National Physical Therapy Examination (NPTE) Practice Exam

What type of equipment is best suited to assist a child with severe spastic quadriplegia in standing activities?

1. Prone stander

2. Upright stander

3. Supine stander

4. Mobile stander

The correct answer is: Supine stander

In the context of assisting a child with severe spastic quadriplegia in standing activities, a supine stander is most appropriate for the following reasons. A supine stander allows the child to be positioned in a supine (lying on their back) position while gradually providing the benefits of standing. This type of equipment is particularly beneficial for children who have significant difficulty with postural control and may not have the strength or balance to stand independently. The support offered by a supine stander helps with muscle elongation, can aid in reducing spasticity, and promotes proper alignment. It also allows for weight-bearing through the lower extremities in a more controlled manner, which is beneficial for bone health and can aid in sensory stimulation. For a child with severe spastic quadriplegia, other types of standers, such as prone standers or upright standers, may not provide the necessary support or control needed for safety and efficacy. Upright standers, while beneficial for strengthening and engagement, typically require more active participation and control, which may be challenging given the level of spasticity and motor control impairment in severe cases. Prone standers also place the child in a position that may not facilitate the desired standing experience