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Standing & mobility

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Presentation
Presentation

Configurable standing frames, used for transfering and lifting disabled people or people with great mobility difficulties. Designed to lift the person and maintain it in an upright position, and to move around indoor independentely without assistance from a carer.


Configuration guide

The Chinesport standing frame can be configured in the best way to meet the specific needs of the end user. Every position of the product code has its own specific meaning, with different available options, and therefore there is always the possibility to show a preference. The choice of the options determines the base characteristics of the product. Along with the options, there are also the accessories which moreover contribute to improve the comfort, accessibility and for greater support and safety. Accessories can be purchased at a second moment as well.


An overview on options and adjustments

A strong link between Struzzo’s performance and its adjustments has emerged as a key aspect to the success of this standing system. This essential condition, which is not negative in itself, becomes critical if one thinks they can use and fully appreciate Struzzo without having first adjusted it to the user’s body, or that they can adjust it without fully understanding what they are actually doing. Thus, adjusting the standing system to the person's anthropometric characteristics is the first and most important operation to do. It may only be done by an adequately skilled operator. A wrong adjustment limits or even hinders the use of the device.

Chinesport standing frames outstand for their easy tool-free adjustment feature which makes this operation fast and easy to carry out sometimes even by the end user.



Indications


Therapeutic benefits

Standing at an upright position allows the patient to return and get used to a normal position after being bedridden for a long period.

For keeping an upright position, the body must excert some forces which are different from the ones he is used to excert when dealing with just a bed or a wheelchair. Thus, a relief can be obtained, decubitus pathologies can be prevented as well as using some articulations which are generally never put into action. One more accomplishment is setting the dyaphragma free, which favour breathing.


HEALTH BENEFITS

  • Riduces the decubitus sores;
  • Riduces the risk of venous return deficit;
  • May reduce spasticity of lower limbs;
  • Helps prevent retraction of the muscles of the lower limbs;
  • Helps keeping the bone trophism;
  • It stimulates the cardiovascular system;
  • It improves the dyaphragm breathing capacity;
  • It improves function of the intestine;
  • Reduces the risk of loss of sense of vertical position.



Psycological benefits

One's position is a way of expression. Comunicating from an upright position has a deeply positive significance.



Practical benefits

The Standing frame with independet mobility by means of a joystick allows quick transferring, without the need of a carer's intervention. Once the upright position is reached, many daily-routine activities can be done. It is possible to perform movements on flat surface. It becomes easy to reach work tops to make use of them. Learning a specific technique according to the user's physical conditions, enables the user to perform many things without the presence of a carer.



Highlights
Highlights

THE ORIGINS


“My name is Francesco Miotto and I am the inventor of Struzzo. The first interesting thing to say is that my preparation previous to my illness is as a project maker. Therefore, once I had a walking problem I just took out an old project from my drawer; also becase my wife got ill herself and could not help me anymore to stand up. Working together with a friend, in the kitchen sometimes, the first prototype of Struzzo was made. At the beginning, friends and colleagues were scheptical about the fact of being able to use it unaided, however, after some days... this is very interesting. Aids are not stupid objects. To learn how to ski people may take years with an instructor, to learn how to use Struzzo may be necessary to devote to it a couple of weeks in order to appreciate its potential and especially to learn how to use it. It is not easy, we don't have neither strength nor balance and we must be patient in time...”


« Once you have learned the correct technique, you will discover how to stand up, change positions, use sanitation, etc. almost without having to weigh on your attendant. You will find your own personal technique to use it and discover new uses. »

by Francesco Miotto, Published on DM magazine - March 2000


THE IMPORTANCE OF THE ADJUSTMENTS

A strong link between Struzzo’s performance and its adjustments has emerged as a key aspect to the success of this standing system. This essential condition, which is not negative in itself, becomes critical if one thinks they can use and fully appreciate Struzzo without having first adjusted it to the user’s body, or that they can adjust it without fully understanding what they are actually doing.

Thus, adjusting the standing system to the person's anthropometric characteristics is the first and most important operation to do. It may only be done by an adequately skilled operator. A wrong adjustment limits or even hinders the use of the device.

Chinesport standing frames outstand for their easy tool-free adjustment feature which makes this operation fast and easy to carry out sometimes even by the end user.


THE SERVICE TRAY
Available in two different sizes and of several materials. Its tilt can be adjusted.
THE STRUCTURE – UPPER PART
It can be dynamic, to accompany the user during the lift, or fixed with great variety of possibilities for adjusting it in height and depth.
THE SIDE HANDLES
They may be short for easy access or long for greater restraint capacity. They can be adjusted independently in width by sliding or simultaneously by rotating at the same time.
LIFT SUPPORT
Available in two versions: harness or seat with different lengths. The seat is adjustable in its depth.
LIFT
The upright position mechanism can be fully powered by electrical motor or partially aided by a gas spring.
THE HEIGHT OF THE STRUCTURE
Adjustable by means of an electric motor or a gas spring to be easily adapted to the anthropometric characteristics of the user.
THE KNEE SUPPORTS
Available in an anatomic version, with greater support or more flexible and soft with the possibility of little displacements of the knee. They are adjustable in height, width, depth and rotation.
THE FOOTPLATES
They can be made of metal, adjustable in depth, with possibility to apply heel rests too. They can also be made of wood, positionable in depth with screws.
THE BASE STRUCTURE
It can have an electric drive with limited encumbrance, easy to deal with, or a version with greater accessibility.  Alternatively It is also available a version with aided mobility and great accessibility.



WHO CAN USE THE TOILET SEAT?

Those with:

  • good manual dexterity in both hands/arms;
  • reasonably good upper body mobility;
  • good driving skills with Struzzo™;
  • being used to living independant;
  • having space in the bathroom for manouvering with Struzzo™ and no thresholds to take.

Who will have difficulty in using the Toilet seat?

People with severe abduction spasmes in the knees.


Approach the Struzzo™ as usual, having the seat in a horizontal position at the height of the wheelchair seating position. Bring the knees in a wider position, if needed, also put both feet in a wider position on the floor or on the frame of the Struzzo™. Place the toilet seat about 10÷20 cm underneath your upper legs whilst sitting in the wheelchair.

Lean forward to grab the side handles or the handgrips on the tabletop. Move forward onto the toilet seat, by pulling or sliding or wriggling. Place the feet behind the heel cups. Make sure the knee supports are in a supportive position.

Bring the seat with help of the remote control to a standing position. Slightly adjusting your body position, whilst this movement takes place, may be needed. If you can stand up straight, you may do this all the way. If you want to use the seat in half-standing position, is also possible.

For lowering the clothes: lower the T seat a little bit, and lean forward to the frontal support. There should be space of some centimeters now, to lower the clothes (trousers, underwear). Don’t lower the clothes to the knees but keep them at the top of the upper legs. (don’t lower a dress or skirt, but is better pulled up).

When you are undressed, lower the toilet seat OVER the toilet to the horizontal position. There is space on the toilet seat to move forward or backwards a little bit, in case one needs to make procedures like cleaning, bringing in catheter or bowel drainage.

Having finished the procedure, bring yourself to the standing position again, bring the clothes back up whilst standing. Lean forward to create some space to pull up underwear and trouser and drive to your wheelchair or other place where you want to go by Struzzo™.


Inserting the toilet seat in three steps

1. Take out the long or short seat.

2. Place the docking device in the Struzzo™.

3. Insert the toilet seat over the top.


ABOUT "AUTONOMY"


The Struzzo is also called: autonomic hoist, or transfer aid or standing frame. But what does this actually mean? Let’s have a look in the dictionary: auto=self and nomos=law, so someone or something that is autonomous has made it own laws or follows it own laws. That is quite something!

But very recognisable for clients of and those interested in the Struzzo. Their first wish is always to be independant, to stay this way or become this way. In the transfer world this used to be a rarity.


A bit of history

When a person cannot place himself anymore from, for example bed to chair, what are then the options?

  • You will be manually lifted by someone else, this can be a partner, a carer, professional or otherwise. In the 1980’s it became very clear in Healthcare what the dramatic consequences were of this manual lifting. There was far too much and far too heavy lifting of persons. New products came on the market that were mostly targeted to the ‘lifters’, not the enduser. There came rules and regulations for all institutions concerning how many times and how many kilo’s people were allowed to lift.
  • Lifting people with some kind of APPARATUS used to be done for a long time with a kind of mechanical industrial type of contrapment. The first hoist was called The Steel Nurse, and the name speaks for itself, loudly…
  • There arrived a diversity of hoists on the market and slings became booming business. Any person got either a passive hoist, and active hoist or a ceiling hoist, depending on need, ability, situation, and dependant on government reimbursement and money. The consequence of this all was that the client became DEPENDANT for every transfer of someone else. (except for the few people who insisted on a ceilingshoist, which they could and wanted to use themselves, but this happened seldom).

This dependancy on others who had to work with the hoist (meaning highlow control, pushing the hoist, and place the person in correct position in bed or chair) was for many people a bitter pill to swallow. And sometimes the reason to struggle on for years and exhausting themselves to the very end. It was not so much the lifting procedure itself (though sometimes that too), but the obligatory waiting for someone. Your own rhythm of the day, your activities, in other words, your own NOMOS (law) was gone or severely disturbed.

I have sold hoists for years. And suddenly… there was Struzzo. An Italian design, in wood, made by an architect who had a spinal chord laesion. He made for himself a standing frame, and when he stood, he thought ‘ Now I also want to drive, otherwise I still won’t get anywhere’. He also already made a first toiletseat but this was not taken into production at the time. (see ABC-T) Concerning the design of Struzzo there is a lot to say and study and will in part be dealt with in these blogs. But the VERY MOST IMPORTANT idea behind the Struzzo is AUTONOMY, independance, for those people for whom this is a possibilty, physically and mentally.

What does this mean?

Getting up at the time when you wish to, getting to the toilet when you need to, going to bed at the time of your choosing (so also after a party…), sitting on the couch with your family, doing some chores in the kitchen, get a glass of water when thirsty, make a ride through your tiled garden and tweet some plants at heights, join the choire in your home in a standing position, welcome your guests standing…

There are so many examples of the stories that clients have shared with us that it may cause us to ask the question: why has it taken so long before the autonomous hoist became a fact and got itself a place in the market.

My view on this is that it has to start with 1 person who does not comply with the situation and AUTO-NOMOS gets to work. This was furthered by a company which fully and actually supports the notion of autonomy and for years has improved and refined the product. This will never end and that is the most beautiful thing about this product. To get your autonomy back, even in part, is a wonderful gift, but it also asks something of you. When you are prepared for this and able to, Struzzo might give you some new directions for your AUTO-NOMOS.

P.S. this blog is not intended to give the impression that every one with a hoist can change over to a Struzzo.



Margaret
Product Specialist for Lifting People

TESTIMONIALS

Never too old to claim your 'standing' life!

Are people ever too old to start working with a Struzzo? Very often we hear that people are being told by others, just comply with sitting in your wheelchair, nothing is going to change anymore, who bother with other supporting aids, they are too expansive anyway...This can be said sometimes by family members, doctors, therapists, all with the no doubt good intention to let the person in the wheelchair come to terms with their situation. But...there are other people as well who jump on the occasion when it presents itself to them, sometimes literally. Meet Mrs Moonen, her age is 73. She has been diagnosed with MS 20 years ago. She has done all she could in her life to stay as well as possible, by exercizing, therapies, and a positive outlook on life. With help of a devoted husband she is a delight to meet. She is on Struzzo twice a week with guidance of therapist and now would love to expand the usage. Coming at her home for the assesment, she literally jumped on the seat of the Struzzo and was on it before I knew it. Why? Because her friend was there, and she was very keen to show herself standing. Another friend turned up (more cups of tea for the husband to arrange..) and her eyes were wide open from the surprise of meeting her lady friend standing and driving around through the living room. When asked by her friend what it was like for her to stand, Mrs Moonen said:' It feels great to feel the earth back under my feet'. So simple, and yet so fundamental. Who is ever to old to reclaim his or her standing life, with both feet on the earth?

Multiple Sclerosis: Mrs Moonen testimony, Holland - 2013
For Mrs Moonen and all who like to feel the earth under their feet,
remember the song I Feel The Earth Move - Carole King -



I don't have words to describe my enthusiasm

"I don't have words to describe my enthusiasm, joy, surprise, when yesterday in only 30 seconds I was in erect position in complete autonomy and with my hands completely free and with the opportunity to move autonomously at home, reaching all those places in the last five years I was not able to reach as I'm seated. But let's go step by step. I had the need for a standing device, but the local public assistance office proposed one who was inconvenient, difficult to use, cumbersome and I wasn't able to use it in autonomy until I saw the advertisement of this aid. I said this to my physiatrist to whom I gave all documentation downloaded from internet because I wanted that he informed himself about the possibility to try it but, almost after a month the all public procedure didn't go on and I didn't know the reason, thus I took the matter in my hands and in a week I got a demonstration at home directly by the firm informing the physiatrist about the date and time and finally yesterday I could realize the genius of this aid. Only 30 seconds were enough and in autonomy I found myself standing, free to move at home, transfer is possible with motor units and joystick and thanks to strict dimensions I can access to all the house, a fantastic emotion to be able to see the world from above. The company which produces this is CHINESPORT from Udine and the aid is called Struzzo Plus, you can see it on www.chinesport.it but it isn't ended here because the aid can be paid by the Italian Health National System with a complete reimbursement. So who wants to get again an erect position can contact this firm and with the maximum availability and kindness you could verify directly what I said and don't think that I'm involved in any way with this manufacturer because I'm ill exactly like you, I'm EDSS 8 and my unique interest is to inform you about a different aid more useful than that normally proposed by the local public unit."

Multiple Sclerosis: Mr Cuoghi testimony, 50 years old - Italy, 2009



My life with the Struzzo feels like what it was before my accident: "Normal"

"My name is Tessa, and I'm 43 years old. Because of a car accident, some 6 years ago, I'm  now sitting in a wheelchair,  due to a complete spinal cord injury at T11. After the accident my right shoulder has a limitation that makes transfers more difficult. Furthermore I have developed striker feet, which can only be solved by using my own weight by standing up.Since the Struzzo came into my life, these struggles are resolved and my life is positively changed. My independence and my sense of self-worth are increased enormously.  No transfer is too difficult and no height is too high with the coming of the Struzzo, I have furthermore noticed that a human being is not made for sitting all day.  By standing up regularly, I feel much better in body and mind. In my view, everybody who is in a wheelchair should have a Struzzo, because my life with the Struzzo feels like what it was before my accident: "Normal"."

Tessa 44 years Holland Spinal Cord injury at T 11



Now I can do the housework without leaving aside the windows

“I find the Struzzo a very useful aid in the life of a disabled person. Personally, it enables me to do many small things that normally I couldn’t do seated. Now I can do the housework without leaving aside the windows and high shelves; I move around with great ease while looking at my new world - contrary to before - from up high and not from down below and can look the people around me straight in the eye. Moreover, I use Struzzo as a verticalizer; it allows me to do the same exercises that I could do with the static one without having to have so many cumbersome aids in the house. Struzzo helps me on a daily basis both from a physiotherapeutic point of view for my exercises as well as from a psychological point of view because I no longer have to ask for help with many things, making me feel much more autonomous. In short, it’s an aid that changes your life by making it simpler”.

Lucia Fettolini, 24 years old - Rogno BG Italy
Spinal Cord injury at L2 - L5
Height 168 cm, Weight 54 kg



QUESTION

Is it important for children to see their parents standing, when the parent normally goes through life wheelchair bound?

"I have seen very surprised responses from children of different ages to see one of their parents in an upright position. From laughter, being stunned, surprised, shocked, a bit afraid, all sorts of reactions can be anticipated. This little boy of 3 thought it very funny that his mother, after living for 13 years with a spinal chord injury, suddenly got out of her wheelchair and was suddenly much bigger than him! So, that was reason for a game, who- is- biggest? Mum had been in the Struzzo before, when she was pregnant and was the first person in this condition that we helped to a standing up position. At that time she thoroughly enjoyed it, and never forgot about it. She is now motivated to stand more often and wants to clear up the mess this little kiddy is causing and be able to put it in the highest cupboards!"

Thank you Mirella, for sharing this.


STRUZZO'S TESTIMONIALS AT FIRST INTERNATIONAL MEETING

The Struzzo gives greater self-esteem to people who have difficulties

I have a lack of coordination in both legs and one arm. I suffer from muscle spasms and contractions. But despite the physical challenge - that's how I see them, not as a handicap - with two jobs I have a fully independent life in the house I bought myself, and I don't have a nurse to help me or home care or whatever. And this is, in part or mostly, thanks to Struzzo because life is a puzzle that has to be reassembled every day and the Struzzo is a piece of vital importance to me, and that's why I took this picture.

I wanted the Struzzo to live my life as a fully independent person which I succeeded.

Tim Wijngaarden - first Struzzo's end user in Holland after many years



They talk to you, not above you. It's a whole other thing!

This winter I went to a concert, I don't know the band, they are Dutch. It was in an old building, I go there every year. That was the first time with the Struzzo and it was also the first time I could see them. Normally everybody standing up and in my normal wheelchair I could not see over them but now I could see everything, it was so great. Another level! Sometimes I bring it to a bar or when I know people will be standing, or when I do a sports presentation, because it is easier to converse when standing higher than when you sitting down.

Usually my legs are very cold, like ice, but when I get up with the Struzzo in about 20 minutes they’re getting warm. So it really helps.

Housework have changed a lot with the Struzzo. Normally I ask someone else to clean at this level, this height. I can do everything at this level, but not at this level. Now I can do everything by myself, I don't have to ask for anything and I can take things from the cupboard without asking anyone.

They can't talk over you, on your feet, when you standing up. It helps a lot and they don't do it anymore. And when you standing up they talk to you, not above you. It's a whole other thing!

Myriam de Koning - Struzzo's end user
Paralympics swimming champion
Spinal injury



Hans Nelemans - Struzzo's end user
Director building business
Muscular dystrophy

Disability, independence and health care institutions

Independency: for me is extremely important that my disability does not have control and does not take over my whole life. I want to live a life that is as normal as possible. I would like to live a life as anyone else. I actually do not have any time for my handicap.

I ordered the Struzzo and I'm still independent. The standing function is very important for the overall well-being of the human body. The doctor told us before. I use the Struzzo every day while standing inside and outside my house. And it helps my bone to maintain the strenght responsive as much as possible. The Struzzo make several transfers possible and therefore I can live a life as normal as possible.

Can you imagine what this would mean for someone to help someone else while using the Struzzo? All person with disability would be independent. All people with injuries could maintain their standing skills in health care institutions, rehabilitation centers. No heavy lifting, there would be no dangerous transfers and only one assistant would be enough instead of two.


Video

Video

Sitting on the sofa to watch television - part 1 of 2
Sitting on the sofa to watch television - part 2 of 2
Parking the STRUZZO™ at the end of the bed

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