Your proven solution to improve balance and reduce fall risk

FAQ

On this page, you will find information on FAQ & tech support for the Content Management System (CMS) and StandingTall

As the Resident Experts, you can use this as a guide to help troubleshoot, alongside the Quick Guides in the 'Training' tab. As always, reach out to the StandingTall team at NeuRA for help on standingtall@neura.edu.au for assistance. We are here to support you.

Content Management System (CMS) help

I can’t see the buttons I need to press?

Refresh the page – this usually resolves some basic CMS issues! 

The CMS won’t let me save my new client!

Ensure all required fields are filled in (email, name, password). Refresh the page, then try again (check the Setting Up a New Client guide). If unresolved, with the StandingTall team.

Can I create an account for my colleague to use the CMS?

No, this can only be done by the StandingTall team.

My client isn’t in the cohort.

"Verify the group acronym in Site Details (e.g., STH for HammondCare, STB Barossa, STU Uniting). For errors in the clients email address, escalate with the StandingTall team. "

Can I edit my colleagues clients?

At this point in time, no, your user rights don’t allow for that. If this is something that hinders the teams workflow, please get in touch with the StandingTall team.

My clients program start date is incorrect.

Update the start date in the client’s profile. Refer to the ‘CMS guide - editing your client’s profile’.

About the Exercises in StandingTall

What equipment does the client need?

The StandingTall program requires some equipment to add variety to your sessions and progress your exercises as your balance improves. Refer to the 'StandingTall Guide' in the Training tab for information. You will need a folded towel, large cushion, or foam mat for exercises with 'Foam'. You will also need about 3m² of space to do the grid exercises. To exercise safely, please make sure to also have suitable support (e.g. kitchen bench and/or chair) to steady yourself if you need.

How should the clients exercise space be set up?

Safety Reminder: Always have a sturdy, stable support (like a chair or bench) within arm's reach during exercises. Position near a wall, benchtop, or table for the balance exercises that are more dynamic (like the dartboard, and grid). Ensure the chair has no wheels and avoid tripping hazards on the floor, especially when stepping on foam/folded towel. You will also need about 3m² of space to do the exercises.

Why 2 hours of StandingTall per week?

The dosage of 2 hours of balance exercise is a recommendation based on the best current research evidence.

What is 'stable' or 'unstable'?

"Feeling unbalanced during exercises is normal and necessary for improvement. However, with exercises that require constant support, indicate this on the Ratings page (check the 'StandingTall Guide'). If they feel completely steady, the exercise is too easy. Encourage the client to rate honestly, so the exercises can be made more challenging, or more easy. This means they will be able to prioritise balance exercises for longer if they are no demotivated! "

Can another person use StandingTall on the clients iPad?

Having more than the assigned user complete an exercise session means the program will no longer be tailored for that individual. We advise against this.

The client needs a walking aid to walk safely. Can they still use the program?

Yes. If they can walk 10m without the use of a walking aid inside their home and don’t require the aid to maintain a standing position, then the program is suitable to use. Just ensure that they always have a sturdy chair or bench next to them to hold onto while doing the exercises. They have the option to pause an exercise session, exit a session early. Refer to the 'StandingTall Guide'. If you are inactive during your session, the program will issue a timeout warning after 10 minutes and the session will expire if you remain inactive for a total 15 minutes. After this time, you will be returned to the main menu and have to start a new session.

The client is still very active. Will this program be good for them?

Yes. We know that specific balance exercises, such as StandingTall, are the most effective way to improve balance and prevent falls. There is currently no evidence that doing aerobic exercises (such as walking, cycling, swimming), strength training exercises (using machine weights, free weights and bodyweight), and flexibility training (stretching) can reduce your risk of falling.

What if the exercises are too challenging?

If the exercises are too challenging, reiterate the Ratings Page, and modify the clients program so that the exercise settings are easier for them to manage. Refer to the 'CMS guide for Healthcare Professionals & Resident Experts'.

Help with Exercising & Using StandingTall

Does the client have internet connection?

"If the client has no internet at home, hotspot to their device for the first appointment. The app works offline, but the CMS updates for exercise history and progression will require internet connection. Remember to hotspot when you visit them next time! If the client has internet connection: Test speed (ideal: 10Mbps/1Mbps). Move to better reception if needed. "

I can’t log into StandingTall?

"Select ‘Existing User’ (not ‘New User’!); Check login details, and reset password via CMS if needed. "

What version should the StandingTall app be on?

Version 2.8.10. From the main menu, tap on 'Help', and check the bottom left corner. It will need an internet connection to update. If it is out of date, and it is the client's own iPad, they will need to update from the App Store.

The app isn’t working as it normally does (frozen screen, buttons not responding, etc.)

As above, check what version the app is on and update if it is not the current version listed. If the version is current: Force quit the app (double-click home button, swipe up the StandingTall app). The link to Apples Guide is here https://support.apple.com/en-bh/guide/ipad/ipad79518d15/ipados.

Touch issues with the app?

Try warming up the hands, use a stylus, or try tapping with a quick release or with the knuckle.

My client is struggling to keep up with the exercise dosage.

See 'Help with Modifying the StandingTall program' below.

My clients exercise minutes aren’t being saved on the app.

"If the client has internet: disconnect, reconnect to internet, and try force quit the app. Escalate to StandingTall if unresolved. If the client does not have internet: reconnect the iPad to your hotspot during the next visit. Escalate to StandingTall if unresolved. "

Can the client bypass the Monthly Balance Assessment?

No. The Monthly Balance Assessment repeats every month, usually at the beginning of the month. The client can access their exercises once they have completed the Balance Assessment.

Is the client experiencing repeated Balance Assessments?

Connect to the internet, and confirm with the client if any balance assessment times were saved in the Individual Patient Summary download. Inform the StandingTall team.

Is the client experiencing ‘Let’s get you back on track’ screen?

"The client must select a response to access the Main Menu and their exercises. Refer to the ‘CMS Guide – Monitor your client’s exercise history & progression’ to verify exercise history in their individual summary report. If client reports recent exercise but it doesn’t show in their report, Disconnect & reconnect the iPad to the internet and check their reports again. Contact the StandingTall team if this doesn’t resolve. "

Is the client receiving ‘Updating Contents’ error message?

Connect to the internet, and force quit the app. Open the app again. If this doesn’t resolve the issue, inform the StandingTall team.

Help with modifying the StandingTall program

The client has been unwell and consequently, unable to exercise. What does this mean for the program?

The client can take a break until they’re ready to return to StandingTall, or after they’ve been given clearance. You may need to modify their program. Refer to the ‘CMS guide - Modifying a client’s exercise program’.

My client is struggling to keep up with the exercise dosage.

Reassure & encourage the client. Weekly targets can be seen as weekly suggestions. Consider reducing the dosage (refer to ‘CMS guide – editing your client’s profile’).

My client is returning to the program after taking time off.

Lower exercise settings and reiterate ratings to help them rebuild tolerance. Refer to the ‘CMS guide – modifying a client’s exercise program’.

My client finds some of the exercises hard after an injury.

The client may need their program adjusted: lower the checkpoint (by 2 or 3) in the Exercise Settings tab, or disable the Exercise type. Refer to the 'CMS guide - modifying a client's exercise program'.

My client finds some of the exercises too easy.

The client may need their program adjusted: increase the checkpoint (by 2 or 3) in the Exercise Settings tab, or disable the Exercise type. Refer to the 'CMS guide - modifying a client's exercise program'.