Standing Frame Physiological Benefits

Based on recent evidence that standing frames have many benefits including:

Increased Bone mineral density

  • Weight-bearing has a direct role in the maintenance of bone mineral density in nutritionally adequate children with cerebral palsy.
  • An eight week standing programme performed four to five times per week for 60 minutes each session produced significant increases in bone mineral density of the lower limb bones including; the patella, tibial plateau, and supracondylar femur.
  • Intermittent loads may have a greater effect on bone mineral density than static loads, and probably only if standing is for a duration of longer than 30 mins.
  • An angle of 25 degrees from the vertical enabled four out of five children (with various cerebral palsy diagnoses) studied to generate most force through their feet in standing.
  • Children with the same diagnosis standing in frames of the same specification showed different amounts of weight bearing at the same angles.

 

Increased Muscle length

  • Prolonged standing in a standing frame helps increase muscle lengths, increase joint range of movement, and decrease spaciticy.
  • Prolonged muscle stretch has been proposed as an effective technique to reduce muscle spasticity of the central nervous system origin in adults.
  • Prolonged muscle stretch in a standing frame can reduce spasticity and improve the function of the antagonist muscle in children with cerebral palsy .
  • 30 minutes of prolonged muscle stretch is effective in reducing motor neuron excitability of the nervous system in spastic hemiplegia in adults.

The hip and spine

  • Weight bearing and ambulation (standing and walking) ability are significant indicators of hip and spine status in children with cerebral palsy.
  • The effect of weight bearing on the development of the acetabulum (hip socket) appears to be the crucial factor in reducing the incidence of hip dislocation in the cerebral palsy population.
  • Active movement and weight bearing with good alignment helps to oppose deforming forces, maintain muscle length, promote normal joint formation, and delay bone loss.

 

 

 

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