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February 2010

Cerebral Palsy Peacenick practicalities: taming the Standing Frame

Jackie Chan dream did not help …

I tried to write some quick and short comments to the Part 2 of “Cerebral Palsy Peacenick Toolbox: How to use the Standing Frame correctly” – and it did not work…

I tried for a few days but whatever I began writing turned out into a long manuscript with tons of facets and angles – nothing short and punchy Jackie Chan style…

So I have no other option left but to be descriptive.

Part 2 “Cerebral Palsy Peacenick Toolbox: How to use the Standing Frame correctly” discusses:

·       What negatives effects occur when the placement of spastic individual into the standing frame is done in too ‘hawkish’ way;

·       How the negatives accentuate when the angle of the standing frame is adjusted following simplistic ‘the more vertical the better’ mindset;

·       How to get the 1st Win and  adjust the preliminary position of fixing a child with cerebral palsy in the frame – so that a child enjoys the social, emotional and sensory benefits with minimal or none of ‘biomechanical tax’.

·       How to get the 2nd Win and to find the optimal angle that minimizes the pivotal overload factor and maximizes the positive axial impact of ground reaction force.

·       How to get a Bonus – 3rd Win – shall I keep some suspense? …

I hope you’ll find the video informative and I also hope that you will re-watch the 1st video after watching the Part 2 – a lot of theoretical concepts will be a lot clearer after seeing the example.

At the same time I want to highlight that despite the successful adaptation of a standard standing frame for the case in the video – the exact ways of positional adjustment of this quadriplegic boy in the standing frame  are not universally applicable for the other CP kids.

I do hope that you interpret this video as the illustration of a PRINCIPLE not a collection of moves that should be ‘copy-pasted’.

Depending on the size of a child; angle of the pelvic tilt; muscular imbalance in the upper leg and relative position of the feet – the specific adjustments might vary.

However, the principles of minimizing the muscular loads remain. .


P.S. I asked for questions in the previous posts and did not receive much yet. Scratching my head while trying to figure out why (that’s how I got bald in first place – too much thinking and head scratching…)

P.P.S. Here are the links for downloading:

CP Peacenick Practicalities– Standing Frame: Part 1

http://www.screencast.com/t/M2QzZWI3ZTg

CP Peacenick Practicalities– Standing Frame: Part 2

http://www.screencast.com/t/ZDM3ZWNkNT