Effects of the hip abduction orthosis on muscle activity in children with Cerebral Palsy

Ekblom, Berit; Myhr, Ulla

doi:10.1080/09593980290058427

Cited by 8 publications

(25 citation statements)

References 19 publications

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“…and 23 were assessed by McDonald and Surtees . All but one study applied single‐group designs in which participants served as their own control.…”

Section: Resultsmentioning

confidence: 99%

“…Ekblom and Myhr evaluated the effect of a hip abduction orthosis. The study could not demonstrate an effect of the orthosis on upper extremity function, either in the domain of body functions or in the activities domain.…”

Section: Resultsmentioning

confidence: 99%

“…The same held true for the effect of the type of CP. The studies either did not include sufficient information on the type of CP or included only children with one type of CP . Only the study of McDonald and Surtees specified the presence of two types of CP in the study group.…”

Section: Resultsmentioning

confidence: 99%

“…Three of the four studies that addressed outcome in terms of upper extremity function (Tables ) evaluated outcome in the activity domain. Only the study by Rigby et al .…”

Section: Resultsmentioning

confidence: 99%

“…We did not exclude studies using a single-subject research design (SSRD) as recommended by the AACPDM. 21,24 Seventeen original studies [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]43 met all inclusion criteria. These 17 articles were reviewed in detail with two aims: (1) to assess methodological quality and (2) to evaluate the specifics of the AdSSs and their effects on the functions of children at all levels of the ICF-CY.…”

Section: Study Selectionmentioning

confidence: 99%

See 4 more Smart Citations

Adaptive seating systems in children with severe cerebral palsy across International Classification of Functioning, Disability and Health for Children and Youth version domains: a systematic review

Angsupaisal

Maathuis

Hadders‐Algra

2015

Develop Med Child Neuro

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AIM The aim of this study was to systematically review the effect of adaptive seating systems (AdSSs) in young people less than 19 years of age with severe cerebral palsy (CP), with particular focus on child-related outcomes across all components of the functioning and disability domains of the International Classification of Functioning, Disability, and Health for Children and Youth version (ICF-CY).METHOD Literature searches of studies published from 1975 to October 2014 were performed.Methodological quality and the risk of bias were analysed using Sackett's level of evidence, the American Academy for Cerebral Palsy and Developmental Medicine guidelines, and Mallen criteria for observational studies.RESULTS Nine studies fulfilled the selection criteria. All studies had level IV evidence and were of moderate methodological quality. The results focused on the effects of AdSSs on postural control and on upper extremity function and on additional child-related outcomes. The results suggested that AdSSs that include trunk and hip support devices may improve postural control outcomes, and that special-purpose AdSSs may improve self-care and play behaviour at home. INTERPRETATIONBecause of a low level of evidence and the moderate methodological quality of the studies available, no robust conclusions can be drawn. Nevertheless, the data suggest that AdSSs may be able to improve activity and participation at home among children with severe CP. More studies of high methodological quality addressing the effect of AdSSs on activity and participation are urgently needed. Suggestions for future research are provided.Adaptive seating systems (AdSSs) are part of the postural management programme recommended in multifaceted guidance for children with severe cerebral palsy (CP). 1,2The survey of the Surveillance of Cerebral Palsy in Europe (SCPE) 3 showed that about 40% of children with CP have a severe form of CP, which means that their gross motor function is classified in level IV or V according to the Gross Motor Function Classification System (GMFCS). 4Children with severe forms of CP face serious limitations of functioning, activity, and participation. The functional limitations are apparent from the children's mobility. Children classified in GMFCS level IV usually function in supported sitting with limited self-mobility. They require adaptive seating, which provides support at the level of the pelvis and trunk, and they need physical assistance for most transfers. 4,5 Children functioning in GMFCS level V have severe limitations in pelvis, trunk, and head control.5 They typically require a seating system which provides support for head, trunk, pelvis, and legs, and they depend on adult assistance for mobility and self-care throughout the day. 4,5Their severe postural dysfunction 5 interferes significantly with activities of daily living, such as eating, playing, dressing, and undressing; it also restricts their participation, such as their interaction with friends or family members. 4,6,7 Adaptive seating for children...

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“…and 23 were assessed by McDonald and Surtees . All but one study applied single‐group designs in which participants served as their own control.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Three of the four studies that addressed outcome in terms of upper extremity function (Tables ) evaluated outcome in the activity domain. Only the study by Rigby et al .…”

Section: Resultsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

See 3 more Smart Citations

Adaptive seating systems in children with severe cerebral palsy across International Classification of Functioning, Disability and Health for Children and Youth version domains: a systematic review

Angsupaisal

Maathuis

Hadders‐Algra

2015

Develop Med Child Neuro

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Effects of forward tilted seating and foot-support on postural adjustments in children with spastic cerebral palsy: An EMG-study

Angsupaisal

Dijkstra

Gemert

et al. 2019

European Journal of Paediatric Neurology

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Functional Seating for School-Age Children With Cerebral Palsy: An Evidence-Based Tutorial

Costigan

Light

2011

LSHSS

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Seating intervention may produce positive body structure and function, activities, and participation effects for school-age children with CP when appropriate equipment is provided for weight bearing, the pelvis is positioned for stability and mobility, and the body is properly aligned. SLPs can support functional seating for school-age children with CP by communicating with professionals with seating expertise and by invoking and monitoring recommended guidelines for children with basic and complex seating needs, respectively.

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Effects of the hip abduction orthosis on muscle activity in children with Cerebral Palsy

Cited by 8 publications

References 19 publications

Adaptive seating systems in children with severe cerebral palsy across International Classification of Functioning, Disability and Health for Children and Youth version domains: a systematic review

Adaptive seating systems in children with severe cerebral palsy across International Classification of Functioning, Disability and Health for Children and Youth version domains: a systematic review

Effects of forward tilted seating and foot-support on postural adjustments in children with spastic cerebral palsy: An EMG-study

Functional Seating for School-Age Children With Cerebral Palsy: An Evidence-Based Tutorial

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