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Lower Extremity Range of Motion Measurements Following Discontinuation of Standing Frame Programs for Non-ambulatory, Institutionalized Children with Multi-handicapping Conditions

1 May 2001


Background and purpose: Our purpose was to determine the effect that standing frame programs have on lower extremity joint range of motion. We measured bilateral hip extension, hip abduction, knee extension and ankle dorsiflexion.

Methods: Six children between the ages of 8 and 17 years, who were residents of a long-term care facility, served as subjects. All subjects were non-ambulatory, had multiple medical conditions, and participated in a passive standing program for at least one hour per week. A baseline recording of each subject's joint range of motion was taken. Following discontinuation of their standing frame programs, re-measurements of the above joints were made on a weekly basis, using a clear plastic goniometer.

Results: Left hip extension and bilateral ankle dorsiflexion showed a statistically significant increase in range of motion. The other five joint motions showed no significant change.

Discussion and conclusion: Overall the subject pool was too small and not homogenous enough to make any conclusions. However, there was very limited support that discontinuing standing frame programs resulted in a decrease in range of motion.


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