Unlocking New Possibilities: Exploring the Advancements in Standing Wheelchairs in the UK

Introduction

Of all the products that assist people with a disability, wheelchairs seem to cause the most difficulty and confusion. There are so many options and variations that many people finish up with something that doesn't serve them all that well.  

There are at least two basic topics to think about - the overlapping demands of "Fit and Function". 

Fit is of course determined by things such as the stature of the user but also the fundamentals of their condition. Persons with a spinal cord injury will often need seating designed to protect sensitive skin from pressure and perhaps, depending on the nature of their injury, postural support. Then there is the issue of what the wheelchair is expected to do and whether it is manually operated or powered.

A quick web search for wheelchairs will bring up many options - this alone should be a wake-up call that some careful thought is needed before you start trying them out.

Are you ready to break free from the limitations of traditional wheelchairs? At Anatomical Concepts, we don't deal with wheelchairs but we do deal with something that combines the mobility function of a wheelchair with the ability to stand and move and then sit again at will. That's the Tek RMD from Matia Mobility.

In the ever-evolving world of assistive technology, standing wheelchairs can be a game-changer, offering a new level of independence and mobility for wheelchair users in the UK. These innovative devices not only provide support and comfort, but by allowing individuals to stand they can promote better circulation, bone health, and improved overall well-being. 

But hang on, the Tek RMD is not a standing wheelchair either although it definitely can help wheelchair users to stand and move around in their environment. In many cases, it can do these things in a very nice way not possible with standing wheelchairs.

In this article, we will showcase the Tek RMD amongst the spectrum of standing wheelchairs and standing devices, exploring their benefits, features, and the impact they have on the lives of those who rely on them. From enhanced accessibility to increased social interaction, the possibilities are endless when it comes to unlocking a newfound sense of freedom and empowerment.

What's a wheelchair for?

A wheelchair is more than a means of getting around; it's also an important tool for self-expression and independence. With the ability to move freely within your own space, without having to rely on someone else's help, a wheelchair can offer users increased autonomy, allowing them to engage with the world in ways not previously possible.

Modern materials can do much to make wheelchairs as close to "objects of desire" as possible bearing in mind that no one wanted to have to use a wheelchair in the first place.

Wheelchairs, in my mind, should look good as well as allow users to increase their independence.

However, think about a wheelchair user amongst a group of people standing. A wheelchair doesn't let you relate to the group eye to eye. Something is missing.

The Benefits of Standing Wheelchairs

Every person benefits from standing. After a spinal cord injury, and many other conditions, a standing regime is always encouraged by clinicians but many find this difficult to comply with. I see lots of clients with a Standing Frame taking up a large amount of space in their living room and they often lack the motivation to just "stand there".  

You and I might not need to be told that there are significant health advantages in the ability to stand upright but does that give us motivation to do it? 

By being able to elevate themselves to a standing position, individuals can experience improved blood circulation, reduced risk of pressure sores, and enhanced digestion. Moreover, standing contributes to better bone health. The weight-bearing nature of standing helps stimulate bone growth and prevents the loss of bone density. This is particularly crucial for individuals with conditions such as osteoporosis or spinal cord injuries, who are at a higher risk of experiencing bone-related issues. However, in our experience knowing all this is not enough to ensure motivation to use a static Standing Frame.

Standing wheelchairs can improve the lives of individuals wih mobility challenges by offering to combine the ability to stand with the ability to move. The question then is just how much does a particular product allow you to move and to stand and does this meet your requirements?

Advancements in Standing Wheelchair Technology

Thanks to advancements in technology, standing wheelchairs have become more sophisticated and user-friendly. Manufacturers are constantly pushing the boundaries to create innovative solutions that cater to the diverse needs of wheelchair users.

One notable advancement is the integration of electric-powered mechanisms, which make it easier for individuals to transition between sitting and standing positions. These mechanisms are often controlled by user-friendly interfaces, allowing individuals to adjust their position with a simple touch of a button. Additionally, standing wheelchairs now come with improved stability features, ensuring a safe and secure experience for the user.

Another significant advancement is the use of lightweight materials, such as carbon fibre, in the construction of standing wheelchairs. This not only makes them more manoeuvrable but also increases their overall durability. The incorporation of ergonomic designs and customizable features further enhances user comfort and functionality.

Types of Standing Wheelchairs Available in the UK Market

In the UK market, wheelchair users have access to a wide range of standing wheelchair options, each designed to meet specific needs and preferences. These include manual standing wheelchairs, power standing wheelchairs, and hybrid models that combine both manual and power functions.

Manual standing wheelchairs offer individuals the opportunity to independently adjust their position using a manual hydraulic pump. These models are often lightweight and provide a cost-effective solution for those who prefer a more hands-on approach.

On the other hand, power-standing wheelchairs utilise electric-powered systems to facilitate easy transitioning between sitting and standing positions. These models are particularly suitable for individuals with limited upper body strength or dexterity.

Hybrid standing wheelchairs offer the best of both worlds, providing the flexibility to switch between manual and power functions. This versatility allows individuals to adapt to different situations and tailor their experience based on their specific needs.

How the Tek RMD compares with a Standing Wheelchair

As we mentioned above, we deal with a product called the Tek RMD which is not a wheelchair or a standing wheelchair but rather a unique concept that does allow suitable users with lower limb paralysis to stand and then move around whilst in that standing position.  

This can be an excellent choice for some people as it allows them to have all the benefits of frequent standing without being tied to one spot. Being able to stand whilst moving allows a user greater independence. 

Tek RMD Users often want to access those kitchen cupboards that are not accessible from a wheelchair

In general, the user of a Tek RMD can achieve a good upright standing posture which facilitates prolonged standing. This is because the low centre of gravity and the method of positioning the person during standing allows great stability.

A common issue with many standing wheelchairs is that the user may not be able to achieve truly upright standing due to the need to maintain safe stability. A wheelchair typically will have its centre of mass behind the user and to maintain stability the user's mass will need to be not too far forward. This results in the user being tilted back slightly even when in the fully extended position.

In other words, standing wheelchairs are typically not optimal when prolonged standing is required. They are most suitable when the majority of the time the user will be seated and will make only occasional and brief moves into standing.

Considerations When Choosing a Standing Wheelchair or a Tek RMD

When choosing a standing wheelchair, it's essential to consider various factors to ensure the best possible fit and functionality. One crucial consideration is the individual's specific mobility needs. Different medical conditions or disabilities may require specific features or adjustments to accommodate unique requirements.

Ergonomics and comfort should also be prioritised. The standing wheelchair should provide adequate support for the user's body, including the back, legs, and feet. Adjustable features, such as seat height and angle, should be available to optimise comfort and reduce the risk of discomfort or pressure sores.

Additionally, the weight and portability of the standing wheelchair should be taken into account. For individuals who require frequent transportation or have limited storage space, a suitable ramp or hoist and transport will be required.

Lastly, it's crucial to consider the budget and funding options available. Standing wheelchairs can vary significantly in price, so it's important to explore funding options through healthcare providers, insurance companies, or charitable organizations to make the investment more manageable.

The Tek RMD, just like any other product such as a standing wheelchair will not be suitable for everyone. Each Tek RMD is set up at delivery to suit the user's stature and is generally ideal for someone with good use of the arms and hands but paralysed or weak legs without significant contractures. All medical devices have contraindications and your product supplier should check that you are suitable for a particular product.

One consequence of achieving a great upright posture is that it challenges the core strength of the user. So for example, the Tek RMD may not be ideal for someone with a high-level spinal cord injury as it may not provide enough trunk support for prolonged standing.

When the Tek RMD is suitable, it allows by far the best posture and due to its narrow profile will be able to navigate easily through indoor spaces.

In addition to the physical benefits, standing wheelchairs or the Tek RMD offer psychological advantages. The ability to stand eye-to-eye with others fosters a sense of inclusion and equality. It can significantly improve self-esteem and positively impact social interactions. Whether it's participating in conversations at eye level or reaching for objects on high shelves, these products empower individuals to engage with the world on their own terms.

Funding Options 

Whilst these products offer immense benefits, the cost can be a significant barrier for many individuals. Some of our clients can obtain these products via private health insurance. Some insurance providers offer coverage for assistive technologies. Individuals with private health insurance should check their policy to determine if they have coverage for standing wheelchairs and the specific requirements for reimbursement.

Additionally, there are charitable organisations and grant programs dedicated to assisting individuals in acquiring standing wheelchairs. These organisations often provide financial assistance or offer guidance on fundraising initiatives to help individuals secure the necessary funds.

Access To Work Grant

Some clients are eligible for the Access To Work grant from the UK government. A number of our clients have funded their Tek RMD devices as they use it as a workplace aid. 

Access to Work can help you get or stay in work if you have a physical or mental health condition or disability. Your workplace can include your home if you work from there some or all of the time. It does not matter how much you earn. If you get an Access to Work grant, it will not affect any other benefits you get and you will not have to pay it back.

Accessible Locations 

As the Tek RMD and standing wheelchairs become more prevalent, there is a growing need for accessible locations and facilities that cater to the unique needs of users. While accessibility is a legal requirement in many countries, it's essential to ensure that public spaces are truly inclusive for all individuals, regardless of their mobility.

Accessible locations should have ramps or elevators to facilitate easy entry and exit for individuals using standing wheelchairs. Doorways should be wide enough to accommodate the wheelchair's dimensions, and pathways should be free from obstacles or hazards that may impede movement. Public spaces should provide options that cater for users, ensuring they can fully participate in activities or events.

Moreover, restroom facilities should be equipped with accessible features, such as grab bars and adequate space for manoeuvrability. These small but significant changes can make a world of difference for individuals using standing wheelchairs, enabling them to navigate public spaces with confidence and ease.

Conclusion

Standing mobility devices are an option that can transform the lives of individuals with mobility challenges in the UK, offering a newfound sense of freedom, independence, and well-being.

When choosing a standing mobility device - a Tek RMD or a standing wheelchair, you need to carefully consider suitability. There are no perfect products for all people and all situations.

The Tek RMD is suitable when the user wishes to achieve a good upright posture and hold that for prolonged periods of time whether indoors or outdoors. Of course, each user must be assessed carefully to ensure that the product would be safe and effective. A standing wheelchair is generally a device that allows occasional standing for someone. This may be best for someone with. for example, a higher-level spinal cord injury that does not have the core strength to achieve and hold the posture required to use the Tek RMD.

Generally, the providers of this type of technology will offer assessments and demonstrations and potential users may wish to seek the guidance of an independent professional such as an Occupational Therapist who can help match the clients objectives with the appropriate product.

If you wish to learn more about the Tek RMD or a demonstration in the UK then please let us know via the form on this page or on our main product page at https://www.anatomicalconcepts.com/tekrmd-standing-mobilisation-device

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