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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
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.
Brooks VB. (1983) Motor control: How posture and movements are governed. Phys Ther 63(5):664–73
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.
Tolley B, Cohen L, Nogi J. (1982) In-house modification of variety village standing frame. J Assoc child Prosth Orthotic Clin 18(2):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.
Bax MCO. (1964) Terminology and classification of cerebral palsy. Dev Med Child Neurol 6:295–6.
Albright AL. (1996) Spasticity and movement disorders in cerebral palsy J Child Neurol 11:S1–S4.
Filloux FM. (1996) Neuropathophysiology of movement disorders in cerebral palsy. J Child Neurol, 11: S5–S12.
Rose J, Wolff DR, Jones VK, et al. (2002): Postural balance in children with cerebral palsy. Dev Med Child Neurol 44(1)58–63.
Bond WT, Wajed A (1979): The Carshalton standing frame for physically handicapped children. Physiotherapy 65(6):185.
Hom C, Whistler B, Heisler K (1972): Adjustable prone standing table. Phys Ther 52(10): 1058–9.
Hueter A, Blossom B (1967) A prone-stander. Phys Ther 47(5):386.
Ivey A, McDaniel C, Perkins, et al: Supine stander for severely handicapped child. Physical Therapy 1981;61(4):525–6.
Taylor AG, Rocca L (1982): Standing frame—the Salford design. Physiotherapy. 68(12):399.
Wilton SM (1977): Standing frame. Physiotherapy 63(8):258.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights 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)