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.”

Single Axis Dynamic Head Support Hardware

1. For a client who requires Dynamic Head Support Hardware to prevent client injury and
equipment breakage:

For the client with a history of equipment breakage:
The Single Axis Dynamic Head Support Hardware moves posteriorly in response to client forces
and then returns to a starting position. The Dynamic Head Support Hardware 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.
Absorbing these forces can also protect the brain and cervical area from injury from sudden,
forceful and/or repeated impacts as well as sustained forces. Finally, by absorbing forces and
providing limited movement, the client may be less likely to come off of the head pad which can
lead to the client being caught under the head pad and/or choking.

Or

For the client who does not have a history of equipment breakage, but has the potential to break
equipment:
The Single Axis Dynamic Head Support Hardware moves posteriorly in response to client forces
and then returns to a starting position. The Dynamic Head Support Hardware 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.
Absorbing these forces can also protect the brain and cervical area from injury from sudden,
forceful and/or repeated impacts as well as sustained forces. Finally, by absorbing forces and
providing limited movement, the client may be less likely to come off of the head pad which can
lead to the client being caught under the head pad and/or choking.

2. For a client who requires Dynamic Head Support Hardware to absorb extensor tone and
prevent client injury:

The Single Axis Dynamic Head Support Hardware moves posteriorly in response to client forces
and then returns to a starting position. Dynamic Head Support Hardware 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.
Absorbing these forces can also protect the brain and cervical area from injury from sudden,
forceful and/or repeated impacts as well as sustained forces. Finally, by absorbing forces and
providing limited movement, the client may be less likely to come off of the head pad which can
lead to the client being caught under the head pad and/or choking.

Multi Axis Dynamic Head Support Hardware

1. For a client who requires Dynamic Head Support Hardware to prevent equipment breakage:

For the client with a history of equipment breakage:
The Multi Axis Dynamic Head Support Hardware moves posteriorly and laterally (capturing
rotational movements) in response to client forces and then returns to a starting position. The
Dynamic Head Support Hardware 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.
Absorbing these forces can also protect the brain and cervical area from injury from sudden,
forceful and/or repeated impacts as well as sustained forces. Finally, by absorbing forces and
providing limited movement, the client may be less likely to come off of the head pad which can
lead to the client being caught under the head pad and/or choking.

Or

For the client who does not have a history of equipment breakage, but has the potential to break
equipment:
The Multi Axis Dynamic Head Support Hardware moves posteriorly and laterally (capturing
rotational movements) in response to client forces and then returns to a starting position. The
Dynamic Head Support Hardware 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.
Absorbing these forces can also protect the brain and cervical area from injury from sudden,
forceful and/or repeated impacts as well as sustained forces. Finally, by absorbing forces and
providing limited movement, the client may be less likely to come off of the head pad which can
lead to the client being caught under the head pad and/or choking.

2. For a client who requires Dynamic Head Support Hardware to absorb extensor tone:

The Multi Axis Dynamic Head Support Hardware moves posteriorly and laterally (capturing
rotational movements) in response to client forces and then returns to a starting position.
Dynamic Head Support Hardware 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.
Absorbing these forces can also protect the brain and cervical area from injury from sudden,
forceful and/or repeated impacts as well as sustained forces. Finally, by absorbing forces and
providing limited movement, the client may be less likely to come off of the head pad which can
lead to the client being caught under the head pad and/or choking.

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.

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