The medical literature was systematically reviewed to answer the medical ethics question of whether patients with chronic cataplexy and a history of dangerous falls should be cared for by permanent use of custom-built wheelchairs with postural support. The results strongly suggest that methods such as fall training do not have a beneficial effect against problematic injury in the presence of narcolepsy with cataplexy. The use of individually fitted wheelchairs, on the other hand, does. The data

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... suggest that wheelchairs should be fitted to any patient suffering from narcolepsy with cataplexy. The patients should spent all day long secured in the chair, just like a paraplegic, as this reduces the risk of potentially dangerous falls to zero. No other orthopedic device has such a high protection rate. However, is it ethically justifiable to disable walking of patients who can walk in order to protect them from harm? Our result approves the use of a wheelchair mandate for patients with cataplexy.