Article

The aim of this study was to systematically review the effect of adaptive
seating systems (AdSSs) in young people less than 19 years of age with severe
cerebral palsy (CP), with particular focus on child-related outcomes across all
components of the functioning and disability domains of the International
Classification of Functioning, Disability, and Health for Children and Youth
version (ICF-CY). METHOD: Literature searches of studies published from 1975 to
October 2014 were performed. Methodological quality and the risk of bias were
analysed using Sackett's level of evidence, the American Academy for Cerebral
Palsy and Developmental Medicine guidelines, and Mallen criteria for
observational studies. RESULTS: Nine studies fulfilled the selection criteria.
All studies had level IV evidence and were of moderate methodological quality.
The results focused on the effects of AdSSs on postural control and on upper
extremity function and on additional child-related outcomes. The results
suggested that AdSSs that include trunk and hip support devices may improve
postural control outcomes, and that special-purpose AdSSs may improve self-care
and play behaviour at home. INTERPRETATION: Because of a low level of evidence
and the moderate methodological quality of the studies available, no robust
conclusions can be drawn. Nevertheless, the data suggest that AdSSs may be able
to improve activity and participation at home among children with severe CP. More
studies of high methodological quality addressing the effect of AdSSs on activity
and participation are urgently needed. Suggestions for future research are provided.
CI - (c) 2015 Mac Keith Press.

Langue : ANGLAIS