Factors affecting prescription and implementation of standing-frame programs by school-based physical therapists for children with impaired mobility

Abstract

Purpose: The purpose of this study was to investigate factors considered in the prescription and implementation of standing-frame programs by school-based physical therapists.

Methods: A 20-item survey was mailed to 500 members of the APTA Pediatric Section and School-Based Special Interest Group. Survey questions addressed standing-frame program prescription and perceived benefits.

Results: Response rate was 77.2%. A majority of respondents rated ambulatory status for the prescription of standing-frame programs and a child's specific needs in the selection of a specific standing frame as very important. Respondents identified multiple benefits with pressure relief rated very important most frequently. More than 50% of respondents indicated social and educational benefits are very important. A majority of respondents prescribed standing-frame programs for 30-45 minutes daily.

Conclusions: Variation does exist, but the majority of school-based physical therapists agree on several key factors in the prescription and implementation of standing-frame programs.