Upright Standers

For people who have fairly good balance and trunk control, vertical standers, standing boxes, and standing tables are often recommended because they generally provide less support than a prone or supine stander. Vertical standers, which usually provide three-point stabilization in a fully upright or vertical position, with supports at the knees, hips, and lower torso, are suited to children who have postural insecurity or are developing lateral weight-shifting skills. Vertical standers come in three types:

  • A standing frame consisting of two uprights with pads or straps to provide a little extra stability.
  • A standing box that enables the user to stand in a contained area.
  • A standing table with a box-like area for standing support or stability, and a high table surface with a cutout for the trunk.

Of those three types of vertical standers, the standing frame and the standing table are the most common. It is rare to find a standing box sold without a table.

Vertical standing frames

Although a vertical stander will support the child at their feet, knees, hips and trunk using pads and straps, it still requires them to be able to take some weight through their legs and be able to stand upright against gravity.
Standing frames have several uses:

  • for maintaining hip and knee extension
  • for kidney drainage
  • to be at the same level as other children for activities
  • to develop stable hip joints.

Getting children in and out of a standing frame may be made difficult, especially if the base platform is on castors or the child is in a wheelchair and requires assistance to stand up.

Some frames have a gas spring mechanism which allows the child to be fitted into it whilst lying flat on the floor. The child and the frame can then be lifted, with assistance from the gas mechanism, into a standing position. The child's legs can be kept apart using a pommel, knee blocks and foot sandals.

Some standers have a tray on which activities can be carried out, and this may be adjustable in angle and have hand grips (vertical/horizontal) and a bowl. However, children may be less isolated from their friends during activities if they can be stood at a desk or table with the others.

If the chest supports and tray can be removed during some activities, the child may be able to perform a wider range of movements. Some children have greater head and arm control whilst standing upright and therefore may find it easier to eat/be fed in an upright position. Most standing frames fitted with castors, are not designed for pushing the child around whilst in the stander. Check with the manufacturer whether the stander has been stress tested for such use.

 

 

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