Academic journal article British Journal of Occupational Therapy

What Is the Evidence to Suggest That Adaptive Seating Can Improve Postural Control and Upper Extremity Function in Children with Cerebral Palsy?

Academic journal article British Journal of Occupational Therapy

What Is the Evidence to Suggest That Adaptive Seating Can Improve Postural Control and Upper Extremity Function in Children with Cerebral Palsy?

Article excerpt

University of Ulster, 2007. BSc(Hons) in Occupational Therapy.

Occupational therapists regularly recommend the use of adaptive seating for children with cerebral palsy (CP) who have difficulties acquiring and retaining postural control (Wandel 2000). Children with CP benefit from postural intervention in terms of enhanced cognitive function, dexterity and communication skills: all precursors to improved learning and participation (Farley et al 2003). However, the literature shows much debate in terms of the positioning of the child's seat in order to achieve maximum postural control and consequent improved upper extremity performance.

The purpose of this study is to review and critically appraise the current literature regarding the effects of various seating positions on the postural management and upper extremity function in children with CP. A literature search was conducted using electronic databases, hand searching of relevant journals and ancestral searching from reference lists. Nine appropriate studies were identified focusing on the outcome measures of postural control and upper extremity function of children with CP in relation to different seating types, incorporating various seating inclinations and seat bases. …

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