The Role of Standing Frames in Paediatric Therapy

What is a Standing Frame?

A standing frame is an assistive device designed to help individuals who have difficulty standing on their own due to physical limitations. The frame helps support the child's body in a standing position, which is often difficult or impossible without assistance. It is equipped with straps or supports to secure the body, while the child’s weight is evenly distributed, reducing pressure on joints and muscles. 

Standing frames can be static or dynamic, with dynamic frames allowing for a range of movement that facilitates active participation and engagement. The frames can be adjusted to accommodate the needs of children with different postural requirements and mobility challenges. 

Benefits of Using a Standing Frame 

1. Promoting Postural Alignment 

One of the primary benefits of standing frames is their ability to promote proper postural alignment. Standing frames help children maintain an upright position, reducing the risk of developing musculoskeletal deformities such as scoliosis or joint contractures. When children are supported in a standing position, it encourages the proper alignment of the spine, hips, knees, and feet, which is essential for maintaining mobility as they grow. standing engages the muscles 

2. Improved Physical Health 

Standing in a frame promotes weight-bearing, which is vital for developing strong bones. Standing encourages bone growth and density, helping prevent conditions like osteoporosis in children with limited mobility. Additionally, Standing helps body feel the effects of gravity, thus increasing digestion and bowel movements. It also helps improve circulation and stimulates the cardiovascular system. It also improves lung function in children who have wheelchair assisted mobility.  

3. Enhanced Social Engagement 

One of the most significant emotional benefits of using a standing frame is that it helps children engage more fully with their environment, promoting social interactions. Children who use standing frames are able to interact at eye level with their peers and family members, fostering communication, socialization, and participation in group activities. 

4. Supporting Cognitive Development 

Using a standing frame can also have cognitive benefits. Standing in a vertical position helps children focus better and can enhance attention span, which is crucial for learning. Being able to look around and explore their environment while standing may stimulate curiosity and encourage problem-solving, which fosters cognitive growth. 

5. Fostering Independence 

One of the key goals of physiotherapy and assistive devices like standing frames is to encourage independence. By providing support in standing, these devices help children perform activities that they may not otherwise be able to do. Activities such as eating, playing, or participating in class can be done while in the standing frame, helping the child feel more autonomous. 

Types of Standing Frames 

1. Static Standing Frames 
   These frames provide consistent support, allowing children to remain in a stationary standing position. They are often used for children who require a more stable form of support or for those who are still building strength and coordination. Static frames are typically used for therapeutic purposes to maintain a steady position for extended periods. 

2. Dynamic Standing Frames 
   Dynamic frames allow for movement within the standing position, giving children the ability to shift their weight, bend, or even participate in light activities like playing or learning. Dynamic frames are ideal for promoting active participation in daily life and can help improve motor control and coordination by engaging the child in subtle movements. 

3. Multi-Position Standing Frames 
   These frames are versatile and offer multiple configurations, including standing, sitting, or reclining. They provide a range of options for children who may require different positions throughout the day, depending on their comfort and needs. These frames support both therapeutic and functional purposes and are especially useful for children with varying mobility requirements. 

How Physiotherapists Integrate Standing Frames into Treatment Plans 

Physiotherapists play a key role in assessing and determining the appropriate standing frame for each child based on their individual needs. By incorporating the use of standing frames into therapy, physiotherapists can work with children to improve strength, coordination, and mobility. They create customized plans that help children gain the most benefit from the standing frame, ensuring that the device is used safely and effectively. 

Standing frames are an essential component of 24-hour postural care, offering children with physical disabilities the opportunity to experience upright positioning safely and comfortably. By supporting proper alignment and weight-bearing, standing frames help prevent secondary complications like joint contractures and pressure sores, while also promoting bone density, digestion, and respiratory health. Incorporating standing into a daily routine ensures that posture is supported not only during therapy but throughout the day, contributing to overall well-being and development.  

At First Step Therapy Services, we understand the importance of assistive devices in helping children achieve their full potential. Our team of dedicated professionals works closely with families to incorporate standing frames and other therapies into personalized treatment plans. With over 15 years of experience in paediatric care, we are committed to supporting children in their journey toward better health, independence, and happiness. If you have any concerns, don't hesitate to contact us—we’re here to help!Standing frames, paediatric therapy, mobility aids, postural support, physical health, child development, therapy for kids, bone strengthening, motor skills. 

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