Name of the Procedure:

Adjustable angle footplate, each (HCPCS Code: K0040) Common Names: Adjustable Footplate, Articulating Footplate

Summary

In layman's terms, an adjustable angle footplate is a component used in wheelchairs to support and maintain the feet at a comfortable and functional angle. It is designed to be easily adjusted to accommodate various foot positions, which can improve comfort and posture for wheelchair users.

Purpose

Medical Conditions or Problems It Addresses:

• Poor foot positioning
• Discomfort or pain due to fixed foot positions
• Posture issues caused by improper foot support

Goals or Expected Outcomes:

• Enhanced comfort while using a wheelchair
• Improved posture
• Reduced foot and leg pain by adjusting the angle to suit individual needs.

Indications

Specific Symptoms or Conditions:

• Foot deformities or abnormalities
• Need for variable foot positions due to underlying medical conditions
• Discomfort with standard, non-adjustable footplates

Patient Criteria:

• Wheelchair users experiencing discomfort or postural issues
• Patients requiring customized foot positioning for therapeutic or comfort reasons

Preparation

Pre-procedure Instructions:

• No specific preparation needed. However, discussing the need for an adjustable footplate with the healthcare provider is advised.

  Diagnostic Tests or Assessments:

• Assessment by a physical therapist or occupational therapist to identify specific requirements for foot positioning

Procedure Description

Step-by-Step Explanation:

1. Assessment: The therapist assesses the patient’s needs and determines the optimal footplate angle.
2. Selection: The appropriate adjustable footplate model is selected based on the assessment.
3. Installation: The footplate is installed on the wheelchair using necessary tools.
4. Adjustment: The angle of the footplate is adjusted to accommodate the patient’s comfort and functional needs.
5. Testing: The patient uses the wheelchair to ensure the settings are correct.
6. Final Adjustments: Any final tweaks are made to ensure optimal comfort and positioning.

Tools and Equipment:

• Screwdrivers and wrenches for installation
• Adjustable footplate hardware

Anesthesia or Sedation:

• Not applicable

Duration

The procedure generally takes about 30 to 60 minutes, depending on the complexity of the adjustments.

Setting

The procedure can be performed in various settings, including:

• Outpatient clinics
• Physical therapy centers
• Home settings (with a visiting therapist)

Personnel

Healthcare Professionals Involved:

• Physical Therapist
• Occupational Therapist
• Wheelchair technician, if needed

Risks and Complications

Common Risks:

• Discomfort if improperly adjusted

Rare Risks:

• Potential skin irritation with prolonged use at incorrect angles
• No serious complications associated

Management:

• Regular follow-up to adjust the angle and alleviate any discomfort

Benefits

Expected Benefits:

• Immediate improvement in comfort and foot positioning
• Better posture and less strain on legs and feet

Recovery

Post-procedure Care:

• Regular assessments to ensure the footplate remains properly adjusted

Expected Recovery Time:

• No recovery time needed, immediate use is possible

Restrictions or Follow-up:

• Periodic follow-up appointments are recommended to adjust settings as needed

Alternatives

Other Treatment Options:

• Fixed angle footplates
• Custom-molded foot supports

Pros and Cons:

• Adjustable Footplate:
  • Pros: Customizable, adaptable to changes in needs, improved comfort
  • Cons: Requires frequent adjustments, higher initial cost
• Fixed Angle Footplate:
  • Pros: Lower cost, simpler design
  • Cons: Less comfort, no customization

Patient Experience

During the Procedure:

• Minimal discomfort, mostly involving sitting and testing positioning

After the Procedure:

• Immediate use and testing of the wheelchair
• Potential slight discomfort until optimal adjustments are made

Pain Management and Comfort Measures:

• Any initial discomfort is managed by adjusting the footplate angle during follow-ups.