Experience and documentation
Both children who used the dynamic stander showed increases in bone mineral density, versus only one of the children who used the static stander.
22 children with severe cerebral palsy was included in the study. 11 underwent treatment using a Hart Walker (HW) device, and the other 11 underwent a passive standing program. Children exposed to the HW improved bowel function, and were able to take steps independently in the device. Providing a child who is nonambulatory the opportunity to walk may be important both for participation in activities of daily living and social roles and for preventing secondary conditions.
A pre-/post- test prospective one-group study evalutated outcomes three years after receiving the David Hart Walker Orthosis. The Hart Walker Orthosis remained the sole walking device for 13 of 20 children at 3 years and demonstrated improved ability overall to manoueuvre it during functional ambulation. Six of seven children who discontinued use were over 12 years old and had outgrown its maximum size.
78 children with CP with little or no trunk control were able to walk with the NF-Walker with moderate to no assistance. An increase in body function and activity according to the ICF was achieved.
The NF-Walker helps children with multiple disabilities who, without the device, would need strong guidance and/or support from a helper to walk. The NF-walker enables the child to coer longer distances, as a result of which walking is increased and the walking sequence can more easily be automated. This intensive walking increases muscle strength in both legs and upper body. There is also a positive impact on hip mauration, as this requires standing and walking stimuli.
Experience with the NF-Walker in an institution. The NF-Walker offers the safety the children need and enables progress both in their motor and their socio-emotional development.
According to the results attained in our study, we find that the NF-Walker is a higlyrelvant helping aid for children with spastic CP, GMFCS V. There is a high degree of satisfaction amongst parents, related to technological aspects, adjustment to their needs and autonomy granted; therfore it is overall a good option to be prescribed by rehabilitation doctors for these patients.
The NF-Walker offers children the possibility to experience standing independently, both still and moving. The device guarantees a correct body alignment, allowing the lower limb flexor muscles to stretch and improving head control and trunk stability.