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Clinical Rehabilitation, Vol. 21, No. 12, 1063-1074 (2007)
DOI: 10.1177/0269215507082338
© 2007 SAGE Publications
SAGE Open article

Reviews

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

S.M. Michael

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.

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This Article
Immediate free access via SAGE Open
Right arrow OA Abstract
Right arrow Free Full Text (Free PDF) Free
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Google Scholar
Right arrow Articles by Michael, S.M.
Right arrow Articles by Pountney, T.E.
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PubMed
Right arrow Articles by Michael, S.M.
Right arrow Articles by Pountney, T.E.
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What's this?