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

Michael, S, Porter, D and Pountney, TE (2007) Tilted seat position for non-ambulant individuals with neurological and neuromuscular impairment: a systematic review Clinical Rehabilitation, 21 (12). pp. 1063-1074. ISSN 0269-2155

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Abstract

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 = 8) or adults with spinal cord injury (n = 8). Reviewer's conclusion: Posterior tilt can reduce pressures at the interface under the pelvis.

Item Type:Journal article
Subjects:B000 Health Professions > B600 Health Research
DOI (a stable link to the resource):10.1177/0269215507082338
Faculties:Faculty of Health and Social Sciences > School of Health Professions
ID Code:6015
Deposited By:editor health
Deposited On:27 Oct 2009
Last Modified:16 May 2012 12:02

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