Everything about Standing Frame totally explained
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 child or adult 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.
Types of Standing Devices/Function of Standing Devices
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, sometimes has casters but can't be self-propelled.
- Mobile (dynamic) stander: User can self-propel a mobile stander if they've 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 & 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.
Documentation and Funding
Effective Documentation- Funding (government funding or insurance) for standing equipment is achievable, but usually requires medical justification and a letter of
medical necessity (a detailed
prescription) written by a physical therapist or medical professional.
Funding Sources- In the U.S. there are various funding options for purchasing
durable medical equipment (DME) such as standing technology:
Public Insurance/Government Funding (for example Medicaid, Waivers, etc.)
Private Insurance Companies (for exampleBlue Cross, Health Maintenance Organization (HMOs), PPOs, etc.)
Worker's compensation
Disability Insurance
Liability Insurance (for example car, home, etc.)
Out-of-pocket (cash or credit card)
Possible payment plan through supplier
Child’s school purchase for use at school (for example standing is part of child’s Individualized Education Program (IEP))
Purchase by workplace for use while on the job
Purchase through your VA Hospital
Assistance from local groups such (for example Rotary clubs, Lions, etc.)
Assistance from disability groups (for example MDA, MS Society, etc.)
Most states have resources such as PAAT (Protection Advocacy for Assistive Technology) and State Technology Assistance Projects that are resources for consumers seeking funding or going through the appeals process.
Sit to Stand standers are billed as DME (Durable Medical Equipment) to both Public and Private insurance companies and are routinely purchased. Standers are designed to maintain function and design characteristics for repeated daily use by the patient for whom it's originally prescribed. As of January 1, 2004 sit to stand standers are HCPCS coded as E0637 (Combination sit to stand system, any size with seat lift feature, with or without wheels).
Sources
Able Data Fact Sheet on Standing Aids(External Link
)
Holland, Diane and Tom. "Taking a Stand." Rehab Management. Mar. 2006.(External Link)Further Information
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