ABSTRACT

This chapter deals with encouraging basic movement of a child. As a good starting point, move the child from one position to another for example, from lying on the back to the front. They found that there was consistency in the prescription of standing frames, but it was not always possible to achieve the prescribed use. Goodwin subsequently explored young people's positive and negative experiences, and their attitudes regarding the use of the standing frames. It gives the child the experience of typical positions, symmetry, use of hands and prevention of contractures, but also there is a possibility of breathing difficulties or aspiration, difficulty in transitioning to other positions, limited visual field and decreased functional use of the body and limbs. Pountney emphasised the importance of: a symmetrical position, even load bearing under the area of support, a neutral or anteriorly tilted pelvis with neutral joint positions and a stable base that provides a starting point for movement.