What Is It?
Supported-standing means using assistive technology (called a standing frame or stander) to help someone stay upright in a safe, aligned, weight-bearing position. There are different types of standers, including upright, prone (front support), supine (back support), sit-to-stand, and mobile versions.
What Are The Benefits?
Physical Health (Fitness)
- Strong evidence supports benefits for bone health (Bone Mineral Density) and contracture prevention.
- Standing may help slow hip subluxation and reduce spasticity in the short term.
- Standing with hips in abduction (legs apart) is recommended.
- Bowel function may also improve with regular standing.
Daily Function (Functioning)
- Standing supports improvements in motor function and activities of daily living.
Social & Emotional Wellbeing (Fun & Friends)
- Standing is most successful when integrated into age-appropriate, meaningful activities with peers.
Family Perspectives
- Families and therapists see standers as helpful for maintaining physical function and improving social perception of the user.
Psychosocial Impact (Future)
- Standing can support confidence, inclusion, and participation, but the individual should have choice and autonomy in how and when they use the device.
When Can I Start?
- It is possible to commence weight bearing in standing from approximately 7–12 months of age. (Your physiotherapist can conduct a thorough assessment and provide recommendation for your child’s specific needs.)
How Long Do I Stand For?
- Generally, 30-60 minutes per day, 5 days per week of standing frame use is most well tolerated.
Things To Note:
- Success is more likely with caregiver support and when standing is part of meaningful routines and activities.
- Supported-standing can be an active and beneficial part of daily life, helping reduce sedentary time.
- Standing frame should be tailored to meet the individual’s physical, transfer, and participation needs.
For More Information: Talk to your physiotherapist.