Evidence for 24-hour posture management: A scoping review

Area of Science:

• Rehabilitation Medicine
• Occupational Therapy
• Disability Studies

Background:

• Individuals with complex physical disabilities face risks of postural deformities and complications due to inability to self-reposition.
• Effective 24-hour posture management is vital for protecting body structure and preventing secondary health issues.
• Current service provision for posture management demonstrates inconsistencies, necessitating a review of existing evidence.

Purpose of the Study:

• To scope the available evidence for a comprehensive 24-hour posture management approach.
• To identify gaps and inconsistencies in current postural care services.
• To inform the development of improved national policies and dedicated services for posture management.

Main Methods:

• A scoping review methodology was employed.
• Searches were conducted across four major health and social science databases.
• Citation chaining was utilized to identify additional relevant literature.

Main Results:

• Evidence quality for 24-hour posture management was frequently low, attributed to research complexities in this specialized field.
• Despite evidence limitations, a consensus exists among professionals regarding the essential nature of 24-hour postural care.
• Significant variability and inconsistency were noted in current National Health Service (NHS) service provision.

Conclusions:

• There is a clear need for national policies and guidance on postural care, alongside the development of specialized posture management services.
• Inconsistent postural care is identified as a safeguarding and human rights concern.
• Enhanced specialist training and research in Occupational Therapy are required to improve awareness and practice of preventative postural care.