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Safe Patient Handling and Mobility
Published in Amy J. Litterini, Christopher M. Wilson, Physical Activity and Rehabilitation in Life-threatening Illness, 2021
Christopher M. Wilson, Amy J. Litterini
The other type of standing frame is mechanical. In general, this device has a belt that wraps around the person’s waist and fastens to a platform to assist with standing. As with the ambulation devices, depending on the location of the forces transmitted through the body, this device may be contraindicated in certain disorders or conditions. For example, both standing frames require both anterior proximal tibias and knees to sustain nearly the person’s entire body weight. If the patient has lower extremity fractures, extensive bone metastases, or other conditions that would be exacerbated from this force transmission, this may not be a viable option to assist with upright activities or out-of-bed activities. If life expectancy is long enough, standing frames can be considered for home use.
Encouraging basic movement
Published in Chia Swee Hong, Heidi Rumford, Alex Cole, Sensory Motor Activities for Early Development, 2020
Chia Swee Hong, Heidi Rumford, Alex Cole
Although the rationale for standing frame use and the associated challenges have been identified, little attention has been given to the experiences of young people who use them. Goodwin et al. (2018b) subsequently explored young people’s positive and negative experiences, and their attitudes regarding the use of the standing frames. Young people reported benefits related to choice, pain relief and participation, but (on the other hand) the standing frame can also create pain, discomfort and reduce independence and participation. Healthcare professionals are therefore encouraged to have open, informative conversations about the potential benefits and challenges of standing frames on all aspects of the young people’s lives, including participation and activity.
Physical and Postural Management of Spasticity
Published in Valerie L. Stevenson, Louise Jarrett, Spasticity Management, 2016
Katrina Buchanan, Susan Hourihan
A mechanical or electrically powered standing frame can be useful if a person is unable to stand up from sitting independently; one such model is illustrated in Figure 4.4. This device moves the person into a standing position and, once they are upright supports the hips, knees and ankles. Additional truncal support is also usually possible. In some models, a person with good upper-body strength can operate the equipment themselves; however, in most situations, some assistance is generally required with set-up.
Functional passive range of motion of individuals with chronic cervical spinal cord injury
Published in The Journal of Spinal Cord Medicine, 2020
Sara Kate Frye, Paula Richley Geigle, Henry S. York, W. Mark Sweatman
The association of hip PROM with ADL performance with tabletop tasks highlights the importance of pelvic position upon function. The pelvis serves as the base of stability for ADL performance. Limitations in hip mobility can lead to sub-optimal pelvic positioning, sacral sitting, a kyphotic posture, and forward head position can limit active reach at the shoulder and functional use of the upper limb. In our client population, hip flexion limitations were prominent and observed in 24 of the participants. To counteract this ROM loss, daily prone positioning is required to support optimal pelvic alignment. Standing frame use could also stretch the pelvis, knee, and ankle for those who are medically able to tolerate standing. Neutral or close to neutral pelvic alignment, or a stable base, is needed to complete functional activities. The association between forefoot inversion and grooming may be incidental or may further support the need for a stable sitting posture for tabletop activities. Foot flat positioning offers an assist to a neutrally positioned pelvis to provide a stable platform for upper body activities. Plantarflexion contractures were prevalent, but some individuals with tight plantarflexion in supine may be able to achieve foot flat in their wheelchair when the knee is flexed which may be why the functional impact of this limitation is not observed.
The effect of level of injury and physical activity on heart rate variability following spinal cord injury
Published in The Journal of Spinal Cord Medicine, 2019
Athanasios Kyriakides, Dimitrios Poulikakos, Angeliki Galata, Dimitrios Konstantinou, Elias Panagiotopoulos, Elisabeth Chroni
This study confirmed that cardiac autonomic dysfunction which is common following SCI, depends on the LOI and can be assessed by HRV analysis. Short term HRV parameters can provide quantitative measurements of cardiovascular control, they are easy to use in practice and, hence have a potential role in the routine autonomic assessment of individuals with SCI. Moreover, our study showed that regular use of standing frame was related with better HRV profile. Future studies should examine the outcome of different physical activities on the ANS aspects, to enable designing effective exercise programs to reduce cardiovascular morbidity and mortality.
Neurorehabilitation for an individual with bilateral thalamic stroke and preexisting visual impairment presenting with impaired use of sensory cues: a case report
Published in Physiotherapy Theory and Practice, 2021
Christina Kelly, Jen Meyer, Valery Hanks, Christy Barefield
With increased time, the patient began to report improved light touch sensation in bilateral lower extremities as well as his right upper extremity. He also demonstrated improved proprioceptive awareness of these extremities. He began tolerating upright standing for increased time with right upper extremity support. To maximize weightbearing through his lower extremities, he performed static standing in a standing frame for a three-week protocol, increasing standing tolerance to 30 min.