Article

Adaptive seating supports for cerebral palsy are recommended to develop and maintain optimum posture, and functional use of upper extremities.
OBJECTIVES: To compare the effectiveness of different seating adaptations
regarding postural alignment and related functions and to investigate the effects
of these seating adaptations on different motor levels. *
STUDY DESIGN: Prospective
study. METHODS: A total of 20 children with spastic cerebral palsy (Gross Motor
Function Classification System
3-5) were included. Postural control and function
(Seated Postural Control Measure, Sitting Assessment Scale) were measured in
three different systems: standard chair, adjustable seating system and
custom-made orthosis. RESULTS: In results of all participants ungrouped, there
was a significant difference in most parameters of both measurement tools in
favor of custom-made orthosis and adjustable seating system when compared to
standard chair ( p < 0.0017). There was a difference among interventions in most
of the Seated Postural Control Measure results in Level 4 when subjects were
grouped according to Gross Motor Function Classification System levels. A
difference was observed between standard chair and adjustable seating system in
foot control, arm control, and total Sitting Assessment Scale scores; and between
standard chair and custom-made orthosis in trunk control, arm control, and total
Sitting Assessment Scale score in Level 4. There was no difference in adjustable
seating system and custom-made orthosis in Sitting Assessment Scale in this group
of children ( p < 0.017). CONCLUSION: Although custom-made orthosis fabrication
is time consuming, it is still recommended since it is custom made, easy to use,
and low-cost. On the other hand, the adjustable seating system can be modified
according to a patient's height and weight. Clinical relevance It was found that
Gross Motor Function Classification System Level 4 children benefitted most from
the seating support systems. It was presented that standard chair is sufficient
in providing postural alignment. Both custom-made orthosis and adjustable seating
system have pros and cons and the best solution for each will be dependent on a number of factors.

Langue : ANGLAIS