Can I get this paid for? Part 3: Dynamic Footrests

Michelle L. Lange, OTR/L, ABDA, ATP/SMS

Our last blog provided suggested wording to be used in documentation to obtain successful funding for the Dynamic Rocker Back. In this blog, we will look at specific wording for various applications of the Dynamic Footrests.

These examples do not replace competent evaluation. Choose the wording that matches an individual’s specific needs and modify accordingly to reflect a specific client’s needs. I find it helpful to begin with a brief definition, as reviewers are often unfamiliar with this technology. For example:

“The Dynamic Footrests move in response to client force and assist the client back to nuetral starting position.”

Dynamic Footrests – telescoping feature only

1. For a client who requires Dynamic Footrests to prevent equipment breakage:

  • For the client with a history of equipment breakage:

Dynamic Footrests lengthen in response to client forces and then return to a starting position. Dynamic Footrests are recommended to absorb forces exerted by the client which have led to equipment breakage in the past and to prevent future breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

or

  • For the client who does not have a history of equipment breakage, but has the potential to break equipment:

Dynamic Footrests lengthen in response to client forces and then return to a starting position. Dynamic Footrests are recommended to absorb forces exerted by the client to prevent equipment breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

2. For a client who requires Dynamic Footrests to absorb extensor tone:

Dynamic Footrests lengthen in response to client forces and then return to a starting position. Dynamic Footrests are recommended to absorb forces resulting from active client extensor tone. By absorbing and diffusing these forces, extensor tone can be decreased. Reducing extensor tone can increase function, sitting tolerance and conserve energy. By providing dynamic lengthening only, rather than knee extension, pelvic position is more readily maintained.

Dynamic Footrests – telescoping feature and knee extension option

1. For a client who requires Dynamic Footrests to prevent equipment breakage:

  • For the client with a history of equipment breakage:

Dynamic Footrests lengthen and extend at the knee in response to client forces and then return to a starting position. Dynamic Footrests are recommended to absorb forces exerted by the client which have led to equipment breakage in the past and to prevent future breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

or

  • For the client who does not have a history of equipment breakage, but has the potential to break equipment:

Dynamic Footrests lengthen and extend at the knee in response to client forces and then return to a starting position. Dynamic Footrests are recommended to absorb forces exerted by the client to prevent equipment breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

2. For a client who requires Dynamic Footrests to absorb extensor tone:

Dynamic Footrests lengthen and extend at the knee in response to client forces and then return to a starting position. Dynamic Footrests are recommended to absorb forces resulting from active client extensor tone. By absorbing and diffusing these forces, extensor tone can be decreased. Reducing extensor tone can increase function, sitting tolerance and conserve energy. Active range of motion at the knee is also provided, reducing risk and progression of range of motion losses.

3. For a client who requires Dynamic Footrests to provide movement:

Dynamic Footrests lengthen and extend at the knee in response to client forces and then return to a starting position. Dynamic Footrests are recommended to provide movement for the client to provide vestibular input, increase alertness, decrease agitation, increase sitting tolerance and increase function.

4. For a client who requires Dynamic Footrests to increase lower extremity strength:

Dynamic Footrests lengthen and extend at the knee in response to client forces and then return to a starting position. Dynamic Footrests are recommended to provide movement for the client against resistance to increase lower extremity strength.

Dynamic Footrests – telescoping feature and knee extension option, plantar and dorsi flexion option

1. For a client who requires Dynamic Footrests to prevent equipment breakage:

  • For the client with a history of equipment breakage:

Dynamic Footrests lengthen, as well as extend at the knee and ankle in response to client forces and then return to a starting position. Dynamic Footrests are recommended to absorb forces exerted by the client which have led to equipment breakage in the past and to prevent future breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

or

  • For the client who does not have a history of equipment breakage, but has the potential to break equipment:

Dynamic Footrests lengthen, as well as extend at the knee and ankle in response to client forces and then return to a starting position. Dynamic Footrests are recommended to absorb forces exerted by the client to prevent equipment breakage. The dynamic components absorb these excessive forces, protecting the wheelchair frame, seating system and hardware from breakage. Breakage may result in the client being unable to use their wheelchair and/or seating system until repairs are made.

2. For a client who requires Dynamic Footrests to absorb extensor tone:

Dynamic Footrests lengthen, as well as extend at the knee and ankle in response to client forces and then return to a starting position. Dynamic Footrests are recommended to absorb forces resulting from active client extensor tone. By absorbing and diffusing these forces, extensor tone can be decreased. Reducing extensor tone can increase function, sitting tolerance and conserve energy. Active range of motion at the knee and ankle is also provided, reducing risk and progression of range of motion losses.

3. For a client who requires Dynamic Footrests to provide movement:

Dynamic Footrests lengthen, as well as extend at the knee and ankle in response to client forces and then return to a starting position. Dynamic Footrests are recommended to provide movement for the client to provide vestibular input, increase alertness, decrease agitation, increase sitting tolerance and increase function.

4. For a client who requires Dynamic Footrests to increase lower extremity strength:

Dynamic Footrests lengthen and extend at the knee and ankle in response to client forces and then return to a starting position. Dynamic Footrests are recommended to provide movement for the client against resistance to increase lower extremity strength.

Your turn! What wording has worked in your documentation? Let us know in the comment section below!

For a Downloadable version of all Dynamic Seating Sample Medical Justification Wording, click here.

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