The Karma EVO Altus is specially designed to help those who have the very limited body control to achieve this step. If living independently is the ultimate goal, being able to stand up is an important step. The chair provides not just one, but three different ways to stand up: sit-to-stand, recline-to-stand, and lie-to-stand. The standing modes along with other features are configurable to fit the user’s need and to help the user reach independence on wheels.