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  • A Systematic Review of Supported Standing Programs
    Journal of Pediatric Rehabilitation Medicine: An Interdisciplinary Approach 3 (2010) 197–213 197 DOI 10.3233/PRM-2010-0129 IOS Press Review Article A systematic review of supported standing programs Leslie B. Glickman∗, Paula R. Geigle and Ginny S. Paleg1 University of Maryland School of Medicine, Department of Physical Therapy and Rehabilitation Science, Baltimore, MD, USA Accepted 1 February 2010 Abstract. Objective: The routine clinical use of supported standing in hospitals, schools and homes currently exists. Questions arise as to the nature of the evidence used to justify this practice. This systematic review investigated the available evidence underlying supported standing use based on the Center for Evidence-Based Medicine (CEBM) Levels of Evidence framework. Design: The database search included MEDLINE, CINAHL, GoogleScholar, HighWire Press, PEDro, Cochrane Library databas- es, and APTAs Hooked on Evidence from January 1980 to October 2009 for studies that included supported standing devices for individuals of all ages, with a neuromuscular diagnosis. We identified 112 unique studies from which 39 met the inclusion criteria, 29 with adult and 10 with pediatric participants. In each group of studies were user and therapist survey responses in addition to results of clinical interventions. Results: The results are organized and reported by The International Classification of Function (ICF) framework in the following categories: b4: Functions of the cardiovascular, haematological, immunological, and respiratory systems; b5: Functions of the digestive, metabolic, and endocrine systems; b7: Neuromusculoskeletal and movement related functions; Combination of d4: Mobility, d8: Major life areas and Other activity and participation. The peer review journal studies mainly explored using supported standers for improving bone mineral density (BMD), cardiopulmonary function, muscle strength/function, and range of motion (ROM).
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  • RESNA Position on the Application of Wheelchair Standing Devices RESNA Position on the Application of Wheelchair Standing Devices
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  • Systematic Review and Clinical Recommendations for Dosage Of
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  • RESNA Position on the Application of Wheelchair Standing Devices
    Assistive Technology®, 21:161–168, 2009 Copyright © 2009 RESNA ISSN: 1040-0435 print/1949-3614 online DOI: 10.1080/10400430903175622 UATY1040-04351949-3614Assistive Technology®,Technology® Vol. 21, No. 3, Aug 2009: pp. 0–0 RESNA Position on the Application of Wheelchair Standing Devices JuliannaWheelchairJ. Arva et al. Standing Devices Arva, MS, ATP,1 Ginny Paleg, PT,2 Michelle ABSTRACT This document, approved by the Rehabilitation Engineering & 3 Lange, OTR, ABDA, ATP, Assistive Technology Society of North America (RESNA) Board of Directors Jenny Lieberman, MSOTR/L, in March 2007, shares typical clinical applications and provides evidence from ATP,4 Mark Schmeler, PhD, the literature supporting the use of wheelchair standers. OTR/L, ATP,5 Brad Dicianno, 6 MD, Mike Babinec, OTR/L, KEYWORDS power features, rehabilitation, standing, wheelchair ABDA, ATP,7 and Lauren Rosen, PT, MPT, ATP8 1TiSport LLC, Kennewick, Washington 2Independent Consultant, INTRODUCTION Maryland 3Children’s Hospital of Denver, The purpose of this article is to share typical clinical applications as well as Denver, Colorado provide evidence from the literature supporting the application of wheelchair 4Mount Sinai Hospital, standing devices to assist practitioners in decision making and justification. It New York, New York is not intended to replace clinical judgment related to specific client needs. 5University of Pittsburgh, Pittsburgh, Pennsylvania 6University of Pittsburgh BACKGROUND Medical Center, Pittsburgh, Clinical experience suggests that wheelchair users often experience painful, Pennsylvania problematic, and costly secondary complications due to long-term sitting. 7Invacare Corp, Elyria, Ohio Standing is an effective way to counterbalance many of the negative effects of 8St. Joseph’s Children’s Hospital, Tampa, Florida constant sitting (Dunn et al., 1998; Eng et al., 2001).
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