Therapeutic Benefits of a Sit-to-Stand Device


(Caption: SoloLift. For PT’s Only: An interview
with Dr. Stacie Whinnery & Terri Goebel, PT, MHS) (Caption: The five-person transfer) Dr. Stacie Whinnery: In the work that we’ve
been doing with larger individuals, we’ve seen a lot of different transfers; taking
someone from a wheel chair into a Pacer, and some I think are a little more strenuous than
others. We actually did see a transfer that took five people one time. It took one person
standing in front of the Pacer, and two on the sides. The two on the sides would support
the individual, typically under the arms. They would bring the person up to the Pacer,
the person in front would give the bear-hug and the other two; their job was to hold the
hip-prompt and have it ready and as soon as the person was brought up, they would bring
it up and hook it to help take the weight. So, the people that were doing this had such
a strong desire to get these larger adults into the Pacer because they knew that it was
going to be so beneficial, but it was just such a strenuous transfer. Dr. Stacie Whinnery: We saw some sites then
try to use gait-belts to help, but again it was it was still a lot of strain on everyone.
And so, the difference with the SoloLift is, that that’s a non-issue, it absolutely isn’t
a problem anymore. And the exciting thing is, that the learner is in control; the person’s
in control while they’re being assisted. They can have their feet on the ground and the
SoloLift will help them actually come in that “nose-over-toes”, standing-up position and
learn how to do a transition; learn how to go from sit-to-stand, as opposed to being
picked up and moved as if they, you know just were a stationary object. Terri Goebel, PT, MHS: They’re learning new
skills, they’re getting the benefits of weight-bearing, so we’re improving bone health and they’re
strengthening the muscles as they move through sit-to-stand. So it’s much more beyond just
a transfer device; it’s really rehabilitating and teaching skills. Dr. Stacie Whinnery: And there really isn’t
anything else out there that offers this opportunity. (Caption: Another side of zero lifting) Terri Goebel, PT, MHS: Another implication,
of this new zero lift policy is that individuals aren’t going to be lifted at all. They’re
going to become more sedentary. Left in certain areas of the building, their world’s going
to shrink; it’s not going to be as easy for them to be moved from one place to another.
So, not just the caregivers, but the fact that the individuals are going to be left
in one area, or in one position, or in a wheelchair, or on a mat. Dr. Stacie Whinnery: Even the equipment that’s
out there; the lifts that are out there that are being used with the zero-lift policy,
take effort from the caregiver. They are still having to really use some strength to support
the person, even when they are being hoisted in a different lift and so this could really
be a reason for people to think that maybe the individual shouldn’t be moved at all.
But that can’t be the option; we can’t have that as the answer, because what then is the
possibility? So we really have to look at a new way of doing things, we have to look
at new possibilities. Terri Goebel, PT, MHS: So, we have to make
sure that zero lifting to protect the caregiver, doesn’t have a negative impact upon the client.
I think that’s where the SoloLift can come in with the zero lift policy. Dr. Stacie Whinnery: Because it really can
address that. It can address the zero lift because it’s so easy for the caregiver to
use. We’ve seen a lot of people use it by themselves. Sometimes with a larger individual,
they might want one other person standing there just for security. But one person can
actually help an individual do a transfer, it can even be an individual who is not able
to take any weight on their feet, because the SoloLift will allow you to help someone
transfer in a more sitting position. Ideally, it would be great to have the person put their
feet to the floor and learn the skills of transitioning, because I think that the only
other option is for the individual to get weaker, gain more weight, lose more skills
and then be transferred less and less. So going to a zero lift policy really has to
be something that we look at from both the perspective of the caregiver, as well as from
the client. (Caption: More than a lift) Dr. Stacie Whinnery: As excited as I am about
the SoloLift, I really think that maybe the word “lift” isn’t really the right word for
that, because it’s really more than lifting, its more than a lift. It really is, I think,
a teaching tool. It’s something that you can actually use; not only to help transition
or transfer a person, but it’s something that you can use to actually teach them new skills.
We have seen that happen, we have seen people, when they have the opportunity to get their
feet on the floor, begin to take their weight and then have the chance to get into some
of the other equipment, like a Pacer, they really begin to develop skills. It really
becomes a tool to reach new skills. Terri Goebel, PT, MHS: It does, and things
that we weren’t able to address before without this type of a product like sitting to standing
transitions. Individuals were placed in position without participating in that natural nose-over-toes,
sit-to-stand transition, and the opposite movement that’s just as important, a stand-to-sit.,
pivoting, taking steps backward. Most lifting happens with individuals when you’re moving
them backwards into their wheelchair again. So the fact that they can learn to take steps
back to actively seat themselves is another major breakthrough using the SoloLift. Dr. Stacie Whinnery: We have seen individuals
who have foot deformities that make it very difficult for them. They can’t put their feet
on the ground and take their weight, but they really do benefit from being upright and supported
in a Pacer, they begin to stretch their legs out. We’ve seen individuals become more actively
engaged in what’s going on. They’re more excited about being upright, people are interacting
better with them, but it’s hard to get them into the Pacer. You see, with the SoloLift
even if an individual cannot take any weight on their feet they can be transferred into
a Pacer. This is the only device that’s out there that I think can really allow you to
put someone into a front-loading piece of equipment into a Pacer, in that way. (Caption: A business argument) Terri Goebel, PT, MHS: It’s easily adjustable
to use with multiple clients, so that’s a cost saver right there. Dr. Stacie Whinnery: And you’re only using
it for a few minutes with the person, and then it’s free and available to go to the
next individual. Terri Goebel, PT, MHS: Right, and the fact
that you’re going to make better use of your other pieces of equipment. It’s going to be
easier to get individuals in and out of your Pacers. It’s certainly going to be more efficient
use of staff time; where it’s taken three, four or five individuals. To wait until you
have that many people together to transfer someone, versus having the SoloLift and one
person. Dr. Stacie Whinnery: And then imagine the
cost saving when you’re not having to deal with worker injury and you’re not having to
look at the cost of insurance and then just simply don’t have the concern that your staff
is being injured on the job. We certainly don’t want to be creating a new population
of individuals that have physical challenges because they’ve been caregivers. So this is
something that really is worth every penny. (Caption: What PT’s need to know) Terri Goebel, PT, MHS: I think that what physical
therapists need to know about the SoloLift is: first of all the comfort and the security
of the SoloVest; how that just facilitates so many other movements. So you start with
that comfortable, secure vest and then you move towards skills and participation and
those are those transition and weight-bearing movements. Those are probably the two biggest
things that are very meaningful to physical therapists. Not only am I getting my patient
in weight-bearing beneficial positions, but it is comfortable for them. Dr. Stacie Whinnery: And safe. Terri Goebel, PT, MHS: And safe. (Caption: SoloLift Transfer Transformed) [00:09:07.12] Rifton Information and orders:
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