The Vestibular System is often overlooked in the over all care of patients with Spinal Muscular Atrophy. Oral therapy, standing, swinging, laying on a massage mat, vibration etc all helps develop the vestibular system. If you build your own swing make sure you secure the swing through a ceiling joist. We purchased a single person hammock for $35.oo and use a tomato chair inside to support Shira along with a hensinger neck brace.