한국전문물리치료학회지 (Physical Therapy Korea)

  • 제31권2호
  • /
  • Pages.131-141
  • /
  • 2024
  • /
  • 1225-8962(pISSN)
  • /
  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
권호 표지
DOI QR코드

DOI QR Code

Evidence-based Clinical Guidelines for Optimizing the Use of Standing Frame: A Systematic Review of Dosing Recommendations Among Cerebral Palsy

  • Changho Kim (Yonsei Child Development Center) ;
  • Hyunsuk Park (Rehabilitation Team, The Catholic University of Korea, Incheon St. Mary's Hospital)
  • 투고 : 2024.04.04
  • 심사 : 2024.05.03
  • 발행 : 2024.08.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Standing frames are a common intervention for children with cerebral palsy (CP), yet there is a lack of standardized dosing recommendations, impeding the enhancement of treatment outcomes in this population. Objects: This paper aims to optimize dosing strategies for standing frame programs in children with CP. It evaluates effective durations and frequencies for using standing frames to improve gait, hip joint integrity, functional activities, joint range of motion, and muscle tone. The goal is to provide evidence-based clinical recommendations to guide practitioners in treating pediatric CP patients. Methods: A comprehensive research was conducted across seven databases, yielding 23 studies meeting inclusion criteria. Strength of evidence was assessed using established tools. Clinical recommendations were formulated based on the amalgamation of existing evidence. Results: The paucity of evidence-based dosing recommendations for children with CP supported standing device is highlighted in this review. Key findings suggest that standing frames implemented 5 days per week demonstrate positive effects on gait (45 minutes/day, 3 times/week), hip joint integrity (60 minutes/day), functional activities (60 minutes/day in 30° to 60° of bilateral hip abduction), joint range of motion (60 minutes/day), and muscle tone (30 minutes/day). Conclusion: This systematic review of the treatment regimens for children with CP is providing useful insights to the dosing strategies of standing frames. The evidence supports a 30-60 minutes per day and 3-5 days a week intervention with specified durations for optimal outcomes. In enhancing the effectiveness of standing frames, as well as promoting evidence-based practices in the management of children with CP, these clinical recommendations offer guidance for practitioners.

키워드

참고문헌

  1. Vitrikas K, Dalton H, Breish D. Cerebral palsy: an overview. Am Fam Physician 2020;101(4):213-20.
  2. Bagley P, Hudson M, Forster A, Smith J, Young J. A randomized trial evaluation of the Oswestry standing frame for patients after stroke. Clin Rehabil 2005;19(4):354-64. https://doi.org/10.1191/0269215505cr874oa
  3. Zhang D, Zhu K. Simulation study of FES-assisted standing up with neural network control. Conf Proc IEEE Eng Med Biol Soc 2004;2004:4877-80.
  4. Hendrie WA, Watson MJ, McArthur MA. A pilot mixed methods investigation of the use of Oswestry standing frames in the homes of nine people with severe multiple sclerosis. Disabil Rehabil 2015;37(13):1178-85. https://doi.org/10.3109/09638288.2014.957790
  5. Goodwin J, Colver A, Basu A, Crombie S, Howel D, Parr JR, et al. Understanding frames: a UK survey of parents and professionals regarding the use of standing frames for children with cerebral palsy. Child Care Health Dev 2018;44(2):195-202. https://doi.org/10.1111/cch.12505
  6. Bubenko S, Flesch P, Kollar C. Thirty-degree prone positioning board for children with gastroesophageal reflux. Suggestion from the field. Phys Ther 1984;64(8):1240-1. https://doi.org/10.1093/ptj/64.8.1240
  7. Glickman LB, Geigle PR, Paleg GS. A systematic review of supported standing programs. J Pediatr Rehabil Med 2010;3(3):197-213. https://doi.org/10.3233/PRM-2010-0129
  8. Palda VA, Davis D, Goldman J. A guide to the Canadian Medical Association handbook on clinical practice guidelines. CMAJ 2007;177(10):1221-6. Erratum in: CMAJ 2007;177(12):1530.
  9. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions: Cochrane book series. John Wiley & Sons; 2008.
  10. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 2009;6(7):e1000100.
  11. OCEBM Levels of Evidence Working Group. The Oxford 2011 Levels of Evidence. Oxford Centre for Evidence-Based Medicine [Internet]; 2011 [cited 2024 Feb 26]. Available from: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence
  12. Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther 2003;83(8):713-21. https://doi.org/10.1093/ptj/83.8.713
  13. Gibson SK, Sprod JA, Maher CA. The use of standing frames for contracture management for nonmobile children with cerebral palsy. Int J Rehabil Res 2009;32(4):316-23. https://doi.org/10.1097/MRR.0b013e32831e4501
  14. Martinsson C, Himmelmann K. Effect of weight-bearing in abduction and extension on hip stability in children with cerebral palsy. Pediatr Phys Ther 2011;23(2):150-7. https://doi.org/10.1097/PEP.0b013e318218efc3
  15. Salem Y, Lovelace-Chandler V, Zabel RJ, McMillan AG. Effects of prolonged standing on gait in children with spastic cerebral palsy. Phys Occup Ther Pediatr 2010;30(1):54-65. https://doi.org/10.3109/01942630903297177
  16. Tremblay F, Malouin F, Richards CL, Dumas F. Effects of prolonged muscle stretch on reflex and voluntary muscle activations in children with spastic cerebral palsy. Scand J Rehabil Med 1990;22(4):171-80.
  17. Rapson R, King T, Morris C, Jeffery R, Mellhuish J, Stephens C, et al. Effect of different durations of using a standing frame on the rate of hip migration in children with moderate to severe cerebral palsy: a feasibility study for a randomised controlled trial. Physiotherapy 2022;116:42-9. https://doi.org/10.1016/j.physio.2022.01.001
  18. Lauruschkus K, Jarl J, Fasth Gillstedt K, Tornberg AB. Dynamic standing exercise in a novel assistive device compared with standard care for children with cerebral palsy who are nonambulant, with regard to quality of life and cost-effectiveness. Disabilities 2022;2(1):73-85. https://doi.org/10.3390/disabilities2010006
  19. Hagglund G, Lauge-Pedersen H, Wagner P. Characteristics of children with hip displacement in cerebral palsy. BMC Musculoskelet Disord 2007;8:101.
  20. Noronha J, Bundy A, Groll J. The effect of positioning on the hand function of boys with cerebral palsy. Am J Occup Ther 1989;43(8):507-12. https://doi.org/10.5014/ajot.43.8.507
  21. Rauf W, Sarmad S, Khan I, Jawad M. Effect of position on gross motor function and spasticity in spastic cerebral palsy children. J Pak Med Assoc 2021;71(3):801-5.
  22. Martinsson C, Himmelmann K. Abducted standing in children with cerebral palsy: effects on hip development after 7 years. Pediatr Phys Ther 2021;33(2):101-7. https://doi.org/10.1097/PEP.0000000000000789
  23. Gudjonsdottir B, Stemmons Mercer V. Effects of a dynamic versus a static prone stander on bone mineral density and behavior in four children with severe cerebral palsy. Pediatr Phys Ther 2002;14(1):38-46. https://doi.org/10.1097/00001577-200214010-00006
  24. Stark C, Nikopoulou-Smyrni P, Stabrey A, Semler O, Schoenau E. Effect of a new physiotherapy concept on bone mineral density, muscle force and gross motor function in children with bilateral cerebral palsy. J Musculoskelet Neuronal Interact 2010;10(2):151-8.
  25. Pountney T, Mandy A, Green E, Gard P. Management of hip dislocation with postural management. Child Care Health Dev 2002;28(2):179-85. https://doi.org/10.1046/j.1365-2214.2002.00254.x
  26. Pountney TE, Mandy A, Green E, Gard PR. Hip subluxation and dislocation in cerebral palsy - a prospective study on the effectiveness of postural management programmes. Physiother Res Int 2009;14(2):116-27. https://doi.org/10.1002/pri.434
  27. Dalen Y, Saaf M, Ringertz H, Klefbeck B, Mattsson E, HaglundAkerlind Y. Effects of standing on bone density and hip dislocation in children with severe cerebral palsy. Adv Physiother 2010;12(4):187-93. https://doi.org/10.3109/14038196.2010.497191
  28. Wilmshurst S, Ward K, Adams JE, Langton CM, Mughal MZ. Mobility status and bone density in cerebral palsy. Arch Dis Child 1996;75(2):164-5. https://doi.org/10.1136/adc.75.2.164
  29. Miedaner J, Finuf L. Effects of adaptive positioning on psychological test scores for preschool children with cerebral palsy. Pediatr Phys Ther 1993;5(4):177-82. https://doi.org/10.1097/00001577-199305040-00003
  30. Rivi E, Filippi M, Fornasari E, Mascia MT, Ferrari A, Costi S. Effectiveness of standing frame on constipation in children with cerebral palsy: a single-subject study. Occup Ther Int 2014;21(3):115-23. https://doi.org/10.1002/oti.1370
  31. Goodwin J, Lecouturier J, Crombie S, Smith J, Basu A, Colver A, et al. Understanding frames: a qualitative study of young people's experiences of using standing frames as part of postural management for cerebral palsy. Child Care Health Dev 2018;44(2):203-11. https://doi.org/10.1111/cch.12540
  32. Barbier V, Goeb V, Klein C, Fritot S, Mentaverri R, Sobhy Danial J, et al. Effect of standing frames used in real life on bone remodeling in non-walking children with cerebral palsy. Osteoporos Int 2022;33(9):2019-25. https://doi.org/10.1007/s00198-022-06436-5
  33. Macias LM. The effects of the standing programs with abduction for children with spastic diplegia. Pediatr Phys Ther 2005;17(1):96.
  34. Rauch F. Vibration therapy. Dev Med Child Neurol 2009;51 Suppl 4:166-8. https://doi.org/10.1111/j.1469-8749.2009.03418.x
  35. Ruys EC. Trochanteric girdle to prevent hip dislocation in standing. Suggestion from the field. Phys Ther 1988;68(2):226-7. https://doi.org/10.1093/ptj/68.2.226
  36. Maas JC, Huijing PA, Dallmeijer AJ, Harlaar J, Jaspers RT, Becher JG. Decrease in ankle-foot dorsiflexion range of motion is related to increased knee flexion during gait in children with spastic cerebral palsy. J Electromyogr Kinesiol 2015;25(2):339-46. https://doi.org/10.1016/j.jelekin.2014.10.015
  37. Katz D, Snyder B, Federico A, Dodek A, Zurakowski D, Connolly K. Can using standers increase bone density in non-ambulatory children? Dev Med Child Neurol 2006;48(S106):9.