Standing frames
What is a standing frame?
A standing frame is a hydraulic device that you use to stand up and exercise your muscles. It may also help people who have been bedridden or who use wheelchairs get stronger. A standing frame is a piece of medical equipment intended to provide support to a patient who needs to stand up straight after an injury or surgery. It's designed to hold your body in place while you're seated by using straps that are padded for extra comfort. The purpose of the standing frame is to prevent the development of contractures, which is when muscles are permanently shortened from lack of use. Contractures can restrict movement and cause chronic pain as well as serious deformities if left untreated. To prevent this problem, patients have been instructed to use standing frames since the early 20th century.
The standing frame is an adaptive device that helps people stand and walk. It consists of a frame, which the patient attaches to their wheelchair, and an upholstered seat. The chair reclines to the horizontal, allowing the patient to place their feet up on the floor lengthwise onto a footrest. The user controls where they step with their feet by using levers that require them to push or pull on wheels attached in front of each foot. This allows for proper weight distribution and ankle support, giving support during gait rehabilitation or while standing.
Standing frames were originally used in Europe beginning in the 1960s as a medical device that was used to help people stand up while receiving spinal cord injury treatment. However, it was made accessible to anyone who needed it in the US beginning in the 1970s.
What are the benefits of using a standing frame?
The standing frame is used for individuals with a variety of disabilities. Its advantages include:
- The standing frame can be used to enhance gait (movement), muscle strength, and endurance, increased cardiovascular fitness, improved balance, and improved performance of daily activities. It can be used by patients to improve their walking abilities, maintain independent living skills and reduce dependency on others. Another benefit is the ease of use by those with weak upper body strength since most of these devices are operated through lower-body muscles instead of upper body muscles.
- Standing frames are recommended by health professionals for patients with mild to moderately severe spasticity. They are also recommended by health professionals for those with cerebral palsy as they can help with nerve function and massages muscles, joints, and soft tissues.
- Standings frames can also be used to help those who have weak ankles, weak wrists, quadriplegia, leg paralysis, trunk weakness, or any other condition that affects the lower body. These devices do not necessarily need to be used for all these conditions, however; standing frames can be used without having a disability at all and are just a type of adaptive device that helps improve function in people who would otherwise have difficulty moving around independently.
- A standing frame is a device that supports the trunk and head of people who are unable to stand independently due to disability or injury. A standing frame is a piece of equipment that must be properly assembled for use. The purpose is for people who cannot stand on their own to rise, into a position where they're able to stand and function. It can be used as part of rehabilitation for various conditions such as postural hypotension, stroke, spinal cord injury, or previous surgery affecting the neck following an accident.
- In summary, this device can reduce joint pain and stiffness as well as improve balance, mobility, and strength. You can also develop muscle mass which will help prevent weight gain due to immobility and atrophy. Standing frames are especially good for people with restricted mobility such as those in wheelchairs or those that have had hip surgery, spinal surgery, or broken legs/ankles etcetera.
Who can use a standing frame?
A person with severe mobility problems, someone who cannot sit independently or stand independently will find the most use of the standing frame. It is also useful for people who have difficulty transferring from their wheelchair to the toilet due to its height. Standing frames come in different sizes so there is one to fit everyone no matter how tall or short they are.
What makes a good standing frame?
A good standing frame must have three important features: 1. A seat that is wide enough to accommodate the user, 2. A-frame with adequate length and width to hold you in position without collapsing under your weight, and 3. The frame's ability to safely support your body on all fours as well as both legs. The seat also needs to be some distance from the floor so that the occupant does not fall forward when leaning forward or bending their legs because this can result in injury.
A standing frame is an upright structure that helps someone with physical disabilities to stand up from a sitting or lying position. Some standing frames also provide support for the joints of the person's hands and arms. In some cases, they can be used as a permanent walker.
Standing frames are most commonly used by people with cerebral palsy, muscular dystrophy, spinal cord injury, or stroke recovery. They are also sometimes used by people who have had hip surgery or who need help recovering from hip replacement surgery.
Standing frames are generally made of metal, but more lightweight versions have a combination of metal and wood.
The frame includes a seat that may be fixed to the frame or adjustable. It also has adjustable armrests and hinged handgrips.
Depending on the person's needs, standing frames can be adjusted to different sizes. This makes it easier for other family members or friends to use them, too. Some standing frames have wheels so they can be easily moved from one place to another.
There are many different types of standing frames, including:
A folding stander is essentially a portable stander that folds flat for storage when it's not in use. The stander is in a self-supporting rigid position (such as knee bent, and planted on the floor) for the user. The stander can either be folded flat past the user's thighs to the floor when not in use or can be positioned to hang off a wall so that the user's weight is supported by a pulley system.
How Do You Use a Standing Frame?
The first appearance of a portable standing device was in James Morris' patent for an Aids to Rising from Sitting' and to Walking' in 1785. This included a foot bar, hand grips, and two handles which were all attached by ropes.
When a person is recovering from an orthopedic hospital stay, they are often given instructions to use a stationary standing frame. This device supports the body while it heals so that the patient can gradually return to their normal routine. It uses adjustable secure straps to keep the body in place while sitting. Patients who have had surgery may be instructed to use a standing frame during the recovery process as well. This piece of equipment comes in handy for both patient and caregiver, particularly when it's used properly.
To use the standing frame, you simply strap yourself into the device, depending on what part of your body is being treated. In some cases, you'll be strapped into a standing sling, which supports the injured leg or arm. Other times, you'll be secured with an over-the-shoulder sling to support a lower back injury or leg injury. When using this piece of equipment at home, there are various options available for fastenings. Some units feature Velcro straps that can adjust quickly and easily to fit your needs. Other models are equipped with buckles that can be fastened and unfastened quickly, too.
- THE HANDLES
Other types of standing frames have standard handles that can be adjusted to fit the legs of different people. These adjustable handles make it easy to support the person's hand, arm, foot, or leg at a level comfortable for them. Most models also have a rounded portion at the top center that can be used as an elevated handle or a place to grip securely. There are some models designed especially for physical therapy and rehab patients that come with rubber handles for improved gripping as well.
- SIZE/WEIGHT
Some standing frames are small and lightweight, while others are large and heavy-duty, able to hold the entire body weight of someone who needs support.
Health benefits of a standing frame
Standers are utilized by persons with paraplegia and quadriplegia because a variety of assistance solutions for mild to severe impairments are available.
Loss of bone minerals and osteoporosis are frequent after injuries to the spinal cord. The therapeutic standing has historically been integrated into rehabilitation programs to prevent osteoporosis for those suffering from chronic spinal cord damage with a standing frame.
Patients who have multiple sclerosis, muscular dystrophycerebral, paralysis, and strokes, often use the standing frame, which would be once a day for the cautions. Results of therapeutic efficacy in the first year of wound conflict and demonstrate that less active intervention is less successful. The results suggest that less effective treatment is less effective.
To ensure the right standing framework is adopted, a musculoskeletal evaluation is required. This involves evaluating the range of hips, knees, and ankles movement and examining the posture of the backbone and pelvis. After this examination, the individual will test the right fit with various standing frames.
Include the following factors:
- Environments for the standing frame
- The amount of movement of the person
- How they plan to move into and out of the frame
- The actions that are carried out
- In the home, school, and community contexts, standing frames can be employed.
For several reasons, they are suggested, including:
- Promote hip growth and enhance hip stability
- Keep your posture straight and symmetric
- Prevent hip, knee, and ankle contractions
- Promoting health through sedentary behavior reduction
- Increase the metabolic rate of an individual
- Improve bone strength, cardiovascular function and overall well-being, and bowel and respiratory function.
- Facilitate social contact with peers via sustaining the upright stance of a person
How long should a paraplegic stand for?
Paraplegia is paralysis occurring in the lower body half. It might be caused by an accident or persistent disease. Paraplegia people will have issues with mobility and may need to wear a wheelchair. However, there are long-term therapeutic alternatives to minimize paraplegia symptoms and consequences.
The paraplegia of the lower part of the body seriously impairs movement. It might be the consequence of an accident or a persistent disease-causing brain or spinal cord injury. Persons with paraplegia, such as spasticity, may have problems over time.Typically, they need long-term daily care and therapy.
A minimum of 20 minutes is enough since standard procedures between 20 and 45 minutes have some effect on health. A paraplegic (the term for a person who has paralysis of the lower limbs and trunk) can stand for as long as it is comfortable if standing feels more natural to them than sitting. Their spine will slowly adapt to the weight-bearing demands of standing. However, they should always consult with their doctor before changing their routine.
If you or someone you know is a paraplegic, they're probably asked this question a lot and we're here to tell you the answer.
When your limbs don't function due to a major injury or illness, it's important to take time each day for exercises that make them stronger. And for your muscles to work properly, they need blood circulation. Blood nourishes the cells that makeup muscles and allow them to contract and grow stronger. Try standing for 10 minutes at least three times weekly; doing so will increase circulation in the legs while giving you time away from sitting or lying down on hard surfaces which can increase pressure on internal organs. It's also important to start and stop slowly. Start your exercise session by resting your body on the floor, then push back slowly to standing without using your arms or legs. This may feel awkward and tiring at first, but it will become easier with practice.
Surprisingly, a 2011 article in "Neurology" reported that less than half of paraplegics who took part agreed to sit in a chair for at least an hour every day. But according to the American Physical Therapy Association (APTA), as few as two percent of those who get paralyzed will not be able to move at all.
How do quadriplegics stand?
The immobilization of the body from the shoulders down is Quadriplegia, which is also known to be tetraplegia. Paralysis is caused by spinal cord injury that stops the brain from sending messages to the rest of the body. The backbone is formed by the nerves which are protected and contained by the spinal vertebras. The degree of paralysis affects the position of the reverse cord harm.
- Quadriplegia Treatment
Quadriplegics cannot be treated, although the repercussions of quadriplegia cannot be addressed. There are Mobility that can assist wheelchairs. The strain of the family attendant can be alleviated at home. Pain and muscular function may be helped by physical therapy. Counseling can contribute to emotional problems.
Standing frames For Kids
Standing frames for children provide a safe, stable alternative to traditional therapy practices.
Standing frames for children provide a safe, stable alternative to traditional therapy practices. This type of treatment is often prescribed by PTs and OTs and could be the key to achieving full recovery from injury or surgery.
A standing frame is a metal frame that is designed to hold the child upright, much like a skeleton for the body. It consists of stays (metal rods) and bars that support the child's weight while giving them proper balance as they practice walking or other therapy tasks. The standing frame comes in many models and sizes to accommodate different age groups and physical stature.
How does it work? 
Standing frames for kids often have four stays (two on each side) made of either aluminum or steel. The stays are secured onto the floor with adjustable screw fasteners similar to those used on table legs. Each stay has tubes attached that run up to metal bars over which the child is fastened. Each stay is adjustable, so the child can be placed higher or lower on the frame.
Advantages of standing frames for kids include:
Standing frames for children are an effective therapy tool in many ways and are used to help children with motor skill delays, gait development, and overall balance and coordination. The child can engage in a variety of activities while using standing frames such as making reaching motions, practicing sitting skills, improving posture, and strengthening their legs. Standing frames provide improved stability for the child's trunk and also support the child's weight, unlike other therapeutic methods that rely on therapists' support alone (such as BOSU balls).
Standing frames for kids can be used to improve the strength of muscles, joints, and ligaments; improve the alignment of bones; strengthen the spine; improve posture, and aid in the development of a more upright posture. Standing frames can also be used to teach children how to fall properly by allowing them to learn how to brace their bodies before they fall.
The drawbacks of standing frames for kids include:
Standing frames may be intimidating for some children - they take up a large amount of space and are not easily portable. It takes time for children used to other forms of therapy (such as physical therapy, occupational therapy) to become accustomed to this type of treatment.
One of the most common types of paralysis in children is spina bifida: a developmental problem where the spinal cord fails to close at the bottom end of its normal route through the spinal canal. Children with this condition are often paralyzed below their injury level, but very rarely at birth or in childhood, so they start life with no loss of sensation or control over the bladder and bowel. Paralyzed children can be fitted with posterior and anterior support braces for their backs. These braces help them maintain an erect posture, which minimizes back pain and leg muscle strain.
The brace is usually held on by elastic straps that go around and behind the child's legs, as well as around his waist. This holds the brace in place, and the straps can be adjusted for comfort. Children with spina bifida may wear it in a shower or bath, but they must be careful not to dip too far underwater or get their face wet. Once a child who has spina bifida stands unassisted most of the time, he can be transitioned to walking aids such as crutches. These help him stand up and walk around with minimal support or training on his part. For children who are older than six years, specialized knee braces called braces for children with spina bifida are becoming increasingly popular. These braces help the child maintain an upright posture and give him a bit of assistance with balance.
Children with spina bifida need to be monitored by their doctors until they are fully independent and can stand for as long as they wish. They must have regular check-ups to make sure that they have adequate muscle strength in their legs and a normal range of motion so that they can move without pain and walk without difficulty.
A child who has lost both his legs is likely to be fitted with prosthetic (artificial) limbs within a few months of his diagnosis, but only after his ability to move about has been assessed by the doctor or physical therapist involved in his treatment.
Different Brands of standing frame for adults
1. Grandstand III Modular Standing System
It raises the person from their wheelchair to a standing posture quickly and safely. This approach works well in both the clinic and at home. Multiple built-in support for a perfect fit for clients ranging in height from 5'6 to 6'5. Growth alterations are simple and affordable. Simply lay the user under the sling, connect the metal rings onto lifting arms, position feet into foot positioners, and push the lever. The use of Grandstand III helps reduce contractures, reduce spastics and maintain bone density over 250 lb body weight.
Standard displays: elevation to breadth customizable definite chest pads, 3-inch plastic ribbons, foot positioners that are customizable, expandable knee pads, high release upper-body belt support, and lifetime framework warrantee.
Since 1984, clinicians in rehab centers have been chosen everywhere in the Granstand series. The wealth of experience of that system demonstrates its performance and toughness, with Granstand III's ability to stand directly from your wheelchair, as its main feature. No matter how much you can, the Granstand III usually can be operated without help by those who can transfer themselves. Those who need help can be put together by a healthcare worker with little effort. When you stand, body pads keep you securely and comfortably.
2. Rifton Medium or Large Prone Stander with Mobility
Built to accommodate and expand with your client for height adjustments, the Rifton Prone Stander with Mobility provides a longer-lasting and usable device. Comes in 3 dimensions, the standard fits children to adults so that all can easily explore and be firm. The angle indicator provides therapists, careers, and parents with a tool to correctly measure the progress the user is taking in standing upright. It is also intended to indicate the angle in degree so that user data can be easily measured and recorded by multi-user facilities.
The mobile susceptible stand is supplied with a hand-crank, which eliminates manual adjustments and saves the caregiver's back.
Users have additional support if necessary with the kneeboard, but it can be removed for enhancement. The footboard of this Stander is near the floor in a vertical position to facilitate the transfer. Its s-curve framework also enables the physician to easily supervise the rehab, having taken up much less space than that of other frame styles.
3. EasyStand Evolv XT Standing Frame Packages
EasyStand's Evolv XT Standing Frame Packs are intended to accommodate tall people from 6' to 6'10'' in height. There is a 350-pound weight limit. The hips, laterals, and head are intelligently committed to serving portable seat positions. The materials are comfy and spotless so that you can stay for long periods in the standing frame.
There are 3 levels of support packages for safe and convenient positioning with least, moderate and highest levels of coating, support, and strap. Use of a standing set in conjunction with your wheelchair every day will improve the strength of your immobile legs, enhance patient confidence, see the level and the quality of life of your peers. The packs have standard size straps, railings, straps, and supports.
4. EasyStand StrapStand Basic Adult Standing Frame Package
Unlike some other standing frames, EasyStand StrapStand Basic Adult Standing Framepackages do not require transfer and the predecessor parquets provide an uncomplicated order since they include pads and straps. With most wheelchairs, the wide swing beings can easily be adjusted.
The included strap is placed underneath your hips so that the frame stands softly. Two heavy arms pull on the straps and drag your knees against the knee pads. The motions are smooth and the materials convenient so that You'll want to use the standing frame all day long.
StrapStand Basic Standing Frames are great for home and long-term care. Every Basic System consisted of swinging out legs, adjustable elevator strap, dark sculpted tray, four securing rollers, footplates, knee pads, and amounted fluid operator with grip.
There are many of the same support packages listed above, including pivoting legs, extendable lifting strap, Dark Shaped Plate, four pivoting roller lockers, adjustable footplates, knee autonomous pads, retractable compressor handle, top body storage strap, and seize handles.
5. Symmetry Solid Seat Stander and Positioning System
The Symmetry Stander is a sturdy standing apparatus with a cushioned seat as well as an adjustable high or low back for additional support and convenience. The standing frame may easily be moved to and supports correctly while the user is standing or seated or during the transition. To remove shaving, the seat moves. The spacious frame of the Symmetry Stander offers easier access, even with a lifting device.
- Pleasant move: Armrests, braces & knees raise supports up and down for simple transmission.
- Extremely Flexible Layout: Near to the frame for easy transmissions.
- Quick Access Framework: The pleasant lift frame for the patient allows lift transit and easy placement
- Youth to Adult sizes: Alignment Youth extends in height between 3'6" to 5'6." Adult Symmetry spans size variations between 5' and 6'5."
Symmetry is unique and important to the precise positioning of the body to correct upright weight-bearing and produce moderate hyperextension on the hips while limiting the harmful consequences of shear. This enables the standing placement to be adjusted for the closest point and transformative standing program. Symmetry's specific design principles have led to this achievement.
6. EasyStand Original Evolv Sit To Stand Standing Frame Packages
The EasyStand Evolv Standing frame, accessible in 2 sizes and Four packs, arrives with new standard packages with different cushioning degrees and support, which were smartly designed to make purchasing easier.
EasyStand Medium and Long-Standing Frame Packages include an open base to facilitate transport and standing independently. It enables users to modify, shift, and 'press' with three straightforward actions to accomplish pleasant and secure standing transitions. With tiny explosions, yet lasting enough just to affect bone mass, an increase in confidence and other health advantages are conceivable.
EasyStand offers a simpler method to buy Evolv Standing Frame in a secure, dependable, and convenient manner using new package models in minimal, intermediate, maximum, and remastered editions.
The 4 medium and large assistance bundles can be used for any adult in medium-sized proportions. These Evolv Standing Frame Packages are strategically and cost-effectively designed to save you time. Their unique pads, straps, and support kits are thoroughly explained. Information is given for individual sizes and lengths.
The EasyStand-to-Stand Standing Frame Packages are designed for safe support and are equipped with a three-point system of knee pads, chest pads, and sitting support. For convenient and simple transmission, these stander systems with their switch knee pad and separate lunge knee pads have been developed for self-transfer users and the user stands for a shorter period.