Sit-to-stand movement in childrenwith cerebral palsy and relationships with the International classification of functioning, disability and health: A systematic review.
For kids with CP, strength and seat height drive sit-to-stand, yet almost no study checks if they actually use the skill—so you should.
01Research in Context
What this study did
The team hunted every paper on sit-to-stand in kids with cerebral palsy.
They lined each study up with the ICF: body functions, activity, participation, environment.
In the end they kept the papers that told how high the bench was, how strong the child was, or what help was given.
What they found
Most work looks at leg strength and trunk control.
Almost no one asks, "Can the child use this skill at school or at home?"
Bench height, support, and strength matter, but participation data are missing.
How this fits with other research
dos Santos et al. (2011) said the field was a mess nine years earlier. Lima et al. (2020) now shows the mess is smaller, yet still no real-life outcomes.
Medeiros et al. (2015) proved higher seats cut joint movement in CP. The review folds that lab fact into the bigger picture.
Dudley et al. (2019) saw dual-task lower sway in Down syndrome. The review notes CP kids need more control, not less, during STS. Different diagnoses, different rules.
Pavão et al. (2013) scouted all postural tests in CP. The new review zooms in on just the stand-up moment and adds the ICF lens.
Why it matters
When you write a PT goal, list bench height and hand support, but also add a participation probe: "Stands up from cafeteria bench to join peers." The review shows most studies skip this last step, so your data will be ahead of the curve.
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02At a glance
03Original abstract
BACKGROUND: Studying sit-to-stand (STS) in children with Cerebral Palsy addressing the domains of ICF allows determining the factors influencing STS in this population. AIMS: To systematically review the literature on STS in children with CP, identifying which ICF domains have been assessed and how they relate to sit-to-stand. METHODS AND PROCEDURES: A literature search was conducted in electronic databases by combining the keywords (child OR children OR adolescent) AND ("Cerebral Palsy") AND (sit-to-stand). We included cross-sectional articles published in English, that assessed STS movements in children with CP up to 18 years old. OUTCOMES AND RESULTS: 25 articles met the inclusion criteria. All of them assessed Body Functions and Structure. According to them, body alignment, muscle strength and postural sway affect STS movement. Six studies related Activity and Participation with STS, demonstrating that worse scores in scales that evaluate activities and participation are related to the poorer STS execution. Contextual factors were addressed in 15 studies: children's age, bench height, manipulation of sensory information and mechanical restriction impact the way children execute STS. CONCLUSION AND IMPLICATIONS: Contextual factors and Body Functions and Structure impact the STS in children with CP. However, few studies have evaluated the participation of these children. Based on the theoretical framework of the ICF, it is important that future studies evaluate functional tasks in children with CP and the components that can affect them. The adoption of the biopsychosocial model strengthens the understanding of functioning, which can contribute to rehabilitation planning.
Research in developmental disabilities, 2020 · doi:10.1016/j.ridd.2020.103804