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Standing frame

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A standing frame (also known as a stand, stander, standing technology, standing aid, standing device, standing box, tilt table) is assistive technology used by a person who uses a wheelchair for mobility. A standing frame provides alternative positioning to sitting in a wheelchair by supporting the person in the standing position. Standing frames are advertised as increasing independence, mobility, and self-esteem.

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Types and function

Common types of standers include: sit to stand, prone, supine, upright, multi-positioning standers, and standing wheelchairs. Long leg braces are also a standing device but not used often today.

  • Passive (static) stander: A passive stander remains in one place. They sometimes have casters, but cannot be self-propelled.
  • Mobile (dynamic) stander: User can self-propel a mobile stander if they have the strength to push a manual wheelchair. Some standers are also available with powered mobility.
  • Active stander: An active stander creates reciprocal movement of the arms legs while standing.

Diagnoses and users

Standers are used by people with mild to severe disabilities including: spinal cord injury, traumatic brain injury, cerebral palsy, spina bifida, muscular dystrophy, multiple sclerosis, stroke, Rett syndrome, post-polio syndrome and more.

Spinal cord injury: Standers are used by people with both paraplegia and quadriplegia since a variety of support options are available to accommodate for mild to severe disabilities. Doug Betters and Mike Utley are both former NFL football players who are quadriplegics due to spinal cord injury. They both stand using active standers.

Common settings and applications

Standing devices are used in a variety of settings including:

  • In the home and workplace,
  • Early intervention centers,
  • Schools (special education classes or the inclusive classroom), adapted physical education classes,
  • Children's hospitals and therapy centers,
  • Rehabilitation facilities and hospitals,
  • Extended care units, nursing homes, assisted living centers and group homes, and

veterans' hospitals.


Obtaining a standing frame

Funding (government funding or health insurance) for standing equipment is achievable in most developed countries, but usually requires medical justification and a letter of medical necessity (a detailed medical prescription) written by a physical therapist or medical professional.


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