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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 datadoi:10.5281/zenodo.7028639 fatcat:m4y4f5zlkvdwtex3234fyjup2e