The standing promotes bone density and reduces the risk of fractures.
Bone density is an indicator of 'bone strength'. More bones are strong and more are resistant to fractures.
A normal bone growth is the result of a balance between proper nutrition, the right amount of load on the bones against gravity, and use of the muscles.
Multiple studies have found that children, whose medical history does not have these features, gradually lose bone density.
The same studies suggest to use the standing to perform a program with whom reach a statistically significant effect on reducing the loss of bone density in the lower limbs and pelvis, a long-term outcome in patients with spinal cord injury.
The standing lengthens the muscle chains, preventing the formation of retractions
When children whose weakness or instability makes them not being able to stand independently, are exposed to a high risk of muscle shortening contracture which flexes the hip, or the hip and the knee, or flexes the knee and holds the foot in 'equinus'.
Even here multiple studies, while having different designs between them, all reported some level of improvement with respect to motor skills, the reduction of spasticity or the increased articulation.
The standing facilitates respiratory function and voice output
When we inhale, the muscles thin separating the chest cavity from the abdomen (diaphragm) is shortened while contracting, allowing the lungs to draw the air.
When we exhale it's exactly the opposite.
So when we assume the upright posture the diaphragm has more space to expand and contract, with the result that we can breathe more easily, more deeply and efficiently.
Also with upright posture increases consequently vocalization and use of language in general.
The standing improves cardio-circulatory function
An effective circulation is closely linked to the respiratory, giving an important supply of oxygen to the blood and determine the effective pumping activity of this oxygenated blood to the rest of the body, which is essential to maintain good health.
Several articles published in scientific journals between 1964 and 2007 report, among the cardio-circulatory benefits associated with the use of a stabilizer in an upright posture, an increased blood pressure, an increased heart rate, a reduction of possible edema of the feet and of the lower limbs.
The standing helps digestion, bowel function and bladder emptying
The use of a 'Standing device' is considered to be of significant help for digestion and intestinal emptying, thanks to the combination of several factors including the force of gravity, the activation of the musculature of the stomach.
In particular, seven studies, from 1990 to 2007 who observe the digestive function and bowel function, signal an improvement up to 53% in the regularization and the time required for emptying the bowel.
Furthermore, a study reported by Paleg (2008) showed in a group of patients an increase of 2-3 times bladder pressure thanks to a vertical of 60 ° instead of a supine position, which shows that the more verticalized is the posture, the more efficient is the awareness of the bladder pressure and emptying of the same.
The standing helps the formation of the hip joint
Even under this aspect several studies show the prevention of subluxation and dislocation of the hip, in general, an improvement in maintaining the integrity of the hip.
The standing encourages children to interact 'face to face' with their peers
Perhaps the most important benefits analyzed here, although there is still no specific research on the subject, every single clinical report on the use of standing, shows the appearance of the interaction'' face to face'' as the most significant psychological benefit both from the point of view of social interaction, communication and educational opportunities.Not only that, the standing device helps the patient to eliminate the ancestral fear of falling, allowing the individual to focus on the ability of learning and social interaction.
Miles (2010) noted that the use of the standing enables children with several motor impairment, to carry out lot of activities in circumstances as similar as possible to those of non-disabled children.
In addition, this face to face interaction is closely related to the increase in confidence, self-esteem and self-perception.
The standing device prevents the onset of skin damages resulting from prolonged sitting
When you sit for a long time, the ischial tuberosities and other bony prominences such as the sacrum, may solicit and determine abnormal pressures, in the medium and long term injuries to the skin.
In the upright position oxygenated blood can more easily reach the tissues that are usually subjected to such pressures.
In particular, a study of Paleg of 2008 identifies four studies published between 1998 and 2001 showing that 19% of the analyzed subjects with spinal cord injury reported fewer episodes of sores and in general an improved skin integrity.
The standing frame improves wellness, attention and facilitates the acquisition of the sleep-wake rhythm
It is difficult to separate the benefits of standing on a psychological level, because in fact they are all closely related to each other.
Further research, published between 1999 and 2002 report an increased alertness, feeling of wellbeing, improved quality of life and sleep, and a decrease in fatigue.
Clinical Reports of Labandz (2011), Dobrich (2010), Miles (2010), Smith (2010) and Krueger (2010) report an increased level of excitement intended as active surveillance.
Smith and Krueger add that in the standing position, control of pathological reflexes such as the asymmetrical tonic neck and tonic labyrinthine is better, and as a result the organization of sensory-motor, comfort and attention are optimized.
Hicks noted as a secondary consequence of the use of standing a better quality of sleep.
The standing frame and daily activities
Every single physiological benefit of standing frame is closely related to the other and together they help to promote psychological well-being of the patient, especially children.
Together these benefits can stimulate and improve significantly the performance of activities of daily living.
Multiple testimonies report that the use of standing has helped subjects in activities of daily living and in particular those relating to personal hygiene.
Furthermore, a study of Paleg 2008 pointed out a facilitation in the positioning of the upper limbs and improved hand function and the function of reaching.