title: A randomized trial evaluation of the Oswestry Standing Frame for patients after stroke.
abstract: BACKGROUND
  Standing is believed to have benefits in addressing motor and sensory impairments after stroke. One device to facilitate standing for severely disabled patients is the Oswestry Standing Frame.
  
  
  OBJECTIVE
  To evaluate the effectiveness of the Oswestry Standing Frame for severely disabled stroke patients.
  
  
  METHODS
  A single centre, randomized controlled trial.
  
  
  METHODS
  An inpatient stroke rehabilitation unit.
  
  
  METHODS
  Patients were recruited if they had a clinical diagnosis of stroke, were medically stable and unable to achieve any score on the Trunk Control Test or unable to stand in mid-line without the assistance of two therapists.
  
  
  METHODS
  The intervention (n = 71) and control (n = 69) groups both received usual stroke unit care but the intervention group also received a minimum of 14 consecutive days' treatment using the standing frame.
  
  
  METHODS
  The primary outcome measure was the Rivermead Mobility Index (RMI). Secondary measures included the Barthel Index; the Rivermead Motor Assessment; the balanced sitting and sitting to standing components of the Motor Assessment Scale; the Trunk Control Test and the Hospital Anxiety and Depression Scale. Blind assessment was undertaken at baseline, six weeks, 12 weeks and six months post stroke. Information on resource use was also collected.
  
  
  RESULTS
  There was no statistically significant difference between groups in any of the outcome measures or for resource use. Mann-Whitney U-tests for the RMI change from baseline scores to six weeks, 12 weeks and six months post stroke were p = 0.310; p = 0.970 and p = 0.282, respectively.
  
  
  CONCLUSIONS
  Use of the Oswestry Standing Frame did not improve clinical outcome or provide resource savings for this severely disabled patient group.
authors.affiliation: School of Health Studies, University of Bradford, Bradford BD5 0BB, UK. P.J.Bagley@Bradford.ac.uk
authors.forename: Pam
authors.initials: P
authors.lastname: Bagley
authors.forename: Mary
authors.initials: M
authors.lastname: Hudson
authors.forename: Anne
authors.initials: A
authors.lastname: Forster
authors.forename: Jane
authors.initials: J
authors.lastname: Smith
authors.forename: John
authors.initials: J
authors.lastname: Young
mesh_terms: D000368:Aged; D004185:Disability Evaluation; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D008297:Male; D011187:Posture / Q000502:physiology*; D011446:Prospective Studies; D020521:Stroke / Q000503:physiopathology*; D000071939:Stroke Rehabilitation