Benefits of standing

Standing frames are also used to reduce spasticity or tone in the legs. They may positively influence head and trunk control and could potentially improve various functions, such as postural support, visual skills, upper limb coordination and oral motor skills. Supported standing provides stable trunk support, making fine motor tasks easier to perform and allowing children to engage in activities without focusing on maintaining balance and posture. Over time, consistent use of a standing frame may also enhance the child’s overall ability to stand.

Children with disabilities often spend significant time sitting, which can negatively impact cardiovascular health. Standing offers a way to break up prolonged sitting and serves as a form of exercise for wheelchair users, especially when combined with activities. For example, playing ball or keeping a balloon in the air while standing can increase energy use and make movement enjoyable. Additionally, standing and increased activity may positively affect bladder and bowel function.

Abduction and hip development

Some standing frames allow for children to stand in abduction. Standing in abduction appears to reduce the risk of hip migration by promoting hip joint stability. This position applies force to the acetabular growth plate, encouraging joint development, particularly during early childhood when bones are most malleable.

Additionally, standing in abduction helps to preserve the length of adductors and hamstrings, reducing the risk of contractures and supporting overall hip health.

Making standing meaningful

For a child to truly benefit from using a standing frame, it must be engaging and meaningful. How and when they stand matters. If standing becomes just another task, it can feel boring, frustrating or even pointless. But when the activity is meaningful and engaging, standing can become a positive and enjoyable part of their day. Children are naturally curious and motivated by activities that interest them. Motivation grows when they feel capable, have choices and connect with others. For example, a child who loves drawing might enjoy standing more if they can use a tray to sketch while upright. Another child might be excited to stand if it means helping to stir pancake batter or playing a board game with family. When standing aligns with a child’s personal goals and interests, it becomes more than just a task, it becomes an opportunity for joy and growth.

Motivated children are more likely to explore, try new things and participate in social and educational activities. This kind of engagement supports both cognitive and emotional development, while also building confidence and a sense of ownership over their progress. Confidence is key to fostering independence. When children experience success, no matter how small, they begin to believe in their own abilities. This belief encourages them to take the initiative, try new things and manage tasks on their own.

Standing also provides opportunities for social interaction and guided participation, which are essential for developing independence and life skills. When children take part in activities such as cooking, playing with peers or participating in classroom tasks, they learn how to make choices, take initiative and contribute meaningfully to their environment. These experiences help children transition from being passive recipients of care to active participants in their own lives. By combining motivation, meaningful activities and opportunities for participation, standing can become a powerful tool for building both confidence and independence.