RESNA Position on the Application of Wheelchair Standing Devices

Arva, Julianna; Paleg, Ginny; Lange, Michelle L.; Lieberman, Jenny; Schmeler, Mark R.; Dicianno, Brad E.; Babinec, Mike; Rosen, Lauren

doi:10.1080/10400430903175622

Cited by 48 publications

(24 citation statements)

References 28 publications

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“…However, the non-respond rate of 42% may indicate that the users were dissatisfied with the device or that the device was not used at all. The experiences of increased QoL is consistent with Arva et al [12] who concluded that standing enables participation in activities of daily living and that the upright position could promote the persons self-esteem and social interaction with other people [12,15]. The usability of an assistive device is characterized by the relationship between the user, the assistive device, the activity and the context [16,17].…”

Section: Introductionsupporting

confidence: 77%

“…The use of a standing device can also be part in treatment of bodily structures and prolonged standing may have beneficial effects on various bodily functions and structures [10,11], which in turn may affect the participation in activities in a positive way. The upright body position also allows communication on equal terms for persons with disabilities [9,12]. Standing devices in the present study follow the international classification and terminology ISO 9999 [13] comprising tilt tables, standing frames, standing frames with rear wheels, standing wheelchairs and standing shells.…”

Section: Introductionmentioning

confidence: 99%

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The psychosocial impact on standing devices

Nordström

Nyberg

Ekenberg

et al. 2013

Disability and Rehabilitation: Assistive Technology

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PurposeThe aim of this study was to explore the psychosocial impact of standing devices as experienced by users.MethodThis is the second part of a comprehensive survey in five counties in Sweden where all the subjects with standing devices were invited to participate. The impact of standing devices on functional independence, quality of life and wellbeing was assessed using a questionnaire, Psychosocial Impact of Assistive Devices Scale (PIADS).ResultsThe psychosocial impact of the standing devices was perceived as positive. The highest PIADS scores in relation to age were found in the oldest group, aged 65 years and older. The ability to walk and independence in ambulation resulted in higher scores than the use of a wheelchair and/or dependence on others. Those who stood often awarded higher scores in the PIADS questionnaire compared to those who used the device less frequently. When standing was integrated in various activities, its psychosocial impact received high scores.ConclusionThe psychosocial impact of standing devices was generally experienced positively. The main results indicated that standing in a standing device had a value and we as professionals should ask the users about the intended purpose of their standing in order to prescribe the optimal device. Implications for RehabilitationStanding in standing devices has positive psychosocial impact for the user.As professionals we should broaden our view of the use of standing devices, i.e. to see the standing device as an aid that not only treats the body’s structures or improves the user’s abilities in activities, but also provides a psychosocial impact on the user’s daily life, and to find meaningful goals for the user from a psychosocial perspective.

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Section: Introductionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

The psychosocial impact on standing devices

Nordström

Nyberg

Ekenberg

et al. 2013

Disability and Rehabilitation: Assistive Technology

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show abstract

“…Successful retraining of the ability to stand enables increased activities of daily living via access to furniture or home appliances, without the need for several home modifications. Additionally, standing is encouraged to initiate walking and to prevent several secondary health problems due to prolonged sitting 2,3 . Current evidence-based strategies 4–6 use standing 7 re-training as an important functional goal during physical and occupational therapy processes.…”

Section: Introductionmentioning

confidence: 99%

Sensor Fusion to Infer Locations of Standing and Reaching Within the Home in Incomplete Spinal Cord Injury

Lonini

Reissman

Ochoa

et al. 2017

American Journal of Physical Medicine &Amp; Rehabilitation

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Objective The objective of rehabilitation following spinal cord injury is to enable successful function in everyday life and independence at home. Clinical tests can assess if patients are able to execute functional movements, but are limited in assessing such information at home. A prototype system is developed that detects stand-to-reach activities, a movement with important functional implications, at multiple locations within a mock kitchen. Design Ten individuals with incomplete spinal cord injuries performed a sequence of standing and reaching tasks. The system monitored their movements by combining two sources of information: a tri-axial accelerometer, placed on the subject’s thigh, detected sitting or standing; a network of radio-frequency tags, wirelessly connected to a wrist-worn device, detected reaching at three locations. A threshold-based algorithm detected execution of the combined tasks and accuracy was measured by the number of correctly identified events. Results The system was shown to have an average accuracy of 98% for inferring when individuals performed stand-to-reach activities at each tag location within the same room. Conclusion The combination of accelerometry and tags yielded accurate assessments of functional stand-to-reach activities within a home environment. Optimization of this technology could simplify patient compliance and allow clinicians to assess functional home activities.

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“…The Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) argues that the standing posture (achieved in their example by a wheelchair standing device) will give a person with a physical disability considerable bodily benefits in addition to the social and psychological ones that include enhanced psychological wellbeing, independence and productivity (Arva et al 2009). From a medical point of view, it is quite common to recommend standing as a means of managing secondary symptoms in general for people with different physical impairments, among them SMA II.…”

Section: Theoretical Framework the Medical Model Of Disabilitymentioning

confidence: 99%

The Lived Body – Both the Vehicle and the Message: A Longitudinal Case Study

Flodin

2018

Scandinavian Journal of Disability Research

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From early childhood, Hanna, born with Spinal Muscular Atrophy II, has adhered to a standing posture for all her independent locomotion. Aim: To investigate why Hanna in childhood chose to stand and the meaning that standing holds for Hanna as an adult. Method: Single case study of a single person, Hanna, based on her contemporary statements as an adult about her lived experience from childhood, introduced in a phenomenological context and analysed using hermeneutics. Result: Standing gives Hanna access to bodily comfort in an active posture, influences how the world presents itself to her, how she presents herself to the world, and improves interacting with others. Conclusion: Although just a single case study, the findings may stimulate further research on the possible benefits of standing combined with independent locomotion from early childhood and the meaning it can hold for people with SMA II.

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RESNA Position on the Application of Wheelchair Standing Devices

Abstract: This document, approved by the Rehabilitation Engineering & Assistive Technology Society of North America (RESNA) Board of Directors in March 2007, shares typical clinical applications and provides evidence from the literature supporting the use of wheelchair standers.

Cited by 48 publications

References 28 publications

The psychosocial impact on standing devices

The psychosocial impact on standing devices

Sensor Fusion to Infer Locations of Standing and Reaching Within the Home in Incomplete Spinal Cord Injury

The Lived Body – Both the Vehicle and the Message: A Longitudinal Case Study

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