Indications And Contraindications - Sunrise Medical Quickie Q700-UP M Instructions For Use Manual

3.3 Indications And Contraindications

Indications And Contraindication 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 Quickie wheelchair.
Indications
The Quickie Q700-Up M/F wheelchair with Standing function
is specifically developed for people who have lost to 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.
• Gastrointestinal complications: As with breathing, standing
also reduces the pressure on the digestive system. This
facilitates digestion (intestinal peristalsis) and helps with the
improvement of bowl and bladder functions.
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Contraindications
WARNING!
A wheelchair with Standing function can only be used upon
prescription by a doctor.
Here are the most common contraindication for the use of a
wheelchair with Standing function:
• Reduced bone density: Should the bones already be very
weak it is not recommended to stand. This could lead to
fractures. In this case consult your doctor for a bone density
measurement.
• Poor circulation: For heart or circulatory diseases standing
should only occur under medical supervision (cardio
training). Please consult a doctor in this case.
• Severe mobility limitations or severe contractures.
Benefits Of A Daily Standing
The use of any stand-up device should be done only under the
prescription and supervision of a medical professional.
At the outset, it is recommended that your introduction to
regular standing be closely monitored by your Physical or
Occupational Therapist.
It has been documented that the regular and cyclical activity of
going from the seated to the standing position may offer many
benefits to those that are no longer able to stand on their
own. The benefits are two fold:
1) there is the ability to once again function in daily activities
that necessitate standing (reaching file cabinets and
equipment in the workplace, accessing cupboards/stoves/
shelving at home, as well as the ability to interact eye to eye);
and,
2) the potential of physical benefits that result from repeated
standing (these benefits may include improved; range of
motion, bone density, circulation, bowel and bladder function,
etc.).
WARNING!
Elevation to standing position:
• Elevation to standing position and operation in standing
position must only be done on a flat surface. When the
chair is in elevated position, never reach out from the chair,
due the higher tipping risk.
• The operation of the Stand Up function (and other pre-
defined seating positions) will cause multiple actuators to
operate simultaneously.
• If the seating system operates unintentionally or erratically
immediately switch off the system with the On/Off button.
CAUTION!
Positioning Belt:
Quickie positioning belts are designed to position the user only
and will not protect you in an accident. You may even receive
further injury from the belts.
Q700-UP M/F Rev.A