Can I get this paid for? Part 4: Dynamic Headrest

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

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

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 Headrest moves in response to client force and assists the client back to an upright starting position.”

The Single Axis Dynamic Headrest

1. For the client with a history of equipment breakage:

The Single Axis Dynamic Headrest moves posteriorly in response to client forces and then returns to a starting position. The Dynamic Headrest is 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 a client who does not have a history of equipment breakage, but has the potential to break equipment:

The Single Axis Dynamic Headrest moves posteriorly in response to client forces and then returns to a starting position. The Dynamic Headrest is 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 a Dynamic Headrest to absorb extensor tone:

The Single Axis Dynamic Headrest moves posteriorly in response to client forces and then returns to a starting position. A Dynamic Headrest is 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.

The Multi Axis Dynamic Headrest

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

  • For the client with a history of equipment breakage:

The Multi Axis Dynamic Headrest provides posteriorly and full lateral movement from midline (capturing rotational movements) in response to client forces and then returns to a starting position. The Dynamic Headrest is 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 a client who does not have a history of equipment breakage, but has the potential to break equipment:

The Multi Axis Dynamic Headrest moves posteriorly and full lateral movement from midline (capturing rotational movements) in response to client forces and then returns to a starting position. The Dynamic Headrest is 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 a Dynamic Headrest to absorb extensor tone:

The Multi Axis Dynamic Headrest moves posteriorly and full lateral movement from midline (capturing rotational movements) in response to client forces and then returns to a starting position. A Dynamic Headrest is 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.

As we wrap up this series of 4 Blogs on the topic of Funding Dynamic Seating, can you think of other justifications we forgot? Please add your suggestions in the Comments below! Thanks!

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

One response on “Can I get this paid for? Part 4: Dynamic Headrest

  1. Michelle Lange Post author

    Since this blog was originally written, we have added some additional wording to our justifications to include protecting the client from injury. Check it out under our Dynamic Seating Sample Medical Justification wording under Resources, Downloadable Information. Thanks!

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