24-hour postural management assistive technology postural care national guidelines UniSC Diversity Area - Disability and Inclusion
Introduction: People with complex physical disabilities unable to change their position independently are at risk of developing postural deformities and secondary complications. 24-hour posture management is needed to protect body structure. With inconsistencies in current service provision, this research aimed to scope the evidence for a 24-hour posture management approach. Method: A scoping review was conducted using four health and social science databases. Inclusion and exclusion criteria were applied; further papers were included through citation chaining. Results: The evidence for 24-hour posture management was often low quality due to the complications of completing robust research studies in this complex specialty. However, many professionals in the field agree that a 24-hour approach to postural care is essential. Conclusion: There is a need for clear national policy and guidance relating to postural care and scope for development of dedicated posture management services. Current NHS service provision is variable and inconsistent. Lack of postural care is a safeguarding and human rights issue. Specialist training and research in postural care within the Occupational Therapy profession is required to raise awareness of the role Occupational Therapists can play in preventing postural deformities and other secondary complications through providing good postural care.
Details
Title
Evidence for 24-hour posture management: A scoping review
Authors
Lauren Julia Osborne (Corresponding Author) - University of Hertfordshire
Rosemary Joan Gowran (Author) - University of the Sunshine Coast, Queensland, School of Health and Sport Sciences - Legacy
Jackie Casey (Author) - Belfast Health and Social Care Trust
Publication details
British Journal of Occupational Therapy, Vol.86(3), pp.176-187