Head Control Changes After Headpod Use in Children With Poor Head Control: A Feasibility Study

Brown, Julie; Thompson, Mary; Brizzolara, Kelli

doi:10.1097/pep.0000000000000492

Cited by 12 publications

(13 citation statements)

References 14 publications

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“…Although dynamic and adaptive head supports are available, the number of systems is limited (e.g., eleven commercial solutions were identified) Table 4 presents the results of the scientific literature search. In general, only a few clinical studies have been conducted to evaluate the effectiveness of commercially available static and dynamic head supports with wheelchair users [5,[21][22][23]. Moreover, case studies and case series were found reporting the outcomes after implementation of (customised) head support solutions or wheelchair systems [24][25][26][27], as well as cross-sectional surveys for several user groups [28][29][30].…”

Section: Scoping Review Resultsmentioning

confidence: 99%

“…The commercially available dynamic systems allow for rotation in one or multiple directions, are nonactuated (e.g., passive) and operate within a restricted range of motion. With the exception of the HeadPod (Siesta Systems) [22,23], no clinical evaluations were found for the available commercial devices. The HeadPod was evaluated with severely challenged children (CP, dystonia) as a training device [22] and as an assistive device [23].…”

Section: Support Of Head Movementmentioning

confidence: 99%

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Head support in wheelchairs (scoping review): state-of-the-art and beyond

Geers

Prinsen

Pijl

et al. 2021

Disability and Rehabilitation: Assistive Technology

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Background: Many wheelchair users experience disabilities in stabilising and positioning of the head. For these users, adequate head support is required. Although several types of head supports are available, further development of these systems is needed to improve functionality and quality of life, especially for the group of severely challenged users. For this group, user needs have not been clearly established. In this article, we provide an overview of the state-of-the-art in wheelchair mounted head supports and associated scientific evidence in order to identify requirements for the next generation of head support systems. Materials and methods: A scoping review was performed including scientific literature (PubMed/ Scopus), patents (Espacenet/Google Scholar) and commercial information. Types of head support and important system characteristics for future head support systems were proposed from consultations with wheelchair users (n ¼ 3), occupational therapists (n ¼ 3) and an expert panel. Results: Forty scientific papers, 90 patents and 80 descriptions of commercial devices were included in the scoping review. The identified head support systems were categorised per head support type. Only limited scientific clinical evidence with respect to the effectiveness of existing head support systems was found. From the user and expert consultations, a need was identified for personalised head support systems that intuitively combine changes in sitting and head position with continuous optimal support of the head to accommodate severely challenged users. Conclusions: This study presents the state-of-the-art in head support systems. Additionally, several important system characteristics are introduced that provide guidance for the development and improvement of head supports. ä IMPLICATIONS FOR REHABILITATIONEspecially for the group of severely challenged wheelchair users, current head support systems require further development to improve their users' quality of life. The desired system characteristics which are discussed in this review are an important step in the definition of requirements for the next generation of head supports.

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Section: Scoping Review Resultsmentioning

confidence: 99%

Section: Support Of Head Movementmentioning

confidence: 99%

Head support in wheelchairs (scoping review): state-of-the-art and beyond

Geers

Prinsen

Pijl

et al. 2021

Disability and Rehabilitation: Assistive Technology

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“…[18][19][20] Another option is to use active supports, such as the Headpod (Euromove, Villeneuve-d'Ascq, France), which act like physiotherapy exercises and have also been associated with improved postural control. 21,22 Finally, early physical therapy remains crucial and should not be neglected in severe CP patients, not only to help better control their head and trunk, but also to improve upper limb function and visuospatial perception. 23,24 In their study, Simon et al 23 reported for example the effectiveness of lateral decubitus handling exercises over ventral decubitus, by recording neck and trunk electromyographic activity tested in three different positions.…”

Section: Impact Of Surgery On Sagittal Alignment In Cp Patientsmentioning

confidence: 99%

Spinal sagittal alignment and head control in patients with cerebral palsy

Ilharreborde

Presedo

Simon

2020

Journal of Children's Orthopaedics

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Purpose Spinal sagittal alignment restoration has been associated with improved functional outcomes and with reduced complications rates. Several limitations exist for radiological analysis in cerebral palsy (CP) patients. The goal of this study was to summarize the existing literature and report the important considerations to evaluate in a CP patient undergoing spinal surgery. Methods A retrospective radiological analysis was performed, including non-ambulant CP children with progressive scoliosis. Full-spine sitting radiographs performed pre-and postoperatively were required to measure spino-pelvic sagittal parameters. Result A total of 23 non-ambulating CP patients were included, mean age 16.0 years (standard error of the mean 0.5). Two distinct groups of patients were identified. Group 1 (61%) were patients with less trunk control (lumbar lordosis (LL) < 50°), retroverted and vertical pelvis (mean sacral slope (SS) 11.4° and pelvic tilt (PT) 38.1°) and anterior imbalance (mean sagittal vertical axis (SVA) 5.9 cm) and Group 2 (39%) were patients with better trunk control (LL > 60°, anteverted and horizontal pelvis (mean SS 49.3°, PT 9.7°) and posterior imbalance (mean SVA 5.8 cm). Postoperative measures showed significant impact of surgery with a PT reduction of 19° (p = 0.007), a mean SS increase of 15° (p = 0.04) and a LL gained of 10° (p = 0.2). Conclusion Sagittal spino-pelvic alignment in non-ambulating CP patients remains difficult to assess. The current literature is poor but our radiological study was able to define two distinct groups among Gross Motor Function Classification System (GMFCS) level V patients, based on the quality of their trunk control. All possible factors that may influence head and trunk posture should be systematically considered and optimized. Level of evidence Level IV

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“…Cervical bracing includes a cervical jacket that provides maximal stability and the Philadelphia neck collar. Headpod can be used for proper head and neck support [20]. Spinal orthoses could be used to promote function during sitting and for postural stabilization, but there is a lack of evidence that spinal orthoses delay curve progression [1,9,21].…”

Section: Positioning and Bracingmentioning

confidence: 99%

Rehabilitation of spinal muscular atrophy: current consensus and future direction

Shin

Jang

2020

J Genet Med

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Spinal muscular atrophy (SMA) is a neuromuscular disease that requires multidisciplinary medical care, including rehabilitation management. The emergence of a genetic therapy-based approach for SMA has markedly changed the disease course. Nonetheless, currently, updated physical therapy and rehabilitation are warranted for individuals with SMA in the era of gene therapy. In this review, we discuss the physical therapy and rehabilitation strategies currently performed for people with SMA, such as positioning and bracing, supported standing, management of musculoskeletal deformities, stretching, physical exercise training like aerobics and strengthening exercises, assistive devices, pulmonary rehabilitation, and dysphagia treatment.

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Head Control Changes After Headpod Use in Children With Poor Head Control: A Feasibility Study

Abstract: Six months of Headpod use, 45 minutes per day, appears to be feasible, has a large effect on active head control, and merits a larger randomized controlled trial.

Cited by 12 publications

References 14 publications

Head support in wheelchairs (scoping review): state-of-the-art and beyond

Head support in wheelchairs (scoping review): state-of-the-art and beyond

Spinal sagittal alignment and head control in patients with cerebral palsy

Rehabilitation of spinal muscular atrophy: current consensus and future direction

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