Variations in Vital Signs Associated with the Postural Changes When Using a Stand-up Wheelchair in Patients with Spinal Cord Injury

Postural changes are important for the health of patients who are unable to walk, since they avoid complications in the acute stage. Transitions (standing/sitting/lying down) help vital functions remain in normal ranges. In Ecuador, rehabilitation in people with spinal cord injury is not mandatory, which leads to drawbacks, such as the appearance of bedsores and a decrease in muscle strength; both of them are associated with osteotendinous injuries that reduce the individual’s independence. The aim of this study was to quantify changes in vital signs in patients with spinal cord injury in chronic stage when changing from a sitting to a standing position. The sample consisted of 10 patients with dorso-lumbar injury. Results show a significant improvement in blood pressure when standing up. Patients reported great satisfaction of being in a standing position and remarked the potential usefulness of this position to perform daily tasks or work because of the increase in the reach range of their upper limbs.