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Sep 19, 2025 - 12:10 PM
The Medifab Client Data Assessment Form for Standing Frames is a tool designed to assist clinicians in assessing clients for the prescription of standing frames. It gathers information systematically to support appropriate product selection for the client. Some key considerations when using this tool include:
1. **Diagnosis & Condition:** Understanding the client's diagnosis, expected progression or regression in skills, and the need for a multipositional standing frame for future-proofing.
2. **Hearing, Vision, and Communication:** Considering the client's communication needs, impairments in hearing or sight, and the use of communication aids during the trial.
3. **Respiration:** Assessing any risks associated with increasing cardiorespiratory demand during standing and monitoring work of breathing and SpO2 levels.
4. **Sensation:** Monitoring lower limb position and pressure for clients with impaired sensation or inability to communicate pain/discomfort.
5. **History of PI and Pain:** Addressing active pressure injuries, history of pain, and the need for pain management strategies during standing.
6. **Hip Health:** Evaluating the risk of hip displacement, especially in clients with certain diagnoses, and seeking clearance from Orthopaedic teams if necessary.
7. **Previous Orthopaedic Surgery/Planned surgery:** Understanding how recent or planned surgeries may impact weightbearing status and frame selection.
8. **Fracture History & Known Osteoporosis:** Assessing any history of fractures or osteoporosis to ensure safe standing practices.
9. **Subjective Assessment:** Considering previous standing frame use, environmental factors, transfers, orthotic use, client/family concerns, and expectations.
10. **Pelvis, Hips, Knees, Ankle, Shoulder, and Tone:** Evaluating the client's musculoskeletal health, range of motion, and muscle tone to inform frame selection and set-up.
11. **Observation:** Noting any asymmetries, leg length discrepancies, trunk positions, head control, spasms, or dystonia observed during assessment.
12. **Functional Assessment:** Assessing head control, sitting ability, and standing ability to determine the appropriate type of standing frame or alternative weightbearing device/method.
13. **Key Measurements:** Recording necessary measurements for selecting the correct size standing frame.
14. **Requests for Trial:** Summarizing the desired type of standing frame, brand, features, and accessories needed for a trial based on the assessment findings.
By considering these factors and completing the assessment form thoroughly, clinicians can make informed decisions regarding the prescription of standing frames for their clients.
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