Lewis
Lewis maintains a standing programme in school with the Leckey Horizon Stander
Clinical Assessment


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Approach
Due to Lewis’s clinical needs, age and size, his therapist considers the Horizon stander to be the most appropriate for him. Due to Lewis’ specific postural needs, some compromises were required in the setup of his standing frame. Lewis’ anterior tilt and lumbar lordosis required additional support from a roll, and as a result, the back rest could not be set at the optimum height.
Outcome
After setting up the standing frame for Lewis, he gained a symmetrical position with reduced thigh abduction. His knee and ankle contractures were successfully accommodated, and improved lateral support of his trunk enabled shoulder girdle stability and thus better hand function. Lewis reports that being upright helps his respiration, as lying flat or placed in a reclined positon can result in a build-up of secretions. Lewis may also benefit from longer pelvic laterals to give increased support around his ASIS, with the aim of promoting a more neutral position of his pelvis. If this could be achieved, it would alleviate the discomfort caused by his lumbar lordosis.
However, in the meantime, Lewis is able to continue his regular standing programme of up to forty minutes per session – something he has been able to sustain for the past two years.