Advancements in standing wheelchairs

Of all the products that assist people with a disability, wheelchairs seem to cause the most difficulty and confusion. There are so many options and variations that many people finish up with something that doesn't serve them all that well.

There are at least two basic topics to think about - the overlapping demands of "Fit and Function”. Fit is of course determined by things such as the stature of the user but also the fundamentals of their condition. Persons with a spinal cord injury will often need seating designed to protect sensitive skin from pressure and perhaps, depending on the nature of their injury, postural support. Then there is the issue of what the wheelchair is expected to do and whether it is manually operated or powered. In the ever-evolving world of assistive technology, standing wheelchairs can be a gamechanger, offering a new level of independence and mobility for wheelchair users. By being able to elevate themselves to a standing position, individuals can experience improved blood circulation, reduced risk of pressure sores, enhanced digestion and improved bone density. The question then is just how much does a particular product allow you to move and to stand and does this meet your requirements?

At Anatomical Concepts they don’t deal with wheelchairs, but rather with something that combines the mobility function of a wheelchair, with the ability to stand and movethe Tek RMD from Matia Mobility. In the UK market, wheelchair users have access to a wide range of standing wheelchair options, each designed to meet specific needs and preferences. Manual standing wheelchairs offer individuals the opportunity to independently adjust their position using a manual hydraulic pump. These are often lightweight and provide a costeffective solution for those who prefer a more hands-on approach.

On the other hand, power-standing wheelchairs utilise electricpowered systems to facilitate easy transitioning between sitting and standing positions. These models are particularly suitable for individuals with limited upper body strength or dexterity.

Hybrid standing wheelchairs offer the best of both worlds, providing the flexibility to switch between manual and power functions. This versatility allows individuals to adapt to different situations and tailor their experience based on their specific needs.

A common issue with many standing wheelchairs is that the user may not be able to achieve truly upright standing due to the need to maintain safe stability. A wheelchair typically will have its centre of mass behind the user and to maintain stability the user's mass will need to be not too far forward.

This results in the user being tilted back slightly even when in the fully extended position.

In other words, standing wheelchairs are typically not optimal when prolonged standing is required. They are most suitable when the majority of the time the user will be seated and will make only occasional and brief moves into standing.

Ergonomics and comfort should also be prioritised. The standing wheelchair should provide adequate support for the user's body, including the back, legs, and feet. Adjustable features, such as seat height and angle, should be available to optimise comfort and reduce the risk of discomfort or pressure sores.

The Tek RMD, just like any other product such as a standing wheelchair will not be suitable for everyone. Each Tek RMD is set up at delivery to suit the user's stature and is generally ideal for someone with good use of the arms and hands but paralysed or weak legs without significant contractures. All medical devices have contraindications and your product supplier should check that you are suitable for a particular product.

One consequence of achieving a great upright posture is that it challenges the core strength of the user. So for example, the Tek RMD may not be ideal for someone with a high-level spinal cord injury as it may not provide enough trunk support for prolonged standing. When the Tek RMD is suitable, it allows by far the best posture and due to its narrow profile will be able to navigate easily through indoor spaces.

In addition to the physical benefits, standing wheelchairs or the Tek RMD offer psychological advantages. The ability to stand eye-to-eye with others fosters a sense of inclusion and equality. It can significantly improve selfesteem and positively impact social interactions. Whether it's participating in conversations at eye level or reaching for objects on high shelves, these products empower individuals to engage with the world on their own terms.

To learn more about the Tek RMD or to obtain a demonstration see https://www.anatomicalconcepts. com/life-elevated.