Successfully implementing a standing protocol with a pediatric client can be quite a challenge at times. It is critical to determine the appropriate standing dosage based on current evidence, choose the correct stander, and find the “just right” activity. An overview of current evidence on standing and dosage will be provided. In order to choose the best stander, we must give thoughtful consideration to the different categories of standers, and compare the benefits and limitations of each feature. Choosing a stander, however, is only the beginning of the story. This is where the real work begins! Finding fun and functional ways to incorporate standing into everyday activities is essential for standing success.
Identify at least 1 benefit of each category of standing devices for the pediatric client.
Identify at least 1 limitation of each category of standing devices for the pediatric client.
List 3 strategies for integrating use of the recommended standing device into everyday activities in fun and functional ways.
Katherine and Erin are lead therapists and ATP’s at the Perlman Center, a specialty assistive technology center at Cincinnati Children’s Hospital Medical Center, serving primarily pediatric patients with cerebral palsy and other complex conditions. Katherine is an occupational therapist with experience and training in early intervention and the evaluation and integration of assistive technology systems including augmentative communication, computer access, and seating and positioning. She also has specialty training in Kinesio® Taping, neurodevelopment treatment, and cortical visual impairment. Erin is a physical therapist and has experience and training in sensory integration, orthotics and bracing, Kinesio® Taping, assistive technology, and adaptive equipment. Her specialties include early mobility, body weight support training, and seating and positioning.