Can Kids Stand Without Perfect Alignment?

In this episode of WheelChat, Justin and Anton sit down with Ginny Paleg and Roslyn Livingstone to unpack a deceptively simple question: when, why and how should we be getting children and wheelchair users upright? The conversation moves from early standing and hip development through to powered standing, asymmetry, risk and the real-world decisions clinicians have to make. You will hear why upright positioning matters from early childhood, why powered standing may support function but does not always replace a separate standing frame, and why “not perfectly aligned” does not automatically mean “do not stand”. The episode also covers practical setup checks including colour, oxygen saturation, breathing, pelvis and trunk alignment, foot stability, knee support, AFOs, firm footwear, knee immobilizers and cervical collar use when clinically appropriate. Ginny and Roslyn are introduced in the episode as experienced PT and OT clinicians, researchers and lead authors in standing, stepping and power mobility. Listen for the practical clinical reasoning, the myth-busting, and Justin’s plain-language summary at the end. Email us : We’d love to hear from you. If you have any questions about this podcast, please email us at [email protected] Follow us : TikTok : https://www.tiktok.com/@wheelchat_podcast Instagram : https://www.instagram.com/wheelchat_podcast/ Disclaimer: The views and opinions expressed in this podcast are solely those of Anthony and Justin.