Shimizu Yukiyo, Kadone Hideki, Eguchi Yosuke, Sasaki Kai, Suzuki Kenji, Hada Yasushi
Department of Rehabilitation Medicine, Institute of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan.
Department of Cybernics Medicine, Institute of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan.
J Clin Med. 2025 Jul 21;14(14):5161. doi: 10.3390/jcm14145161.
Standing has medical and psychosocial benefits for people with lower limb impairments; however, systemic, logistical, and economic barriers often limit opportunities to stand in daily life. This study explored how users perceive standing and standing-assistive technologies. : This study used a mixed-methods approach: in-person interviews ( = 18) and a nationwide web-based survey ( = 125; 74.4% male, mean age 52.2 ± 13.9 years, diagnoses: spinal cord injury 37.6%, cerebrovascular disease 27.2%, and cerebral palsy 16.8%). : Participants described the psychosocial values of standing, such as feeling more confident and being able to interact with others at eye level. The web survey revealed that most participants believed that standing was beneficial for health (76.8%) and task efficiency (76.0%), although only 49.6% showed an interest in standing wheelchairs. The multivariate analysis revealed that ongoing standing training was the strongest predictor of positive perceptions of health benefits, task efficiency, and interest in standing wheelchairs. Younger participants showed a greater interest in standing wheelchairs. The reported barriers include a lack of awareness, high costs, and difficulty in accessing training. These findings suggest the need for a user-centered design and improved support systems to integrate standing into the daily lives of people with mobility impairments.
站立对下肢有损伤的人具有医学和心理社会方面的益处；然而，系统性、后勤和经济方面的障碍常常限制了他们在日常生活中站立的机会。本研究探讨了用户对站立及站立辅助技术的看法。：本研究采用了混合方法：面对面访谈（n = 18）和全国性的网络调查（n = 125；男性占74.4%，平均年龄52.2 ± 13.9岁，诊断结果：脊髓损伤占37.6%，脑血管疾病占27.2%，脑瘫占16.8%）。：参与者描述了站立的心理社会价值，比如感觉更自信以及能够与他人平视交流。网络调查显示，大多数参与者认为站立对健康有益（76.8%）且对任务效率有帮助（76.0%），尽管只有49.6%的人对站立轮椅表现出兴趣。多变量分析显示，持续的站立训练是对健康益处、任务效率以及对站立轮椅的兴趣有积极看法最强的预测因素。较年轻的参与者对站立轮椅表现出更大兴趣。报告的障碍包括缺乏认知、成本高以及难以获得训练。这些发现表明需要以用户为中心进行设计并改善支持系统，以便将站立融入行动不便者的日常生活中。
