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The thing they need most is some upper body ability to hold onto the support. If they don't their body weight will be pulling them down. Even if they are in the sling/belt properly that is a lot of weight to be "hanging"
It is fairly easy and I would place my Husbands feet on the platform then once the harness was secured I would place his hands on the bar in the proper place and start raising the lift. He would hold on and stand there while I either changed him or moved him from one chair to another or in or out of bed.
When he stopped trying to support himself and began sagging I switched to the Hoyer Lift.
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I've never used one but I would say that the answer is yes they do. I do know for sure that they need to be weight bearing as it doesn't hold you up, it is more of a prop and an aid to save the caregiver's back during transfers. Go to YouTube and search sit to stand lifts if you want to see one in action.
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