Yes you can and should use it standing with one foot, it's to strengthen the ankle, knee and hip, if it's too soft you should inflate it but it should stay a little soft to have a gap between the ground and the foot to try to keep the balance, I advise you to watch videos on youtube about the product you can find tutorials in German to see how it's used, and no doubt it's the best way to use it.If it's too soft you have to inflate it but it has to stay a little bit soft to have a gap between the ground and the foot to try to keep the balance, I advise you to watch videos on youtube about the product you can find tutorials in German to see how it's used, and without any doubt it's with one foot at a time.
It probably depends on the weight, but at 80kg, on one foot I sink to the ground. You could put more pressure on the cushion, but then it loses its flat shape. The instructions don't mention standing use.