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Quick Guides

Thanks for using StandingTall at your workplace! 

As a trained Healthcare Professional (HCP) or Resident Expert, here's what you need to know: 

  • HCP: You’ll identify clients for the program, assign the clients to the list of user accounts that have been premade, book appointments, introduce them to StandingTall, monitor their exercise history, and progress. 
  • Resident Expert: You’re the go-to StandingTall expert on the team! Troubleshoot FAQs, handle common issues, and guide your team. Contact us anytime for support. 
     

Next Steps (after your training day): 

  • Look for the numbered Quick Guides tabs below for an easy step-by-step guide. You can download a PDF copy and print it out. We also recommend reading 'About StandingTall's Balance Exercises' just below this to learn more about the exercises and how they can be modified. Explore the FAQ tab for solutions to frequently asked questions!
  • For the next 6 months, introduce as many clients as possible to StandingTall— there are no limits! All clients are to be given their own username and password from the list provided. We recommend keeping this list in a central location. 
    Clients enrolled by the end of the 6-month period will have access to the program for up to two additional months. No need for the client to sign an informed consent; data is collected at the clinician level. 
  • If you are using the iPads we've loaned out, don't forget to keep a record to track them. Let us know if you need more iPads. 
  • We’ll check in after 3 months, but feel free to contact us at anytime for support. 

Good luck!

About StandingTall's Balance Exercises

The StandingTall program includes over 150 unique balance exercises, each of which have a range of progressions to provide variety to the training program. The exercises are divided into four main categories:   

  • Floor exercises consist of static and dynamic balance exercises performed while standing on the floor.   
  • Foam exercises consist of static and dynamic balance exercises performed while standing on a foam pad (or alternatively a seat cushion or folded towel). 
  • Dartboard stepping exercises require stepping in different directions on a dartboard pattern, always starting from and coming back to the centre with every step. 
  • 4 x 4 grid stepping exercises require stepping in different directions on a 4 x 4 grid pattern, following a path and therefore starting and finishing in a different spot.

CATEGORY I: Floor Exercises

Various strategies are used to progress the floor exercises across 10 checkpoints, such as: increasing duration, reducing visual input, and directional changes for dynamic exercises. Here are some examples how floor exercises progress: 

Easy Exercises:

Standing Feet Together > Near Tandem
Leaning Side-to-Side > Lean and Reach

Medium Exercises:

Tandem Stand > Tandem Stand (Eyes Closed)
Lean Forward and Back (Near Tandem) > Feet Hip Width

Hard Exercises:

Standing Near Tandem - with Head Turns
Heel Raises - Standing on One Leg
Walking Backwards
 

Setting a Max Checkpoint stops your client from progressing too quickly. As an example, setting the Max Checkpoint at 7 for floor category means that your client's program will not include: 

  • Standing Near Tandem – with head turns 
  • Single leg heel or toe raises 
  • Walking Backwards 
  • And other exercises of a similar challenge 

CATEGORY II: Foam Exercises

Various strategies are used to progress the foam exercises across 9 checkpoints, such as: increasing repetitions, reducing base of support and introducing dynamic movement (reaching). Here are some examples how foam exercises progress: 

Easy Exercises:

Standing on Foam - Feet Hip Width > Feet Together
Standing Reaching on Foam - Feet Hip Width

Medium Exercises:

Standing on Foam - Near Tandem > Tandem
Standing with Reaching on Foam - Near Tandem

Hard Exercises:

Standing with Reaching on Foam - One Leg
Lean & Lift Side-to-Side on Foam

Setting the Max Checkpoint at 6 for foam category means that your client’s program will not include exercises that involve standing on the foam with a narrow base of support and dynamic movement.  

Note: If it is not safe for your client to exercise on a compliant surface (foam) while unsupervised, select Disable Exercise type on ‘Foam’ category so that it does not appear in your client’s program.  

CATEGORY III. Dartboard Stepping Exercises

Various strategies are used to progress the dartboard stepping exercises across all 15 checkpoints, such as: increasing tempo and the number of directional changes and reducing predictability of stepping direction. Here are some examples how dartboard exercises progress: 

Easy Exercises:

Step & Rock (short steps, limited directions) > Step & Lift (long steps, more directions)

Medium Exercises:

Step & Lift (faster tempo)
Step & Bend (random tempo)

Hard Exercises:

Dual Task Stepping Exercises (all directions)

Setting the Max Checkpoint at 9 means your client’s program will not include dual-tasking exercises that are introduced for checkpoints 10-15. For example: responding to visual cues and selective stepping (inhibition). 

CATEGORY IV. 4 x 4 Grid Stepping Exercises

Various strategies are used to progress the 4x4 Grid stepping exercises across all 15 checkpoints, such as: increasing tempo and step length and changing the stepping action. Here are some examples how grid exercises progress:

Easy Exercises:

Stepping in the Grid > Walking in the Grid

Medium Exercises:

Stepping and Walking in the Grid from 1-11 points (directions)
Single Task Exercise 

Hard Exercises:

Dual Task Grid Exercises: remembering a path, reaching a target

Setting the Max Checkpoint at 9 means your client’s program will not include dual-tasking exercises that are introduced for checkpoints 10-15. 

*Stepping = 1 foot follows the other into each square, walking = fluid stepping with each foot going into a different square. 

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