Why is standing important? Around the age of nine to twelve months, typically developing children challenge themselves to adopt the standing position as a natural development from the lying and seated positions as an integral part of gross motor development. Adopting the standing position allows the child to get new perspectives on their surroundings and apply alternative loads on their bones, joints and muscles, providing the possibilities to develop new skills. Children with delayed development and different types of disability need support to adopt the standing position and achieve these possibilities. What is known about standing and the use of standing devices? • A cross-sectional study of 562 children with cerebral palsy has documented that 65% stand independently. 31% used support or assistive devices and 4% could not stand (Rodby-Bousquet et al 2010). This shows the need for supported standing to provide equal opportunities for all children to achieve the standing position and to develop. • A systematic review of dosing of pediatric supported standing programs has made evidence-based clinical recommendations on the use of standing programs for 30-90 minutes per day, five days a week, to affect bone mineral density, spasticity and range of motion of the hip, knee and ankle joints (Paleg et al 2013). 4 Meerkat R82 | by Etac
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