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Clinical Pathway: Sit-to-Stand

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The Recovr Rehabilitation System (RRS) can be used to increase lower extremity strength and endurance needed for functional mobility and balance, including sit to stand transfers.


Impacted ADL: Sit to Stand: GG0170D

Impacted Outcome: Moving from seated to standing position (G0300A)

  • Moving on and off toilet (G0300D)
  • Surface-to-surface transfer (G0300E)
  • Balance During Transitions and Walking (G0300)


Functional Abilities & Goals: Increase the resident’s ability to safely come to a standing position from sitting in a chair or on the side of the bed.


Indications for RRS use to facilitate sit to stand:

  • Stroke
  • Spinal cord injury
  • Parkinson’s Disease
  • Degenerative neurological conditions
  • Lower extremity orthopedic conditions
  • Total hip and total knee replacements
  • Lower extremity amputation
  • Balance deficit
  • Generalized weakness
  • Endurance training


RRS Set-up for sit to stand:

  1. Select an appropriate seating surface for the resident to stand from (e.g. chair, bed, shower chair, etc…) Adjust the seating surface height for increased or decreased challenge.
  2. Use Kinect Settings to select the resident you’d like to track.
  3. Use the Lesson Planner to select which arm to use, where targets will appear, and how frequently to provide rest breaks based on resident’s range of motion, endurance, and treatment goals. Work toward increased endurance by adjusting the number of sit-to-stand repetitions to be performed before receiving a rest break.  
  4. Use Required Elbow extension to determine the amount of elbow extension needed to hit on-screen targets. Selecting a higher percentage will require more elbow extension.
  5. Set the Start Position. Start positions set closer to the resident’s body will require less standing balance. Start positions farther away will require more standing balance.
  6. Have the resident sit between each repetition. Once sitting, cue the resident to perform a sit to stand transfer and then place their hand in start position to trigger the next target. Provide cuing and assistance as needed for safety and form.


Tracking Progress Through RRS Data:

  • Use the rest breaks taken and minutes played metrics to track the resident’s progress over time with RRS.