Adaptive Seating Systems for Cerebral Palsy: Systematic Review Endorses Benefits скачать в хорошем качестве

Adaptive Seating Systems for Cerebral Palsy: Systematic Review Endorses Benefits

JUMLA, NEPAL—A large systematic review of adaptive seating systems has concluded that their use is likely to bring benefit for improving sitting position, postural control and seated activity performance in children with cerebral palsy. The findings are published in the journal: Pediatric Physical Therapy (Pediatr Phys Ther 2023;000:1–0). Low-cost systems including those designed and produced in less well-resourced settings were generally found to be just as effective as more costly seating structures, though first author Bishnu Dutta Acharya PT, MSc, Department of Physical Therapy, Karnali Academy of Health Sciences, Chandanath Municipality, Jumla, Karnali, Nepal, said randomized studies were still needed to confirm the benefits. Dr. Acharya talked with Pediatric Physical Therapy’s Peter Goodwin. JOURNAL TITLE: “Effect of Adaptive Seating Systems on Postural Control and Activity Performance: A Systematic Review” AUTHORS: Bishnu Dutta Acharya, PT, MSc; Arpita Karki, PT, MSc; Saipin Prasertsukdee, PT, PhD, MSc; Darren Reed, PT, PhD; Lal Rawal, PhD, MPH; Prem Laxmi Baniya, BPH; Roslyn N. Boyd, PhD, MSc (Physio), Pgrad (Biomech) INSTITUTIONS: Department of Physical Therapy (Mr Acharya), Karnali Academy of Health Sciences, Jumla, Nepal; Community-Based Rehabilitation (Ms Karki) International Nepal Fellowship, Mugu, Nepal; Faculty of Physical Therapy (Dr Prasertsukdee), Mahidol University, Salaya, Thailand; School of Medical Sciences (Dr Reed), Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; School of Health, Medical and Applied Sciences (Dr Rawal), Central Queensland University, Sydney, Australia; Nepal Health Research Council (Ms Baniya), Kathmandu, Nepal; Queensland Cerebral Palsy and Rehabilitation Research Centre (Dr Boyd), Faculty of Medicine, The University of Queensland, Brisbane, Australia. PURPOSE: To systematically review the effectiveness of adaptive seating systems on sitting posture, postural control, and seated activity performance in children with cerebral palsy (CP).Summary of Key Points: From 5 databases, 3 of 21 (14%) articles were of good quality based on the Downs and Black checklist. Commercial modular contoured seating and paper-based low-cost, and contoured foam seating were effective at improving sitting posture, postural control, and seated activity performance. Parents and service providers reported that seating systems reduced stress, burden and psychosocial well-being, and quality of life in children with CP. Conclusion: Limited evidence demonstrated that adaptive seating systems were effective at improving sitting ability and postural control. Randomized controlled trials with objective outcome measures of seating performance in children with CP are needed to evaluate effectiveness.Recommendations for Clinical Practice: Adaptive seating devices are preferred by parents and therapists for children with CP; however, objective measures of seating outcomes are needed. (Pediatr Phys Ther 2023;000:1–0)Key words: adaptive seating systems, cerebral palsy, children, postural control, seated activity performance, sitting posture FIRST AUTHOR： Bishnu Dutta Acharya, PT, MSc, Department of Physical Therapy, Karnali Academy of Health Sciences, Chandanath Municipality, Jumla, Karnali, Nepal (mugaliacharya@gmail.com).