Standing Frames

Greater Glasgow and Clyde

Standing Postural Care

The best defence against body shape changes is movement or change of position. For some, supportive standing can have many benefits on their health and well-being.  It is not always appropriate for every child/young person to be stand. There are various types of standing frames available. For more information please discuss with your child’s Physiotherapist.

 

Interaction

Standing enables kids to interact eye-to-eye with their peers - Eye-to-eye interaction improves confidence, self-esteem and self-image. Your child may be able to engage in tasks in the same manner as other students or siblings. Supported standing eliminates the fear of falling.  This allows your child to concentrate on their learning and interaction with their classmates and friends.

Circulation

Standing enhances circulation and blood pressure - This helps the heart muscle to stay strong and healthy. It also helps to reduce swelling in the legs and feet.

Respiratory

Standing improves breathing and voice control When your child stands, they can breathe in and out more deeply and efficiently as there is more room for the muscles to work. Standing helps your child to speak louder and with more control.

Contracture Prevention

Standing stretches muscles, preventing contractures - Standing can improve the flexibility of the leg muscles. It can also increase the range of movement of joints and reduce the amount of your child’s muscles stiffness.

Bone Density

Standing increases bone density and reduces the risk of fractures - Normal bone development needs, good nutrition, weight-bearing, (through standing or walking) and active use of muscles. Research shows that standing improves the bone density of children who cannot stand or walk.

Well-being

Standing helps your child to feel alert, sleep well and improves their wellbeing - Children who feel well are happier and more able to engage with their family, friends and activities.

Digestion

Standing helps with digestion and toileting - This is achieved through a combination of gravity and using the stomach muscles more efficiently.

Hip Development

Standing helps the formation of the hip joint in early development - Children who stand at the age of 12-16 months are more likely to develop the ball and socket joint. This can prevent hip subluxation or dislocation. Standing from an early age also helps a child/young person with standing transfers in the future.

Skin Integrity/Health

Standing improves skin health by relieving pressure areas caused by sitting - Standing allows more oxygenated blood to reach tissues that have been under pressure when seated. This results in fewer sore areas and improved skin health.

Using a Standing Frame

Your child should be as symmetrical as possible and well supported in their standing frame. If your child's standing frame needs adjustments there are key areas that are likely to show that alterations are required.

Upright or Prone Standers

  • Chest straps - The chest strap should be firmly fastened behind, ensuring that your child's chest is supported on the front pad.
  • Knee cups - Knees should be as straight as possible in the knee cups. If these are at the right height they will help stop the knees from bending.
  • Foot straps – All straps should be comfortably fastened on top of shoes.

Supine Standers

  • Chest Strap - The chest strap should be in the middle of the chest and you should be able to slide your hand comfortably in and out. If the chest strap is too low the child maybe leaning forward.
  • Pelvic Strap - The pelvic strap should be in line with your child's hips.
  • Knee Straps - The knee straps should be directly over your child's knees. If the knee straps are too low, your child's knee may bend a little bit and won't be supporting your child enough.
  • Foot Straps – All straps should be comfortably fastened on top of shoes.