Wednesday 31 July 2013

More on the standing up wheelchair

Those of you who have been following my blog - poor you, you need to get out more - may recall that I have previously written about trips to the National Hospital for Neurology and Neurosurgery (NHNN), in Queens Square, London, and the efforts of the Physiotherapy team to get me standing in a standing frame.
 
On the 10th July, I wrote a piece regarding a standing up wheelchair, called a Levo C3, which had been demonstrated to me at my home, and about trying this out.
 
I was very encouraged by what I saw, and impressed with how easy I had been able to get from sitting to standing by using the stand up feature of the chair.  However the cost of this wheelchair, once the company had done the full calculations was coming in at over £14,000, spread over 5 years.  This was even using my Mutability allowance.
 
I have done some searching round on the internet, and have found some cheaper alternatives, but nothing that looks quite as good as the Levo C3.  There is a stand up wheelchair called the Genie, which starts of at approximately £6,500, but despite calling the company and emailing them, I've never received any sort of response, which doesn't bode well with me if there was then a problem with the actual chair.
 
I have also spent some time reviewing comments made by users of these stand up wheelchairs on some of the online forums, and have found they have got a very mixed reaction. 
 
There are some good comments about how the chair stands you up and the benefits this gives to the user, but reliability and service are clearly an issue.
 
One person had bought a Levo C3, but had needed to return it to the factory, in Switzerland on 9 occasions in the first 12 months of having it.  Although a replacement chair was provided, each time he returned the chair, he was without his own for between 5 to 14 days.
 
There was another review where a man had been sitting in his chair and it had started to move him into the standing position, without him setting to controls to do this.  Fortunately he had the leg braces and chest strap in place, otherwise he would have been tipped onto the floor.
 
Similar comments about reliability were posted about other chairs, and with some negative comments were made regarding the service provided to repair faults.
 
If I'm going to pay this sort of money, I don't want the chair breaking down on a regular basis, and I certainly don't want unreliable service.
 
Having looked at these comments, I called up my local wheelchair services.  These people are run and funded by the local NHS Trust, and provide both my manual and powered wheelchair.  They do not however supply stand up wheelchairs.  However I thought it was worth talking to them about these chairs.
 
Yesterday a guy from wheelchair services came out, with a representative from Sussex Care, who supply the wheelchairs to Croydon NHS.
 
I explained why I was asking about these chairs, and about the Physiotherapy I had been having at NHNN, and the need to get some sort equipment in place at home so that I can continue standing on my own, on a more regular basis.  I then went on to explain that I had seen and used the Levo C3.
 
The representative from Sussex Care, said that they could provide a stand up wheelchair, but that this would not be funded through Croydon wheelchair services.  However, he went to then say some pretty negative comments regarding them.
 
He looked at me in my current chair, and saw that I use it without the footplates, which allows me to be able to move my feet and legs freely.  In a stand up wheelchair, you always need to use the footplates, which then limits this freedom of movement.  Also, in the stand up chair, there are leg braces that hold your legs in place as you stand, and prevent these from collapsing.  These leg braces cannot be put in place by the user sitting in the chair, and therefore if you intend to use it on your own, you would need to sit with these in place full time.  This would completely restrict movement in the legs. 
 
Similarly the chest strap would need to be put in place and fixed by another person.
 
He also said that the stand up wheelchairs are only really suitable for use indoors.  Although they are advertised as being indoor/outdoor chairs, they have so many moving parts, that using them outdoors and the resulting vibrations through the chair, can often cause these moving parts to become loose and stop working.  He said to those people he supplies them to, they normally have the stand up wheelchair to use indoors and another power chair to use outdoors.
 
He suggested that although on demonstration they appear like a great solution to standing, in fact they are only really good for this, when they are working properly, and that you need another chair for day-to-day use.
 
Frankly, if I'm spending this amount of money, then I don't want it as a second chair, and haven't really got the room to accommodate two chairs.
 
I then discussed with him about what I had read about the reliability and servicing issues, and he agreed that you could expect problems on a regular basis with them breaking down, due to the high number of moving parts, but he assured me that servicing with his company would not be a problem.
 
He did say that bearing everything he had said in mind, he would be happy to demonstrate chairs to me.
 
I thanked him for his honesty and we left it at that.
 
I go back to NHNN next week, and will discuss with them different ways of using a standing frame, to see if I would be able to use this more independently, and therefore make this a better option to have at home.  Certainly standing frames start at about £2,000 so from a financial point of view they already look better.  But this isn't really about the cost, its more to do with getting the right piece of equipment, that I can use and get the physical and psychological benefits from.
 
Following the initial demonstration of the Levo C3, I was very upbeat about a stand up wheelchair, but the more I've looked into it, the more I've started to have doubts.  I'll see what happens when I go to NHNN next week, but know that there is a solution to this out there, its just a case of finding it.

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