Eficacia de los programas de bipedestación pasiva en niños con parálisis cerebral: una revisión sistemática

Supported‐standing interventions for children and young adults with non‐ambulant cerebral palsy: A scoping review

“…13,14,39,43 Nine systematic review authors disclosed funding or gave an explicit statement regarding conflict of interest (COI) 13,14,[16][17][18][19]36,39,40 but none commented on funding or COI within their included studies (see Appendix S3 for details). Systematic reviews examined evidence in populations relevant to our review for the impact of supported standing on BMD, [13][14][15][16][17]20,[36][37][38][39][40][41][42][43] ROM, [13][14][15][16][17]20,36,39,41,42 hip stability, 13,16,[18][19][20]36,41 spasticity, 13,14,17,39,40 bowel function,…”

“…Similarly, Novak et al 16 concluded that based on these two systematic reviews, postural management to prevent hip displacement merits a weak positive recommendation above the ‘worth it’ line. More recent systematic reviews either did not include Martinsson and Himmelmann's first study due to the influence of surgical intervention, 20 or had different inclusion criteria and reported evidence as contradictory 41 …”

“…More recent systematic reviews either did not include Martinsson and Himmelmann's first study due to the influence of surgical intervention, 20 or had different inclusion criteria and reported evidence as contradictory. 41 In the follow-up study, Martinsson and Himmelmann concluded that standing in 60-degree hip abduction (30 degrees bilaterally) changed displacement trajectory and reduced migration percentage for 16 study participants compared to 160 controls matched for age, GMFCS level, and follow-up time. 61 However, standing dosage was unknown for controls while study participants were consistently standing 60 to 90 minutes, 7 days a week and there may have been differences other than angle of abduction between the groups.…”

“…In total, 59 citations met the inclusion criteria: 16 systematic reviews; [13][14][15][16][17][18][19][20][36][37][38][39][40][41][42][43] 17 intervention studies reporting over 18 citations; [44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61] eight analytical cross-sectional studies; [62][63][64][65][66][67][68][69] five descriptive cross-sectional/survey studies; [70][71][72][73][74] five qualitative studies; [75][76][77]…”

Efectividad De Los Bipedestadores en La Prevención De La Luxación De Cadera De Niños Con Parálisis Cerebral

“…La parálisis cerebral (PC) se define como un trastorno del movimiento y postura, el cual consiste en una serie de desórdenes permanentes, que afectan diversas áreas del cuerpo, como el rango de movimiento músculo esquelético y la postura, causando limitación funcional y un atraso en el desarrollo del niño (Shankar y Mundkur, 2005 ;Occhipintti y Mendoza, 2018). Además, dependiendo de qué parte del encéfalo este afectada se clasifica en tres tipos, parálisis espástica, parálisis atáxica y parálisis disquinética o distónica (atetosis, coreoatetosis, distonía) (Merlo y Famoaga,2018).…”