Evidence for 24-hour posture management: A scoping review

Lauren Julia Osborne; Rosemary Joan Gowran; Jackie Casey

doi:10.1177/03080226221148414

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Evidence for 24-hour posture management: A scoping review

Journal article

Open access

Peer reviewed

Evidence for 24-hour posture management: A scoping review

Lauren Julia Osborne, Rosemary Joan Gowran and Jackie Casey

British Journal of Occupational Therapy, Vol.86(3), pp.176-187

2023

DOI: https://doi.org/10.1177/03080226221148414

PMCID: PMC12033628

PMID: 40337627

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

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
Publisher: Sage Publications Ltd.
Date published: 2023
DOI: 10.1177/03080226221148414
ISSN: 1477-6006
PMID: 40337627; PMC12033628
Copyright note: © The Author(s) 2023. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Organisation Unit: School of Health and Sport Sciences - Legacy
Language: English
Record Identifier: 99716031502621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Rehabilitation

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