Seating and positioning to manage spasticity after brain injury

Herman, Janice Hunt; Lange, Michelle L.

doi:10.3233/nre-1999-12204

Cited by 13 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The posture is characterized by strong limb flexor muscle tone and the increased stretch reflex. The neck and trunk are flexed, the shoulders are protracted, the ribs are in a parallel and horizontal position, the upper chest is flat and narrow, the space between the ribs and pelvis is narrow, the pelvis is tilted posteriorly, and the trunk extensor muscles are in elongation [ 3 , 26 , 27 , 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Oral Feeding Ability in Indonesian Preterm Infants

et al. 2022

View full text Add to dashboard Cite

Most preterm infants exhibit atypical and immature feeding skills. Even though preterm infants have fulfilled the oral feeding readiness criteria, they still do not have optimal oral feeding ability. This study aimed to determine various factors affecting oral feeding ability in Indonesian preterm infants who have fulfilled oral feeding readiness criteria but still have not been able to feed orally. A cross-sectional study included 120 preterm infants admitted to five tertiary hospitals in Jakarta, Indonesia. Participants were preterm infants born at 28–34 weeks gestational age who had fulfilled the oral feeding readiness as the inclusion criteria: (1) stable cardiorespiratory status, (2) have achieved full enteral feeding via orogastric tube (OGT) 120 mL/kg/day without vomiting or bloating, and (3) strong and rhythmic non-nutritive sucking (NNS) through objective measurement. Infants’ oral feeding ability and various factors that were assumed to affect oral feeding ability, including physiological flexion postural tone, physiological stability, rooting reflex, self-regulation, behavioral state, and level of morbidity were evaluated. Chi-square and multivariate analysis with Poisson regression were performed. Results indicated that postural tone, rooting reflex, physiological stability, self-regulation, behavioral state, and level of morbidity were significantly related to oral feeding ability in preterm infants. The most influencing factors were self-regulation with a prevalence ratio (PR) of 1.96 (1.16–3.34; CI 95%) and p = 0.012, followed by postural tone, high morbidity, and behavioral state (PR 1.91; 1.59; 1.56; CI 95%, respectively). In conclusion, despite meeting the oral feeding readiness criteria, most preterm infants were still not able to feed orally. There are other factors affecting oral feeding ability in Indonesian preterm infants.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors Affecting Oral Feeding Ability in Indonesian Preterm Infants

et al. 2022

View full text Add to dashboard Cite

show abstract

“…However, Turner et al [28] suggested that the high prevalence of neck pain in persons with a high SCI may be related to the usage of head supports which immobilise the head to a larger extent, and Perr et al [47] concluded that people would prefer to change the head support position when their position in space changes. Finally, Herman and Lange [12] indicated that optimisation of head support position can play an important role in normalising movement patterns and reducing the risk of spasticity-related deformities for persons with a brain injury.…”

Section: Adjustable Static Head Supportmentioning

confidence: 99%

“…Many wheelchair users experience limitations in stabilising and positioning of the head [11][12][13]. This can be the result of decreased muscle strength or control to keep the head upright against gravity.…”

Section: Introductionmentioning

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

View full text Add to dashboard Cite

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.

show abstract

“…In patients suffering from spasticity, the sitting position should be modified to improve the performance, accommodate to contractures and deformities established, maintain comfort, and reduce fatigue [35,36]. The main requirements for a good sitting position are a firm seat base and backrest with subtle changes by altering the seat base to promote an anterior tilt of the pelvis to help in achieving hip flexion, abduction, and external rotation as well as trunk extension.…”

Section: Wheelchair and Seatingmentioning

confidence: 99%

Rehabilitation Medicine Management of Spasticity

Rayegani¹,

Babaee²,

Raeissadat³

2020

Neurostimulation and Neuromodulation in Contemporary Therapeutic Practice

View full text Add to dashboard Cite

Spasticity is a poorly recognized but common symptom, present in a wide range of neurological conditions. It can have a major impact on those affected, much of which is potentially preventable. This chapter provides an excellent paradigm to incorporate many of the key elements fundamental to the management of chronic conditions and it is of relevance to those who work in spasticity rehabilitation.

show abstract

Seating and positioning to manage spasticity after brain injury

Cited by 13 publications

References 20 publications

Factors Affecting Oral Feeding Ability in Indonesian Preterm Infants

Factors Affecting Oral Feeding Ability in Indonesian Preterm Infants

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

Rehabilitation Medicine Management of Spasticity

Contact Info

Product

Resources

About