The ambiguity of standing in standing devices: a qualitative interview study concerning children and parents experiences of the use of standing devices

Physiother Theory Pract. 2014 Oct;30(7):483-9. doi: 10.3109/09593985.2014.900838. Epub 2014 Mar 27.

Abstract

Aim: The aim of this study was to describe children's and parents' experiences of the significance of standing in a standing device.

Methods: Individual interviews were performed with six children/teenagers (aged 7-19 years) and 14 parents. The interviews were transcribed and analyzed using a qualitative content analysis.

Findings: The analysis resulted in the major theme, the duality of uprightness and the related themes: (1) the instrumental dimension of standing; (2) the social dimension of standing; and (3) the ambivalent dimension of standing. Each of the themes comprised several subthemes.

Conclusions: There is an inherent duality related to the use of a standing device. Standing in a standing device was seen as a treatment of body structures and functions, as well as a possible source of pain. Standing was considered to influence freedom in activities and participation both positively and negatively. The parents experienced that standing influenced other peoples' views of their child, while the children experienced standing as a way to extend the body and as something that gave them benefits in some activities. Physiotherapists working with children should take into account both the social and physical dimensions of using a standing device and consider both the child's and the parents' views.

Keywords: ICF; qualitative research method; standing.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adolescent Behavior*
  • Adult
  • Child
  • Child Behavior*
  • Chromosome Aberrations
  • Equipment Design
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Interviews as Topic*
  • Male
  • Nervous System Diseases / diagnosis
  • Nervous System Diseases / physiopathology
  • Nervous System Diseases / psychology
  • Nervous System Diseases / rehabilitation*
  • Orthopedic Equipment*
  • Parents / psychology*
  • Posture*
  • Qualitative Research
  • Social Behavior
  • Surveys and Questionnaires
  • Wheelchairs*