Indications:
Standing frames are an important tool in helping individuals with mobility impairments to improve their physical health and independence, and to enhance their overall quality of life.
  1. Prevention of contractures: Individuals with limited mobility or spasticity may develop contractures, which are permanent shortening of the muscles, tendons, or ligaments. Standing therapy can help prevent the development of contractures by providing weight-bearing on the lower extremities and stretching the muscles.
  2. Improved bone health: Standing therapy has been shown to improve bone density and prevent osteoporosis in individuals with spinal cord injuries or other conditions that affect bone density.
  3. Improved cardiovascular health: Standing therapy can also improve cardiovascular health by increasing blood flow and preventing orthostatic hypotension (a sudden drop in blood pressure when standing up).
  4. Improved bowel and bladder function: Standing therapy can improve bowel and bladder function by stimulating the nervous system and promoting peristalsis.
  5. Improved respiratory function: Standing therapy can also improve respiratory function by increasing lung capacity and promoting deep breathing.
  6. Improved psychological well-being: Standing therapy can have a positive impact on an individual's psychological well-being by promoting social engagement and improving self-esteem.

Contraindications:
While standing therapy can have many benefits for individuals with physical disabilities or neurological disorders, it's important to note that there are some contraindications or situations where standing therapy may not be appropriate. Here are some common contraindications for standing therapy:
  1. Uncontrolled hypertension: Individuals with uncontrolled hypertension or high blood pressure may experience a sudden increase in blood pressure when standing upright, which can be dangerous. Standing therapy may be contraindicated in individuals with uncontrolled hypertension.
  2. Autonomic dysreflexia: Autonomic dysreflexia is a potentially life-threatening condition that can occur in individuals with spinal cord injuries at or above the T6 level. Standing therapy may trigger autonomic dysreflexia in these individuals, and it is contraindicated.
  3. Active skin breakdown: Individuals with active skin breakdown or open wounds may be at risk for infection or further injury during standing therapy. Standing therapy should be avoided until the skin has healed.
  4. Unstable fractures: Individuals with unstable fractures or spinal cord injuries may be at risk for further injury or damage during standing therapy. Standing therapy may be contraindicated in these individuals until the fractures or injuries have stabilized.
  5. Severe spasticity: Individuals with severe spasticity may experience discomfort or pain during standing therapy, and it may be contraindicated in these individuals.
  6. Cognitive impairment: Individuals with cognitive impairment may have difficulty understanding and following the instructions for standing therapy, and it may not be appropriate for them.