Skip to main content

A New Modification of Adjustable standing Frame for children with Cerebral Palsy

  • Conference paper
3rd Kuala Lumpur International Conference on Biomedical Engineering 2006

Part of the book series: IFMBE Proceedings ((IFMBE,volume 15))

  • 2004 Accesses

Abstract

Standing frame is commonly used in rehabilitation training for children with cerebral palsy (CP), but the design and clinical effectiveness were rarely investigated. In this study we modified the standing frame with adjusted footplate with a separate control, a linear acurator, high-density durable foam and adjusted table surface with Acme lead screew and sliding block. Six spastic quadriplegic CP children (aged 4.6±1.3y/o) were recruited and received electromyographic (EMG) evaluation on using both the traditional and modified standing frame for 15 minutes, with a two-week interval. A questionnaire was obtained after the evaluations.

EMG studies showed significantly lowered activities of bilateral anterior tibialis and gastrocnemius after using the modified standing frame for 6 to 15 minutes. The questionnaire also showed significant increased adjustment and satisfaction index with the modified frame. This modification reduces spasticity and muscle tone in CP children and helps to enhance the efficacy of rehabilitation program.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Nashner LM, Woollacott M. (1979) The organization of rapid postural adjustments of standing human: an experimental conceptual mode. In: Talbott RE, Humphrey DR, eds. Posture and movement. New York: Raven Press pp 243–57.

    Google Scholar 

  2. Brooks VB. (1983) Motor control: How posture and movements are governed. Phys Ther 63(5):664–73

    Article  CAS  PubMed  Google Scholar 

  3. Wang A MK, Lee MY, Kuo JK, Tang FT. (1997) The development and clinical evaluation of a standing biofeedback trainer. J Rehabil Rev Dev 34(3):322–7.

    Google Scholar 

  4. Tolley B, Cohen L, Nogi J. (1982) In-house modification of variety village standing frame. J Assoc child Prosth Orthotic Clin 18(2):5.

    Google Scholar 

  5. Matjacic Z. (2000) A multi-purpose rehabil frame: an apparatus for experimental investigations of human balance and postural control. J Med Eng Tech 24(6):250–4.

    Article  CAS  Google Scholar 

  6. Bax MCO. (1964) Terminology and classification of cerebral palsy. Dev Med Child Neurol 6:295–6.

    Article  CAS  PubMed  Google Scholar 

  7. Albright AL. (1996) Spasticity and movement disorders in cerebral palsy J Child Neurol 11:S1–S4.

    Article  PubMed  Google Scholar 

  8. Filloux FM. (1996) Neuropathophysiology of movement disorders in cerebral palsy. J Child Neurol, 11: S5–S12.

    Article  PubMed  Google Scholar 

  9. Rose J, Wolff DR, Jones VK, et al. (2002): Postural balance in children with cerebral palsy. Dev Med Child Neurol 44(1)58–63.

    Article  PubMed  Google Scholar 

  10. Bond WT, Wajed A (1979): The Carshalton standing frame for physically handicapped children. Physiotherapy 65(6):185.

    CAS  PubMed  Google Scholar 

  11. Hom C, Whistler B, Heisler K (1972): Adjustable prone standing table. Phys Ther 52(10): 1058–9.

    CAS  PubMed  Google Scholar 

  12. Hueter A, Blossom B (1967) A prone-stander. Phys Ther 47(5):386.

    CAS  PubMed  Google Scholar 

  13. Ivey A, McDaniel C, Perkins, et al: Supine stander for severely handicapped child. Physical Therapy 1981;61(4):525–6.

    Article  CAS  PubMed  Google Scholar 

  14. Taylor AG, Rocca L (1982): Standing frame—the Salford design. Physiotherapy. 68(12):399.

    CAS  PubMed  Google Scholar 

  15. Wilton SM (1977): Standing frame. Physiotherapy 63(8):258.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Wong, A.M.K., Pei, Y.C., Chang, H.W., Chen, J.W., Chou, S.W., Lau, Y.C. (2007). A New Modification of Adjustable standing Frame for children with Cerebral Palsy. In: Ibrahim, F., Osman, N.A.A., Usman, J., Kadri, N.A. (eds) 3rd Kuala Lumpur International Conference on Biomedical Engineering 2006. IFMBE Proceedings, vol 15. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68017-8_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68017-8_43

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-68016-1

  • Online ISBN: 978-3-540-68017-8

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics