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A standing wheelchair (also known as a standing chair, a wheeled stander or a stander) is assistive technology, similar to a standing frame, that allows a wheelchair user to raise the chair from a seated to a standing position. The standing wheelchair supports the person in a standing position and enables interaction with people and objects at eye level.
Design and function
While they all hold the same basic function, there is much variety within standing wheelchairs. As assistive devices, standing wheelchairs are primarily designed according to their user's needs. The lifting mechanisms incorporated can be either manually operated or powered with hydraulic devices that range in strength. Wheels can also be power-operated or manual. Steel alloys are often used in production to strike a balance of durability, strength, flexibility and lightness, however there are heavier and lighter metals available. Specific models are built to be used regularly while others only assist in specific tasks. Some standing wheelchairs may even be driven from the standing position, however there is medical concern of an increased risk of bone fractures while driving due to the legs being under a heavy load.
Diagnosis and users
Standing wheelchairs are used by people with mild to severe disabilities including: spinal cord injury, traumatic brain injury, cerebral palsy, spina bifida, muscular dystrophy, multiple sclerosis, stroke, rett syndrome, post-polio syndrome and more.
Standing chairs are used by people with both paraplegia and quadriplegia, since a variety of standing options are available to accommodate for mild-to-severe disabilities.
Health benefits
Numerous studies show evidence of standing wheelchairs providing specific health benefits over their non-mechanized counterparts. Some of these benefits have included improved circulation, higher bone density, and lower risk for contractions and skeletal deformation. Several researchers and users alike report that benefits are not solely physical – the greater range of movement provided by mechanized standing wheelchairs allow users to lead more independent lives, resulting in improved mental health and a higher quality of life.
Documentation and funding in the United States
Standing wheelchairs come at prices many consider inaccessible, with powered versions ranging from $10,000-$15,000. This inaccessibility resulted in a push for insurance companies to incorporate this technology into their existing plans. In 2020, the Independence Through Enhancement of Medicare and Medicaid (ITEM) Coalition appealed to the Centers for Medicare and Medicaid Services (CMS), requesting both standing wheelchairs and wheelchairs with power-elevated seats be covered under the Durable Medical Equipment Benefit. That request was partially granted in May 2023, as CMS incorporated wheelchairs with power-elevated seats into the benefit and claimed standing wheelchairs would be considered in the future.
As of Now, Medicare may help fund some portion of a standing wheelchair, while Medicaid funding varies from state to state in the U.S. Many insurance companies, vocational rehabilitation organizations, and medical case managers are increasingly funding standing wheelchairs because of the long-term health and quality of life benefits that come from passive standing.
= Effective documentation
=Funding (government funding or insurance) for standing equipment is achievable, but usually requires medical justification and a letter of medical necessity (a detailed prescription) written by a physical therapist or medical professional.
= Funding sources
=In the U.S. there are various funding options for purchasing durable medical equipment (DME) such as standing wheelchairs:
Public insurance/government funding (i.e. Medicaid, Waivers, etc.)
Private insurance companies (i.e. Blue Cross, health maintenance organizations (HMOs), PPOs, etc.)
Worker's compensation
Disability insurance
Liability insurance (i.e. car, home, etc.)
Out-of-pocket (cash or credit card)
Possible payment plan through supplier
Child's school purchase for use at school (i.e. standing is part of child's Individualized Education Program (IEP))
Purchase by workplace for use while on the job
Purchase through VA Hospital
Assistance from local groups such (i.e. Rotary clubs, Lions, etc.)
Assistance from disability groups (i.e. MDA, MS Society, etc.)
Most states have resources such as PAAT (Protection Advocacy for Assistive Technology) and State Technology Assistance Projects that are resources for consumers seeking funding or going through the appeals process.
References
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Artikel Terkait "standing wheelchair"
The Standing Company – Makers of the SuperStand Wheelchair
With a standing wheelchair, you can live life the way you want to. Work Hard. Enjoy greater opportunities for employment by using a standing wheelchair. Improve Health. Standing improves circulation, reduces UTIs, relieves back/neck discomfort, improves skin health, and strengthens the bones and muscles that can become weakened by years of sitting.
Full-Power Superstand - The Standing Company
The full-power Superstand standing wheelchair is the ultimate standing wheelchair. All movements are controlled by a single button and joystick. Operation is safe and simple.
About - The Standing Company
The Standing Company is the only manufacturer in America of a manual and half-power standing wheelchair. We have extensive experience working alongside the VA to help our Veterans receive the wheelchair benefits they’ve earned.
Manual Superstand - The Standing Company
The manual Superstand standing wheelchair is powered by you. The user propels him or herself like any other manual wheelchair, but they can also stand upright quickly and easily in mere seconds. The manual Superstand produces a wealth of health and lifestyle benefits .
Products - The Standing Company
three models of standing wheelchairs. Half-Power Superstand Motorized movement, manual standing Learn More. Full-Power Superstand Let the chair do the lifting Learn More. Manual Superstand Pure Human-Powered Motion Learn More. Address 5848 Dixie Highway Saginaw, MI 48601 Phone +1.800.782.6346.
Arek Trenholm – The Standing Company
Standing Wheelchair Enables Arek to Stand with Ease. Arek, a Florida teen, wanted to stand for the flag honoring our country and our Veterans during a local parade. Arek’s conventional wheelchair made this very difficult, but that didn’t stop him from trying to stand.
Microsoft Word - NEW Dr. signed cmn.doc - The Standing …
Patient needs a standing wheelchair as an adjunct to therapy on a daily basis for the following reasons: Improve circulation, reduce swelling in lower extremities [ ] yes [ ] no Provide pressure relief (independently), prevent decubitus ulcers [ ] yes [ ] no
The Discovery Channel – The Standing Company
There’s a significant importance in getting standing time each day. Hear from wheelchair users about how their standing wheelchair has given them a better quality of life. Watch the video from The Discovery Channel
Simon Reiffer - The Standing Company
Simon has a passion for working on cars. In a conventional wheelchair, Simon wasn’t able to reach inside the hood of his car, making it impossible for him to do what he loved. The Standing Company helped Simon get into a manual standing wheelchair. Able to stand on his own, Simon could begin his work once again.
Kimberly Marcisz – The Standing Company
United States Army and Air Force veteran Kimberly Marcisz is getting a new lease on life after a car accident left her paralyzed from the waist down. Thanks to the Topeka VA, Marcisz is getting a new wheelchair, one that has the power to help her stand. “Honestly it feels like somebody is hugging me. That’s how it feels.