[article] 
inThe British Journal of Occupational Therapy > Vol. 82 Issue 1 (Janvier 2019) . - p. 5-14

Titre :	Sleep positioning systems for children and adults with a neurodisability: A systematic review
Type de document :	texte imprimé
Auteurs :	Ginny Humphreys ; Tanya King ; Jo Jex ; Morwenna Rogers ; Sharon Blake ; Jo Thompson-Coon ; Christopher Morris
Année de publication :	2019
Article en page(s) :	p. 5-14
Note générale :	doi.org/10.1177/0308022618778254
Langues :	Anglais (eng)
Mots-clés :	Postural management  positioning  sleep systems  cerebral palsy  neurodisability  sleep
Résumé :	Introduction Sleep positioning systems are often prescribed as part of a 24-hour postural management programme for children and adults with neurodisabilities. In a search for evidence of effectiveness for children with cerebral palsy a recent Cochrane review found two randomised controlled trials. This review aims to appraise a broader set of studies including any neurological diagnosis and users of all ages to inform therapists about the quality of the evidence underlying practice. Method A comprehensive search for all peer-reviewed studies that evaluated the use of sleep positioning systems was conducted in MEDLINE, EMBASE, CINAHL, Cochrane Library databases, BNI, HMIC, PEDro, OTSeeker and clinical trials registries. Disability organisations, manufacturers and colleagues worldwide were also contacted. Titles were screened for relevance by two reviewers. Data were extracted into bespoke quantitative or qualitative forms by one reviewer and checked by a second. Findings were analysed into simple themes. Results A total of 14 studies were eligible for inclusion; all were small and most were of low quality. Inferences of benefits cannot be made from the literature but also no harm was found. Conclusions The body of evidence supporting practice remains small and mostly of low quality. Therapists should remain cautious when presenting the benefits to families.
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[article] Sleep positioning systems for children and adults with a neurodisability: A systematic review [texte imprimé] / Ginny Humphreys ; Tanya King ; Jo Jex ; Morwenna Rogers ; Sharon Blake ; Jo Thompson-Coon ; Christopher Morris . - 2019 . - p. 5-14.
doi.org/10.1177/0308022618778254
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 1 (Janvier 2019) . - p. 5-14

Mots-clés :	Postural management  positioning  sleep systems  cerebral palsy  neurodisability  sleep
Résumé :	Introduction Sleep positioning systems are often prescribed as part of a 24-hour postural management programme for children and adults with neurodisabilities. In a search for evidence of effectiveness for children with cerebral palsy a recent Cochrane review found two randomised controlled trials. This review aims to appraise a broader set of studies including any neurological diagnosis and users of all ages to inform therapists about the quality of the evidence underlying practice. Method A comprehensive search for all peer-reviewed studies that evaluated the use of sleep positioning systems was conducted in MEDLINE, EMBASE, CINAHL, Cochrane Library databases, BNI, HMIC, PEDro, OTSeeker and clinical trials registries. Disability organisations, manufacturers and colleagues worldwide were also contacted. Titles were screened for relevance by two reviewers. Data were extracted into bespoke quantitative or qualitative forms by one reviewer and checked by a second. Findings were analysed into simple themes. Results A total of 14 studies were eligible for inclusion; all were small and most were of low quality. Inferences of benefits cannot be made from the literature but also no harm was found. Conclusions The body of evidence supporting practice remains small and mostly of low quality. Therapists should remain cautious when presenting the benefits to families.
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