure sores and skin breakdown.
• Enhanced overall mobility and independence.

Recovery

• No significant recovery period is necessary.
• Instructions include monitoring for comfort and skin integrity.
• Follow-up appointments to adjust the fit as the child grows.

Alternatives

• Standard wheelchair seats or cushions
• Semi-custom seating solutions
• Pros: Often less expensive, quicker to obtain.
• Cons: May offer less personalized support and comfort.

Patient Experience

• Initial measuring and fitting process is non-invasive.
• Children may notice improved comfort and support immediately.
• Regular adjustments may be necessary to maintain optimal fit and comfort.