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

How do I reset my clients password?

Please only do so if your client is having trouble logging in. Open their profile in the CMS and navigate to the 'Password' tab. Enter a new password, ensuring it meets the requirements (10 characters; 1 upper & lower case; 1 number). Press save in the bottom right hand corner. Your clients password is now reset and ready to use with their assigned user ID.

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

Refresh the page – this usually resolves basic CMS issues! If not, get in touch with the StandingTall team standingtall@neura.edu.au .

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

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

I can't find my client.

Please contact the StandingTall team at standingtall@neura.edu.au

Can I edit my colleagues clients?

If a client was set up by a colleague, you won't be able to edit this profile. However, if you are using client accounts provided by StandingTall, you will be able to view and edit all these clients. Please speak with your colleagues before editing their clients.

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 demotivated!

Can another person use StandingTall on the clients iPad?

Another person can log into StandingTall, but they must have a separate account. If someone else uses program, the exercise session will no longer be tailored for that individual.

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'.

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.

Does the client have to exercise for the full exercise session?

No, they can build up their exercise tolerance and exit a session early, or take breaks during their session. The program will time out after 2 hours (120 minutes). After this time, they will be directed back to the main menu and have to start a new session.

What if the exercises are too challenging?

StandingTall has been designed to be tailored to the clients ability. It will determine their starting level from the first Balance Assessment, then will continue tailoring based on the clients rating of the exercise. If the exercises are still too challenging, confirm that the client is rating the exercise honestly, and/or modify the clients Exercise Settings on the CMS. Refer to the 'CMS guide for Healthcare Professionals & Resident Experts'.

How do the exercises progress?

An exercise will progress when a StandingTall user rates the exercise ‘4’ or ‘5’- 'Stable -Very Stable’ on the exercise ratings page. The exercises get more challenging in a number of different ways: increasing the number of repetitions, change direction, tempo, or step length, or combine these strategies. As the client progresses with their exercises, the settings in the CMS will also automatically increase, to unlock new exercises in the program.

Help with Exercising & Using StandingTall

What if my client has no 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 (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.

My client can’t log into StandingTall.

Ensure they are selecting ‘Existing User’ -not ‘New User’. Check login details, and reset password via their CMS profile 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

When do I need to modify the clients exercise settings?

The way StandingTall has been designed, it automatically tailors the exercises for the client. This is based off how the client rates their exercises. However, you may need to modify their exercises in the CMS due to special circumstances, such as the client taking a long break due to illness, holiday, surgery. You will modify through changing the current checkpoint, setting a maximum checkpoint, or disabling an exercise type.

What is a checkpoint?

When modifying a clients Exercise Settings on the CMS, you will either adjust the current checkpoint, set a maximum checkpoint, or disable an exercise type. A checkpoint is designated to an exercise type (Floor, Foam, Dartboard and 4x4 Grid) based on the clients performance in their first Balance Assessment. This determines their starting point. As they continue exercising with the program, StandingTall continues to tailor and update the checkpoint based on the users rating of the exercises. The higher the checkpoint number, the more advanced the exercises will be. While StandingTall tailors exercises automatically, you have the ability to modify the checkpoints in special circumstances (see below for examples).

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. Talk to your client to see if you need to modify their program (eg. lowering checkpoints, disabling an exercise type). 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. You may consider reducing their dosage (refer to ‘CMS guide – editing your client’s profile’).

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

Lower the clients exercise settings to rebuild their tolerance, and reiterate rating the exercise honestly. Refer to the ‘CMS guide – modifying a client’s exercise program’.

My client finds some of the exercises too hard.

The program will make the exercise easier if the client rates the exercise honestly. You may need to modify their program in the CMS: lower the checkpoint (by 2 or 3) in the Exercise Settings tab, or set a maximum checkpoint to prevent them from progressing too quickly. Refer to the 'CMS guide - modifying a client's exercise program'.

My client finds some of the exercises too easy.

That's great, encourage them to keep at it, they're doing well! Discuss with the client, they may want their program modified: you can increase the checkpoint (+2 or 3) of an exercise type in the Exercise Settings tab. Refer to the 'CMS guide - modifying a client's exercise program'.