Basic Standing and The Use of Standers
Children with a neurological diagnosis often spend the majority of their day laying down or seated in a wheelchair. Due to this, many do not experience sufficient time weight-bearing and therefore miss out on the benefits that accompany it.
This online continuing education course taught by Ginny Paleg on behalf of the CPA Paediatric Division explores the basic use of standers including the various types of standers, therapeutic benefits, and recommended dosage.
Ginny Paleg, DScPT, is a pediatric PT from Silver Spring, Maryland. She has worked at NIH, HSC Pediatric Center (where she ran a one-week intensive program and was part of the team that started the equipment clinic), adult group homes, and in schools.
For the past 14 years, she has worked for her local school system in their early intervention program. Ginny earned her Master's Degree in Physical Therapy at Emory University and her DScPT at the University of Maryland Baltimore. She is on the editorial board of Rehab Management Magazine. In 2013 she was appointed by her governor to the Maryland Insurance Commission Habilitation work group.
Ginny is an active member of the APTA, having served as a state representative and reimbursement specialist. Recently, she has published four peer-review journal articles on standing programs, two on gait trainers, and two on power mobility. In 2016, Ginny was an invited visiting faculty member in Barcelona, Spain, presented at the European Academy of Childhood Disability, International Early Intervention Conference and European Seating Symposium. She is certified for General Movement Assessment, a tool which has a 92-98% success rate at identifying which 2-5 month old infants will have cerebral palsy. Ginny specializes in assessment and interventions for children at the GMFCS Levels IV and V.
The Paediatric Division is a special interest group within the Canadian Physiotherapy Association. Our membership consists of clinicians from all practice settings, students, educators, researchers, physiotherapy assistants and administrators all of whom have a passion for promoting participation and enhancing the lives of children and their families. We are dedicated to provide resources and information for paediatric patients and their families to promote participation and function independence in all aspects of life.
Paediatric physiotherapists employ clinical expertise in the early detection of health problems, treatment, education and management of congenital, developmental, neuromuscular, skeletal, cardiorespiratory or acquired disorders/diseases. Paediatric physiotherapists work with children of all ages, from infants through young adulthood to promote participation and functional independence. Paediatric physiotherapists have a unique role in that they not only work with the child, but also their families in the context of their daily home, school and recreational environment.
Paediatric physiotherapists use validated outcome measures to assess the level of strength, flexibility, gross-, and fine-motor coordination and overall functional capabilities to determine participation limitations or restrictions as a result of injury, disease or disability.
Through analysis of objective assessment findings, the paediatric physiotherapist uses evidence-based treatment interventions specifically tailored to the client and their family's goals. Treatment interventions focus on improving gross and fine motor skills, balance and coordination, strength and endurance, as well as cognitive and sensory processing/integration.
Course Material included in this course
Basic Standing and the use of Standers
Dosage and Who Should Use a Stander
The Benefits of Standers