permobil F5 Power Standing Wheelchair Instructions
- June 25, 2024
- permobil
Table of Contents
**permobil F5 Power Standing Wheelchair Instructions
**
Product Instructions
What do we know about power standing wheelchairs?
Impact on body functions & structures
| Higher level of evidence shows that power standing can:
- Provide pressure redistribution on the seat and back
- Maintain or increase lower extremity range of motion
- Impact bladder health, digestion & constipation
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Lower level of evidence shows that power standing may:
- Improve lower extremity spasticity
- Influence bone health
- Impact mental health
Limited evidence
- Strength & balance
- Cardio-respiratory & edema
- Other (blood glucose, sexual health, posture, fatigue)
Are there any clinical considerations?
- Joint conjectures
- Active bone fractures
- Unstable blood pressure
- Pain may both increase and decrease
What can we learn from personal experiences?
| |
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54% of people reported a favorable impact on pressure management with
standing| 75% of individuals reported a favorable impact on range of
motion/muscle length| 84% had a favorable impact on happiness
This [power standing wheelchair] has helped my son put off a hamstring
surgery and gives him a better quality of life.|
helps my bowel programs so much. If I stand up a little while before
programs, they do so much better, and I empty out a lot easier. It also
helps with gas and gas pains. I have a really hard time getting rid of gas
and being able to stand up and to get that gas moving so I can expel it it’s
very helpful.
Impact on daily activities
Everyone has activities that are necessary to their daily lives, which can be
aided directly through power standing positioning and indirectly through
managing body functions and structures.
Higher level of evidence shows that power standing can
| | Enhance activities of daily living such as cooking, cleaning, countertop
activities and accessing environmental controls
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| Increase independence with personal and medical care such as toileting,
washing hands, and transferring
| Facilitate communication: providing hugs, verbal communication, hearing
conversations, seeing more clearly and coping in crowded situations
| Increase functional reach: grocery store and home shelves, counters There
also may be a reduction in overhead reaching, which may result in less
shoulder pain and injuries.
Voice production
|
Visual orientation
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|
ADL
Standing with the chair makes it easier to get undressed for bed or shower.
| Functional reach
It is possible to get my own glass of water because I can stand up and reach
the sink.
Communication
As a voice actor, being able to stand in the recording booth has not only
encouraged me to stand frequently throughout the day but perform better as
well.
Impact on participation
Power standing may allow an individual access to a wider range of unmodified spaces, which may provide a benefit in community settings by enhancing independence and enabling recreational activities.
Higher level of evidence supports that power standing enhances participation in different settings:
SOCIAL
- Going for walks with family or friends
- Shopping
- Singing in choir
- Eating at a high top table
|
VOCATIONAL
- Accessing the work bench in a chemistry lab
- Working at a grocery store
- Reaching elevator buttons
| EDUCATIONAL
- Less time missed from class due to faster toileting
- Teaching activities
- Ceremonial activities
- Sports/gym class
What do personal experiences tell us about power standing?
Increased participation in enjoyable activities:
| Those who report a positive impact on their work reported an increase with:
Opportunities for employment overall, the roles they can take on or places they can apply • More work hours when needed/desired • Ability to transition from part-time to full time
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New opportunities with power standing compared to without:
| Those who reported a positive impact on school:
- Participate more in class discussion
- Get to and from class in a timely manner
- Participate in more school-based activities.
| My power standing wheelchair gives me freedom of independence in performing
tasks and expands what I’ll attempt to participate in.
I can stand to march with the band during parades and dance with my friends.
It gives me opportunities to participate in the community in ways I never
could before.
Impact on independence and quality of life
Higher level of evidence shows that power standing may have a positive
influence on independence with the following:| What do personal
experiences say about power standing and independence?
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- Daily tasks
- Decision of when to stand
- Not having to ask for assistance
- Decreased demand for care (per parents)
- More time focusing on teaching (per teachers)
- Personal care routines
- New functional activities
|
70% of individuals surveyed are more independent with power standing 23% are
just as independent with power standing 7% are less independent
I got my power standing wheelchair in March of 2020…just 4 hours before my
state went into lockdown. My attendant immediately stopped working for me. So
until July 2021, I was performing 99% of his duties myself. That literally
would not have been possible, without the standing function.| have ALS and
standing is important to my health and reduces the load on my caregiver.
Evidence shows that power standing leads to more benefits compared to non- powered standing devices due to:
- Fewer limitations in daily use
- Entering the standing position may be more independent
- Reduced number of transfers
- Choice of when to stand
- Caregiver benefits
- Equipment availability
- Integrating into a meaningful activity
What do personal experiences say about power standing and non-powered
standing:|
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reported having experienced standing both with a power standing wheelchair and
nonpowered standing device| preferred power standing. Reasons included
increased independence, convenience, mobility, decreased risk of falls and
lack of transfers.
My standing wheelchair is more convenient because I don’t have to transfer to
stand, which results in more standing| The standing frame is difficult to
transfer me into and out of. Also it took up a lot of space and I was stuck in
one position once I was in it.
Impact on independence and quality of life
Limited evidence related to quality of life in the literature. One study reports varied personal results for children and adults. At this time, we cannot draw any conclusions from a single study.
What can we learn from personal experiences?
| reported higher quality of life with standing function compared to without
16% report similar QOL, 4% report low QOL
There really are no words to explain the feeling of being able to stand up
again after so long. You really learn to live with what you have but you take
standing for granted after an extended period of time.| In standing, you can
get a real hug; you can look over a crowd and feel like you are a human being.
This is not a substitute for medical advice or clinical recommendations.
References and full survey results available:
https://www.permobil.com/clinical-research-1/research-library/permobil-white-
paper-power-standingupdate-2023