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Related Experiment Video

Updated: Jun 16, 2026

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
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Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability

Published on: September 18, 2020

Inconsistent Weight-Bearing in Standing Frames for Children with Cerebral Palsy: A Reliability Study Using Objective

Laerke Hartvig Krarup1,2, Helle Mätzke Rasmussen3,4, Morten Bøgelund Pedersen1

  • 1Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

Physical & Occupational Therapy in Pediatrics
|June 15, 2026
PubMed
Summary

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Weight-bearing load in standing frames for children with cerebral palsy (CP) showed moderate reliability but significant variability between therapists. Objective feedback may improve consistency in clinical practice.

Area of Science:

  • Rehabilitation Engineering
  • Pediatric Physical Therapy
  • Biomedical Measurement

Background:

  • Limited knowledge exists regarding weight-bearing load in standing frames, impacting therapeutic consistency and outcomes.
  • Variability in application and results necessitates investigation into objective measurement methods for standing frame use in children with cerebral palsy (CP).

Purpose of the Study:

  • To investigate the inter-rater reliability and agreement of weight-bearing load measurements during standing frame sessions in children with CP.
  • To assess the consistency of weight-bearing load data collected by different raters in an educational setting.

Main Methods:

  • Eighteen children with CP (GMFCS III-V, aged 3-17 years) participated in three 10-minute standing frame sessions.
  • Weight-bearing load was measured using integrated force-plate devices, with data blinded to the supervising physiotherapist and education staff.
Keywords:
Cerebral palsyforce-plate monitoringpostural managementstanding framessupported standingweight-bearing

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Last Updated: Jun 16, 2026

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  • Inter-rater reliability was analyzed using intraclass correlation coefficients (ICC), and agreement was assessed via a modified Bland-Altman approach (LOAM).

    • Main Results:

    • Moderate inter-rater reliability was found across all sessions (ICC = 0.64).
    • A wide Limits of Agreement with the Mean (LOAM) of ±14.2% indicated substantial variability between raters for the same child.
    • These findings highlight inconsistencies in clinical practice regarding weight-bearing load during standing frame use.

    Conclusions:

    • Standing frame weight-bearing load measurement demonstrates moderate reliability but significant between-rater variability.
    • Objective feedback systems could offer a feasible solution for real-time load monitoring and standardization of standing frame use.
    • Further research is required to determine if objective monitoring enhances clinical outcomes in pediatric CP rehabilitation.