Functional seating for school-age children with cerebral palsy: an evidence-based tutorial.

Area of Science:

• Pediatric Rehabilitation
• Assistive Technology
• Speech-Language Pathology

Background:

• Children with cerebral palsy (CP) often require specialized seating to optimize function.
• Effective seating is crucial for participation in classroom activities and therapy.
• Speech-language pathologists (SLPs) play a role in supporting functional seating for children with CP.

Purpose of the Study:

• To educate speech-language pathologists (SLPs) on best practices for supporting functional seating in children with cerebral palsy (CP).
• To enable SLPs to recognize the benefits of seating interventions.
• To guide SLPs in identifying characteristics of effective seating and their role in implementation.

Main Methods:

• Review of research on seating interventions for school-age children with CP, framed by the International Classification of Functioning, Disability and Health (ICF).
• Development of recommended guidelines for functional seating based on evidence.
• Discussion of the specific responsibilities of SLPs in seating provision.

Main Results:

• Seating interventions can positively impact body structure/function, activities, and participation for children with CP.
• Optimal outcomes depend on appropriate equipment for weight-bearing, stable and mobile pelvic positioning, and proper body alignment.
• SLPs can facilitate functional seating through collaboration and adherence to guidelines.

Conclusions:

• Functional seating is vital for enhancing the overall well-being and participation of children with CP.
• SLPs are key collaborators in ensuring children with CP receive appropriate seating support.
• Effective communication and application of evidence-based guidelines are essential for SLPs supporting functional seating.