This Article Immediate free access via SAGE Open Free Full Text (Free PDF) Free References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Michael, S.M. Articles by Pountney, T.E. Search for Related Content PubMed PubMed Citation Articles by Michael, S.M. Articles by Pountney, T.E. Pubmed/NCBI databases Medline Plus Health Information Assistive Devices Paralysis Social Bookmarking                         What's this?

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

Medical Physics and Engineering, Leeds University Hospitals NHS Trust, Leeds, smm{at}medphysics.leeds.ac.uk

D. Porter

School of Health and Social Care, Oxford Brookes University, Oxford

T.E. Pountney

Chailey Heritage Clinical Services, Southdowns Health NHS Trust, Sussex, UK

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.

Clinical Rehabilitation, Vol. 21, No. 12, 1063-1074 (2007)
DOI: 10.1177/0269215507082338


SAGE Open article

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?