Rehabilitation Engineering &amp; Assistive Technology Society (RESNA) position on the application of wheelchair standing devices: 2013 current state of the literature

Dicianno, Brad E.; Morgan, Amy L.; Lieberman, Jenny; Rosen, Lauren

doi:10.1080/10400435.2015.1113837

Cited by 13 publications

(22 citation statements)

References 41 publications

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“…The influence of such factors on the acquisition and use of pediatric power mobility devices is a common theme across the literature, suggesting issues such as funding, insurance, time to obtain equipment, etc., are not limited to PWSDs. 2,18,19,[28][29][30] As suggested by Schofield et al 15 for children with DMD, extended PWSD trials would allow professionals to directly assess child-centered and environmental factors influencing safe and appropriate PWSD use. Although the footprint of pediatric power wheelchairs is noted in many studies, 18,25 the increased footprint of a PWSD may present unique challenges.…”

Section: Discussionmentioning

confidence: 99%

“…Idioms such as ‘stand up for yourself’ and ‘stand your ground’ reinforce standing as a societal norm symbolizing independence, dignity, and autonomy 3,4 . For children who are unable to stand independently, standing programs, often accomplished using a stationary stander (e.g., a prone, supine, or upright stander), are a common aspect of care 2,5,6 . Such standing programs have been found to improve muscle length, 6–8 decrease spasticity, 6,8 prevent contractures, 6,7 increase peer interaction, 6,9 and increase bone mineral density 6 …”

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confidence: 99%

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Stakeholder perspectives of pediatric powered wheelchair standing devices: a qualitative study

Kenyon

Harrison

Huettner

et al. 2021

Develop Med Child Neuro

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AIM To explore and describe the experiences and perspectives of various stakeholders regarding the use of powered wheelchair standing devices (PWSDs).METHOD The purposive sample included: children aged 6 to 18 years who used a PWSD (n=8; diagnoses: cerebral palsy, spinal muscular atrophy, spina bifida, spinal cord injury), parents of children 18 years of age or younger who used a PWSD (n=12), rehabilitation professionals working with children who used a PWSD (n=12), and professionals working at companies manufacturing PWSDs (n=3). Data were gathered via face-to-face interviews conducted either in person or via Zoom â and analyzed using the constant comparative method.RESULTS Three main themes emerged in the data: (1) 'Stand-on-demand' revealed how participants perceived PWSDs as allowing children to stand whenever and wherever they wanted, thereby increasing participation; (2) 'It's more than weight-bearing' uncovered participants' perceptions of psychological and physical benefits from PWSD use; and (3) 'Ecosystems influencing PWSD acquisition and use' revealed child-and non-child-related factors perceived as influencing children's procurement and use of a PWSD.INTERPRETATION Use of a PWSD was perceived as providing a unique opportunity for children to stand whenever and wherever they desired. Findings suggest the possible transdiagnostic application of PWSDs.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Stakeholder perspectives of pediatric powered wheelchair standing devices: a qualitative study

Kenyon

Harrison

Huettner

et al. 2021

Develop Med Child Neuro

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“…Some contraindications and precautions include but are not limited to existing contractures, skeletal deformities, lack of standing tolerance, bone mass density loss, postural hypotension, sacral shearing, and the need for adaptive or custom seating (Arva et al, 2009). Special precautions were described so as when utilizing standing device in order to avoid the risk of injury, such as fractures, a professional (either physiotherapist or occupational therapist) must be involved with the assessment, prescription, trials and training in the use of equipment (Dicianno, Morgan, Lieberman, & Rosen, 2013).…”

Section: Figure 3 Clinical Decision In Prescribing Standing Devicesmentioning

confidence: 99%

“…Standing can also promote vital organ capacity including pulmonary, bowel and bladder function, bone health, circulation which may in turn minimize the occurrence of pressure ulcers (Alekna et al, 2008;Damcott, Blochlinger, & Fouolds, 2013;Glickman, Geigle, & Paleg, 2010;Hohman, 2011;Paleg, Smith, & Glickman, 2013;Robling et al, 2002;Speigle, Maureer, & Sorenblum, 2010). Other than physical aspects, routine standing can provide numerous psychosocial and quality of life benefits (Arva et al, 2009;Dicianno, Morgan, Lieberman, & Rosen, 2013). An effective standing schedule was described as at least 5 times per week, 30 minutes duration and 5 times a week.…”

Section: Introductionmentioning

confidence: 99%

Effective Assessment of Power Standing Device to Adults with Permanent Lower Limb Paralysis

Serena¹,

Simon²,

Richy³

et al. 2019

RHS

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Introduction: Standing routine is a known beneficial daily activity for both healthy and disabled persons, especially those with permanent lower limb paralysis. However, the prescription of standing device for adults with permanent paralysis was inadequate and non-standard in existing local practice because of lack of good design and evidence based funding support. Objective: In view of the availability of new advances in power standing device, we aim to perform an effective health technology assessment (HTA) from professional and users perspectives to develop the decision pathway in prescription for long term home use. Methodology: A functional test and social cost analysis was performed on one high cost new standing mobile devices in recent market. A practical workshop and surveys were performed to collect feedback from 24 healthcare professionals and 8 expert users on a spectrum of new standing mobile device. Results: From the survey results, there was consensus among all participants that ‘Standing’ as daily routine at home is essential and beneficial. 62.5% of healthcare professionals would provide training to users and their cares to facilitate users to perform standing at home. Eight factors were identified from factor analysis in affecting the choice of standing devices for home use by healthcare professionals and users. Users scored high (mean=9.25/10) in “compliance with the new power standing mobile device”. The cost analysis showed considerable savings in social costs in using even the high-cost power standing mobile device. Discussion: The group welcomed power standing device with or without mobile function to support their standing activity at home. A possible clinical decision for prescribing different standing devices with identified factors was summarized. Conclusion: More recent researches have reported the negative health issues associated with prolonged sitting. With more innovative product designs, the power standing devices with or without mobile function is a new concept welcomed by both healthcare professionals and users in promotion of their health, preventing complications as well as independent living in home environment. A larger scale of HTA with structured cost-effectiveness analysis is essential to inform the healthcare resources planners.

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“…However, peer-reviewed literature is limited (Pedlow et al, 2019). Research remains limited despite numerous recommendations for studies of functional, behavioral, cognitive, and participation outcomes of supported standing (Craig et al, 2016; Dicianno et al, 2016; Lukersmith, 2012; Nordstrom, Naslund, et al, 2014; Paleg et al, 2013; Townsend et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Everyday Life Participation Using Powered Wheelchair Standing Devices by Boys With DMD

Young

Bray

McKinnon

et al. 2021

OTJR: Occupation, Participation and Health

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Powered wheelchair standing devices (PWSDs) allow supported standing for activity; however, little is known about their use. To understand factors affecting use of supported standing for participation among boys with Duchenne muscular dystrophy (DMD) and characteristics of successful users, we gathered data over 7 days from boys who had used PWSDs for 24 months, using a smartphone application. We used descriptive statistics to identify factors that affected their participation. Physical/social engagement and independence were motivators for standing in PWSDs. Enablers included positive attitudinal/social environments. Barriers included pain during supported standing and lack of physical environment accessibility. The characteristics of successful users were identified. Supported standing via PWSDs has potential to improve participation for boys with DMD. The disease stage, individual personal factors and environmental supports impact on use. Therapists should carefully consider and manage factors that impact on uptake and sustainability of use.

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Rehabilitation Engineering & Assistive Technology Society (RESNA) position on the application of wheelchair standing devices: 2013 current state of the literature

Abstract: This article, approved by the Rehabilitation Engineering & Assistive Technology Society of North America Board of Directors on December 23, 2013, shares typical clinical applications and provides evidence from the literature supporting the use of wheelchair standers.

Cited by 13 publications

References 41 publications

Stakeholder perspectives of pediatric powered wheelchair standing devices: a qualitative study

Stakeholder perspectives of pediatric powered wheelchair standing devices: a qualitative study

Effective Assessment of Power Standing Device to Adults with Permanent Lower Limb Paralysis

Everyday Life Participation Using Powered Wheelchair Standing Devices by Boys With DMD

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