INDICATIONS AND CONTRAINDICATIONS
FOR THE USE OF STAND-UP WHEELCHAIRS
These indications and contraindications are based on general observations. The
conditions for regular standing training varies from person to person and should
be individually agreed with a doctor or therapist.
Only a doctor or therapist can decide which method and safe standing training
can be achieved with the Lifestand wheelchair.
Indications
Lifestand wheelchairs are specifically developed for people who have lost their
ability to stand (e.g. paraplegia, multiple sclerosis, cerebral palsy etc.). Standing
is used for therapy and prophylaxis of:
• Osteoporosis
Without regular standing / vertical stress of the bones, bone density can steadily
decrease. This leads to the risk of bone fractures and other complications.
• Decubitus prophylaxis
Whilst standing the pressure on the ischial tuberosity is reduced to a minimum.
• Skeletal misalignments / back pain
Whilst seated the spinal column is naturally elongated (kyphosis/hunchback).
Standing facilitates a natural spinal position and therefore better upper body
stability. This prevents the risk of a scoliosis.
• Muscular atrophy
Without regular leg movement, the risk of muscle shortening increases
(muscular atrophy) and consequently contractures may develop. Regular, self-
standing training help as movement therapy, thereby avoiding contractures
and preventing possible associated pains and expensive operations.
• Tonus regulation of spasticity
Frequent standing helps to reduce spasticity and facilitates seat movement
and positioning in the wheelchair or bed. This supports a peaceful sleep.
•Deeper respiration
Straightening the upper body through standing decreases the pressure of
the abdominal cavity on the lungs. This improves and deepens respiration,
facilitates breathing and can also help reduce the risk of pneumonia.
