 Children with neuromuscular disabilities and limited ambulation are at significant risk for decreased bone mineral density BMD and increased incidence of fracture. This is caused, in part, by low levels of load experienced by the skeleton due to a childs functional limitations. Low BMD has been shown to be predictive of fracture, and in fact, fractures usually occur without significant trauma in children with neuromuscular conditions. The discomfort and distress from fractures in this population are considerable, and the associated costs to the family and healthcare system are substantial. Numerous interventions have been devoted to improving BMD in these children. Stationary assisted standing devices are widely used and represent the standard-of-care. However, evidence supporting this approach is limited due to inadequate study designs with insufficient numbers of patients. 