Using an active standing frame during an acute rehab stay helps accomplish goals by combining the proven benefits of a standard standing program with those of a reciprocating movement. An active standing frame also gives patients a self-directed, activity-based home program after discharge.
Patients can experience the following key benefits:
· Eye-level interaction. Standing devices provide the opportunity to stand and interact with peers and family at eye level. This equipment allows the patient to participate in mild or vigorous activity while enjoying the emotional benefits of being in an upright standing position.
· Trunk control. By modifying the amount and location of support, therapists can challenge the patient's trunk control and balance. This carries across a patient's therapeutic goals to improve mat mobility, activities of daily living, wheelchair management and transfer skills.
· Contracture management and cardiovascular training. A gliding program helps prevent contractures at the hips, knees and ankles, secondary to weight bearing and mobility. Standing with a glider frame offers the patient a unique opportunity to control lower extremity movement through assistance from the upper extremities. Because the patient controls the assistance of the upper extremities, he also controls the progression of cardiovascular training.
· Bone mineral density. Disuse and neural changes lead to a loss of bone mineral density (BMD) after a spinal injury. This loss can be rapid–one study showed a 7.5 percent and 5.3 percent loss of bone mass in the calcaneus and proximal tibia respectively, within 6 weeks of injury.
Research shows mixed results regarding the ability of standing to counteract this loss. Because many studies suggest that BMD loss is greatest within the first 2 years post-injury, a load-imposing intervention may have a greater effect sooner rather than later.
In one study, patients involved in early loading exercises (either a standing program or a body weight-supported gait training program) lost almost no bone mineral content after participating in the program 5 days per week for 6 months. By contrast, immobilized patients lost 6.9 percent to 9.4 percent of trabecular bone during the same time frame.
Furthermore, if a patient has an incomplete SCI, and maintains the ability to voluntarily contract lower extremity muscles with the active stander, then BMD loss may be prevented secondary to muscle pulling on the bone.
During acute rehab, an injury initially diagnosed as complete may eventually become incomplete, since the ASIA classification hasn't been stabilized. A glider lets you place these patients in a supported, weight-bearing position. As a result, patients can contract their lower extremity muscles with assistance from the arms, even though they're not strong enough to move the limb independently. Akces-Med can provide with variety of dynamic standers to help experience the key benefits of using it. Activall dynamic stander is one of them.
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