How to use a rotunda safely

A rotunda — also known as a stand-and-turn aid or turntable — is a helpful piece of equipment for people who can stand with support but need help turning. In this guide, we’ll walk through how to use one safely and comfortably, whether you’re a Caregiver or supporting a loved one at home.

Using a rotunda correctly helps the person stay more independent, reduces the risk of falls, and protects your own body from strain. Here’s how to get started.

What is a rotunda?

A rotunda helps someone stand, turn, and sit again with support. It often includes:

• Padded shin supports to keep the person steady and aligned
• A central turning disc to allow safe pivoting
• Brakes to hold the device in place during transfers

Some models, like the RoMedic rotunda, are designed for ease of use and comfort.

Why safety matters

Using a rotunda safely protects both the person and the Caregiver. It helps:

• Prevent falls during standing or turning
• Encourage independence by allowing the person to take an active role
• Reduce physical strain on the person providing support

Positioning the rotunda correctly

Start by placing the rotunda close enough so the person’s shins rest against the padded supports. This gives them a solid starting position and makes the move feel more secure.

Make sure the person’s feet are flat on the base plate and that their knees are comfortably touching the pads. They should be wearing secure, non-slip shoes.

Engaging the brake and providing balance

Before anything else, always:

• Apply the brakes to stop the rotunda from moving unexpectedly
• Use your foot on the baseplate if needed to keep it steady
• Hold the frame firmly to give the person something to lean into as they move

Helping someone to stand up

Standing can be a moment of uncertainty, so take your time. Encourage the person to use the handles on the rotunda to pull themselves up, one hand at a time, as if climbing a ladder.

Tips to support them:

• Give calm, clear prompts
• Let them move at their own pace
• Watch for signs of discomfort or dizziness

Once standing, pause briefly to let them regain their balance.

Turning with the rotunda

To help the person turn, hold the frame and use your whole body to guide the movement — not just your arms. This protects your back and gives you more control.

Encourage the person to hold on as they turn, and guide them slowly until the backs of their legs touch the chair they’re moving to. This helps them know when they’re in the right position to sit.

Timing the sit-down safely

Don’t rush the sitting phase. Make sure:

• The rotunda is braked again before they sit
• They understand it’s time to sit and feel ready

Encourage them to lower themselves slowly, keeping their hands on the rotunda if needed.

Optional extras and professional input

Some people may benefit from using a safety belt attached to the rotunda, which wraps around their lower back for added support. This should only be used based on an occupational therapist’s assessment.

Always speak to a health professional about whether this kind of equipment is suitable and how to use it safely.

Quick equipment safety checks

Before every use:

• Check that the brakes are working properly
• Inspect for any wear or loose parts
• Make sure everything feels stable and secure

Regular checks help prevent accidents and keep the person you’re supporting safe.

Final thoughts

Using a rotunda can feel daunting at first, but with a bit of practice and clear communication, it becomes much easier. The most important thing is to stay calm, go slowly, and check in with the person as you go.

If you support someone who might benefit from a rotunda, and you're a family member of one of our clients, you’re welcome to join our Moving and Handling training. Just email Jo Cleary at [email protected] to book a spot.

You can also watch our full Moving and Handling video series for more step-by-step demonstrations.