The Effects of Sitting Positions on Trunk Extension for Children with Motor Impairment

Miedaner, James A.

doi:10.1097/00001577-199002010-00003

Cited by 17 publications

(23 citation statements)

References 4 publications

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“…Therefore, before designing adaptive seating systems, children's clinical type of CP, extremity involvement, severity of involvement, and individual differences should be considered. 6,9,30,[32][33][34] In the present study, we decided to use the horizontal plane to perform all evaluations. There was a significant difference between SC and the other seating systems when head control was evaluated in a horizontal position.…”

Section: Discussionmentioning

confidence: 99%

Effects of different seating equipment on postural control and upper extremity function in children with cerebral palsy

Sahinoğlu

Coşkun

Bek

2017

Prosthetics &Amp; Orthotics International

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Although custom-made orthosis fabrication is time consuming, it is still recommended since it is custom made, easy to use, and low-cost. On the other hand, the adjustable seating system can be modified according to a patient's height and weight. Clinical relevance It was found that Gross Motor Function Classification System Level 4 children benefitted most from the seating support systems. It was presented that standard chair is sufficient in providing postural alignment. Both custom-made orthosis and adjustable seating system have pros and cons and the best solution for each will be dependent on a number of factors.

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Section: Discussionmentioning

confidence: 99%

Effects of different seating equipment on postural control and upper extremity function in children with cerebral palsy

Sahinoğlu

Coşkun

Bek

2017

Prosthetics &Amp; Orthotics International

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“…Three grade A recommendations resulted from the systematic review, each from studies that examined the relatively immediate effects of adaptive seating in a controlled setting. These studies found a positive effect of adaptive seating on pulmonary function, 14 active trunk extension, 15 and scores on the Bayley Mental Scale. 16 Grade B recommendations came from a thesis abstract 17 that reported no short-term effects of adaptive seating on reaching.…”

Section: Adapted Seating For Children With Cpmentioning

confidence: 92%

Review of selected physical therapy interventions for school age children with disabilities

Effgen¹,

McEwen²

2008

Physical Therapy Reviews

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Objectives: According to the United States Individuals with Disabilities Education Improvement Act of 2004 (PL 108-446), 1 physical therapy for children with disabilities should be 'based on peer-reviewed research to the extent practicable'. This is consistent with the current strong emphasis on evidence-based practice in physical therapy. The purpose of this paper is to report on those physical therapy procedural interventions used for children with disabilities that have been the topic of a systematic review. Methods: Systematic reviews of common physical therapy interventions used with school age children with disabilities were located by searching several databases. Results: Fifteen systematic reviews of the following interventions were found: adapted seating for children with cerebral palsy; conductive education; constraint-induced movement therapy; lower extremity casting, orthoses and splints for children with neurological disorders; neurodevelopmental treatment; partial body weight supported treadmill training; passive stretching to improve range of motion; strengthening for children with cerebral palsy; and weight-bearing interventions for children with cerebral palsy. The findings of these reviews are summarised. Discussion: The body of peer-reviewed research in physical therapy available to provide guidance for decisions about services for children with disabilities is limited. The newest interventions appear to have the strongest and most recent research support. In contrast, traditional, common interventions for children with disabilities, such as neurodevelopmental treatment and passive range of motion, have been the focus of sufficient research to justify systematic reviews, but have little evidence to support their effectiveness. Areas for further research are indicated.

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“…Additional seat configurations and postures were included in the studies of Nwaobi et al . 17 Miedaner, 18 Pellow, 6 Vaisbuch et al ., 7 Janssen-Potten et al . 19 and Hobson.…”

Section: Resultsmentioning

confidence: 99%

“…In some of the studies on the effects of an anterior seat tilt the intervention comprised a forward tilt of the seat base without additional support about the pelvis or trunk. 18 23 26 The variation in findings between studies may be because protocols did not control for other influences on posture.…”

Section: Discussionmentioning

confidence: 99%

Tilted seat position for non-ambulant individuals with neurological and neuromuscular impairment: a systematic review

2007

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Objective: To determine the effects of tilt-in-space seating on outcomes for people with neurological or neuromuscular impairment who cannot walk. Data sources: Search through electronic databases (MEDLINE, Embase, CINAHL, AMED). Discussions with researchers who are active in field. Review methods: Selection criteria included interventional studies that investigated the effects of seat tilt on outcome or observational studies that identified outcomes for those who had used tilt-in-space seating in populations with neurological or neuromuscular impairments. Two reviewers independently selected trials for inclusion, assessed quality and extracted data. Results: Nineteen studies were identified which fulfilled the selection criteria. Seventeen of these were essentially before-after studies investigating the immediate effects of tilting the seating. All studies looked at populations with neurological impairment, and most were on children with cerebral palsy (n ¼ 8) or adults with spinal cord injury (n ¼ 8). Reviewer's conclusion: Posterior tilt can reduce pressures at the interface under the pelvis.

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The Effects of Sitting Positions on Trunk Extension for Children with Motor Impairment

Cited by 17 publications

References 4 publications

Effects of different seating equipment on postural control and upper extremity function in children with cerebral palsy

Effects of different seating equipment on postural control and upper extremity function in children with cerebral palsy

Review of selected physical therapy interventions for school age children with disabilities

Tilted seat position for non-ambulant individuals with neurological and neuromuscular impairment: a systematic review

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