Supported Standing and Supported Stepping Devices for Children with Non-Ambulant Cerebral Palsy: An Interdependence and F-Words Focus
department or school: Medicine, Faculty of
department or school: Non UBC
department or school: Occupational Science and Occupational Therapy, Department of
data provider: DSpace
identifier citation: International Journal of Environmental Research and Public Health 21 (6): 669 (2024)
creator: Paleg, Ginny S.
creator: Williams, Sian A.
creator: Livingstone, Roslyn W.
issued: 2024-06-27T21:05:16Z
issued: 2024-05-23
description: Children functioning at Gross Motor Function Classification System (GMFCS) levels IV–V cannot maintain an aligned standing position or take steps without support. Upright positioning and mobility devices have psycho-social significance for these children and their families, enhancing use of vision, communication, functioning and emotional well-being. Standers and supported stepping devices facilitate opportunities for biomechanical loading, potentially helping to build and maintain muscle and bone integrity, and they promote physical development. However, families are often required to choose between these two devices for their young child. This study aims to synthesize evidence for use and benefits of both supported standing and stepping devices through the lens of two contemporary theoretical frameworks to support clinical reasoning and implementation. The F-words for childhood development (functioning, family, fitness, fun, friends, future) and the interdependence-Human Activity Assistive Technology (iHAAT) models were combined to illustrate the complex interactions between the child, family, caregivers, peers and contextual factors when implementing standing and stepping devices with children at GMFCS levels IV and V. Supported standing and stepping devices provide complementary benefits, and both may be necessary starting at 9–15 months. We propose they both be included ON-Time, along with other age-appropriate positioning and mobility devices, to promote more equitable developmental opportunities for children with non-ambulant cerebral palsy.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/88527
note: Citation: Paleg, G.S.; Williams, S.A.;Livingstone, R.W. Supported Standingand Supported Stepping Devices forChildren with Non-AmbulantCerebral Palsy: An Interdependenceand F-Words Focus. Int. J. Environ.Res. Public Health 2024, 21, 669.https://doi.org/10.3390/ijerph21060669Academic Editors: Paul B. Tchounwou,Lidia Perenc, Agnieszka Guzik andMariusz Druz˙bickiReceived: 3 April 2024Revised: 10 May 2024Accepted: 20 May 2024Published: 23 May 2024Copyright: © 2024 by the authors.Licensee MDPI, Basel, Switzerland.This article is an open access articledistributed under the terms andconditions of the Creative CommonsAttribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).International Journal ofEnvironmental Researchand Public HealthArticleSupported Standing and Supported Stepping Devices forChildren with Non-Ambulant Cerebral Palsy:An Interdependence and F-Words FocusGinny S. Paleg 1,* , Sian A. Williams 2,3 and Roslyn W. Livingstone 41 Independent Researcher, Silver Spring, MD 20901, USA2 School of Allied Health, Curtin University, Perth, WA 6009, Australia; sian.williams@curtin.edu.au orsian.williams@auckland.ac.nz3 Liggins Institute, University of Auckland, Auckland 1023, New Zealand4 Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia,Vancouver, BC V6T 2B5, Canada; roslyn.livingstone@ubc.ca* Correspondence: ginny@paleg.comAbstract: Children functioning at Gross Motor Function Classification System (GMFCS) levels IV–Vcannot maintain an aligned standing position or take steps without support. Upright positioning andmobility devices have psycho-social significance for these children and their families, enhancing useof vision, communication, functioning and emotional well-being. Standers and supported steppingdevices facilitate opportunities for biomechanical loading, potentially helping to build and maintainmuscle and bone integrity, and they promote physical development. However, families are oftenrequired…
has type: Article
is shown at: 10.14288/1.0444040
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: Multidisciplinary Digital Publishing Institute
publisher DOI: 10.3390/ijerph21060669
rights: CC BY 4.0
rights URI: https://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
scholar level: Researcher
subject: standing frame
subject: stander
subject: gait trainer
subject: support walker
subject: assistive devices
type: Text
identifier URI: http://hdl.handle.net/2429/88527