Year published: 2024
What is Posture?
‘Posture’ is the position in which someone holds their body when lying, sitting or standing.
Some children have difficulty with moving, changing position, sitting, standing or walking on their own. This may affect their muscles, joints and posture.
This can include shortened muscles (contracture), hips moving out of joint (hip displacement) or spinal problems (scoliosis or kyphosis).
This can lead to pain, reduced movement and function. It can impact on breathing, digestion, sleep, mood, communication and eating and drinking.
This leaflet has been produced by the APCP CPIPS Committee after a review of literature and where there is a lack of evidence, a consensus of expert opinion is agreed, correct at time of publication. For information about references and evidence searched, please visit our website. APCP https://apcp.csp.org.uk V1 published March 2024 .
References used in leaflet
1.
Gericke T et al (2006) Postural management for children with cerebral palsy: a consensus statement Dev Med Child Neurol, vol. 48, pp 244
2.
Farley R, Clark J, Davidson C, Evans G, MacLennan K, Michael S, Morrow M and Thorpe S (2003) What is the evidence for the effectiveness of postural management? International Journal of Therapy and Rehabilitation, vol. 10, no.10, pp 449-455
3.
Crawford and Stinson (2015) Management of 24 hr body positioning In I.Soderback (ed), International handbook of OT interventions pp 189-203. Switzerland; Springer
4.
National Institute for Health and Care Excellence (NICE) (2016) Spasticity in the under 19s: management. CG145. Available at: https://www.nice.org.uk/guidance/cg145 (Accessed: 16/05/2024)
5.
Morgan C, et al (May 17, 2021) Early Intervention for children aged 0 to 2 years with or at high risk of cerebral palsy. International clinical practice guideline based on systematic reviews JAMA Pediatric
6.
Paleg G, and Livingstone R (2022) Evidence-informed clinical perspectives on postural management for hip health in children and adults with non-ambulant cerebral palsy Journal of Pediatric Rehabilitation Medicine, vol.15, no.1, pp 39-48
7.
Baylis M (2020) 24-Hour postural care and use of sleep systems in cerebral palsy Paediatrics & Child Health, vol 30, no.8, pp 296-302