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Pediatr Phys Ther. 2013 Fall;25(3):232-47. doi: 10.1097/PEP.0b013e318299d5e7.

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

Author information

1
Montgomery County Infants and Toddlers Program , Rockville, Maryland, USA. ginny@paleg.com

Abstract

PURPOSE:

There is a lack of evidence-based recommendations for effective dosing of pediatric supported standing programs, despite widespread clinical use.

METHODS:

Using the International Classification of Functioning, Disability, and Health (Child and Youth Version) framework, we searched 7 databases, using specific search terms.

RESULTS:

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.

CONCLUSIONS AND RECOMMENDATIONS FOR CLINICAL PRACTICE:

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).

PMID:
23797394
DOI:
10.1097/PEP.0b013e318299d5e7
[Indexed for MEDLINE]

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