Spastic cerebral palsy: Spastic cerebral palsy is the
most common type of cerebral palsy. This palsy appears stiff and their
movements may look stiff and jerky. Spasticity is a form of hypertonic or
increased muscle tone.
Different
designs of standing frames for paraplegic & tetraplegic:
(1)
Standing board: A simple standing board can help
hold the patient in a stable position. This one leans against a table.
(2)
Leaning board: On this board the patient can
lean.
(3)
Back board: This can be used to gradually
bring a child to a standing position. It is especially useful for older
children who get dizzy if stood up straight too quickly. This can happen after
a spinal cord injury or a long, sever illness. The child can be stood up gradually
and for longer each day.
(4) Stand
in tale:
(5)
Others:
a)
Large
tile or cement pipe.
b)
Hollow
log.
c)
Plastic
garbage container (Fasten it to a wide base to keep it from tipping over).
(6)
Standing frames: These are mainly for a patient
with contractures or painful joints who has difficulty standing straight. The
patient can gradually be straightened up. It has different models:
a)
Movable
model.
b)
Adjustable
model.
c)
Simple
fixed model.
(a) Movable
model: It can be
made by-
·
Upright
can be made of wood or metal tubing.
·
Wide
belt of thick cloth with velero or strap adjustment.
·
Adjustable
board with padded notches for knees.
·
The
notched part can be made of foam plastic.
(b) Adjustable
model: It can be
made by-
·
Bolt
or pin for adjustment.
·
Adjustable
padded hip support.
·
Adjustable
padded ankle foot support.
(c) Simple
fixed model: It
can be made by-
(7) Standing
and walking frame:
This is a useful aid to begin standing and walking for patient paralyzed or
severely affected below the waist (paraplegia, spina bifida, diplegic, cerebral
palsy). It can be made of Velcro or other fattener chest strap, the back board
should tilt back slight to let patient stand straight up, foot positioning
block and straps..
(8) Standing
walking brace:
This has the same use as the standing walking frame above but is especially
useful for children who need to learn how to walk before they are fitted for braces with a hip band or
body brace. It may two types:
a)
Design
that does not allow sitting.
b)
Design
with hip and knee hinges to allow sitting.
Way
of standing frames brings a health benefit to a spastic cerebral palsy:
Ø
Weight
bearing through healthy bone.
Ø
Facilities
a natural symmetrical standing posture.
Ø
Improve
motor skill.
Ø
Improve
upper body strength.
Ø
Improve
upper body balance.
Ø
Improve
standing tolerance & endurance.
Ø
Alternative
(relive) of pain.
Ø
Helps
in skeletal development.
Ø
Improve
posture.
Ø
Improve
joint flexibility & ROM.
Ø
Prevents
muscle wasting.
Ø
Stretches
by muscles to prevent tightness.
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