Name of the Procedure:

Common Names: Standing Frame, Standing Table, Three-Way Stander
Technical Terms: Standing Frame/Table System, Multi-position Stander (E0641)

Summary

A standing frame/table system is a medical device used to help patients adopt a standing position. It can be adjusted to various angles, including upright, prone, and supine, and is available in different sizes to fit pediatric and adult patients. Some models come with wheels for ease of movement.

Purpose

Medical Conditions:

• Cerebral Palsy
• Spinal Cord Injuries
• Muscular Dystrophy
• Multiple Sclerosis
• Stroke-related Disabilities ##### Goals:
• Improve standing tolerance and endurance
• Enhance circulation and respiratory function
• Reduce muscle contractures and spasticity
• Aid in functional improvements and overall well-being

Indications

Symptoms/Conditions Warranting Use:

• Inability to stand independently
• Severe muscle weakness
• Difficulty maintaining posture ##### Suitable Patients:
• Individuals who are non-ambulatory
• Patients needing prolonged rehabilitation

Preparation

Pre-procedure Instructions:

• No specific fasting or medication adjustments
• Wear comfortable, supportive clothing ##### Diagnostic Tests:
• Physical therapy evaluation
• Assessment of muscle strength and joint flexibility

Procedure Description

Steps:

1. Position the patient onto the standing frame.
2. Secure the patient with straps and supports for safety.
3. Adjust the standing frame to the desired angle.
4. Monitor the patient’s comfort and vitals throughout. ##### Equipment Used:
   • Standing frame/table system (multi-position) ##### Anesthesia/Sedation:
   • Typically not required

Duration

• Initial session: 30-60 minutes
• Subsequent sessions: As per rehabilitation plan

Setting

• Hospital rehabilitation departments
• Outpatient clinics
• Physical therapy centers

Personnel

• Physical therapist
• Occupational therapist
• Rehabilitation nurse

Risks and Complications

Common Risks:

• Discomfort or pain
• Skin irritation from straps ##### Rare Risks:
• Dizziness or fainting
• Pressure sores ##### Management:
• Regular monitoring and adjustments
• Ensuring proper fit and support

Benefits

• Improved muscle strength and tone
• Enhanced functional mobility
• Boosted cardiovascular and pulmonary health
• Realization of benefits: Within weeks to months, depending on frequency and consistency of use

Recovery

Post-procedure Care:

• Gradual progression in standing duration
• Regular assessments by a therapist ##### Recovery Time:
• Continuous, adaptive as part of long-term rehabilitation ##### Restrictions/Follow-up:
• Adherence to therapy schedule
• Routine follow-up appointments

Alternatives

Other Options:

• Wheelchair exercises
• Passive range-of-motion exercises ##### Pros and Cons:
• Wheelchair exercises: Safer, but less effective in building standing tolerance
• Passive exercises: Useful for maintaining joint flexibility, but do not promote standing strength or posture

Patient Experience

During Procedure:

• Initial discomfort, which generally decreases over time as tolerance builds
• Supportive strapping may feel restrictive initially ##### Pain Management:
• Regular check-ins to adjust comfort levels
• Gradual increase in standing time to minimize discomfort

By gradually integrating the use of a standing frame/table system into a patient’s rehabilitation routine, significant improvements in physical capabilities and overall well-being can be achieved.