Systematic review and evidence-based clinical recommendations for dosing of pediatric supported standing programs

There is a lack of evidence-based recommendations for effective dosing of pediatric supported standing programs, despite widespread clinical use. Using the International Classification of Functioning, Disability, and Health (Child and Youth Version) framework, we searched 7 databases, using specific...

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Veröffentlicht in:Pediatric physical therapy 2013, Vol.25 (3), p.232-247
Hauptverfasser: Paleg, Ginny S, Smith, Beth A, Glickman, Leslie B
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container_title Pediatric physical therapy
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creator Paleg, Ginny S
Smith, Beth A
Glickman, Leslie B
description There is a lack of evidence-based recommendations for effective dosing of pediatric supported standing programs, despite widespread clinical use. Using the International Classification of Functioning, Disability, and Health (Child and Youth Version) framework, we searched 7 databases, using specific search terms. Thirty of 687 studies located met our inclusion criteria. Strength of the evidence was evaluated by well-known tools, and to assist with clinical decision-making, clinical recommendations based on the existing evidence and the authors' opinions were provided. Standing programs 5 days per week positively affect bone mineral density (60 to 90 min/d); hip stability (60 min/d in 30° to 60° of total bilateral hip abduction); range of motion of hip, knee, and ankle (45 to 60 min/d); and spasticity (30 to 45 min/d).
doi_str_mv 10.1097/PEP.0b013e318299d5e7
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source MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Bone Density
Cerebral Palsy - rehabilitation
Decision Support Systems, Clinical
Evidence-Based Medicine
Exercise Therapy - methods
Humans
Muscle Spasticity
Pediatrics - methods
Posture
Range of Motion, Articular
title Systematic review and evidence-based clinical recommendations for dosing of pediatric supported standing programs
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