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The effects of sitting positions on trunk extension for children with motor impairment
Miedaner JA
Pediatric Physical Therapy 1990 Spring;2(1):11-14
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The purposes of this study were to identify an objective, reliable and clinically useful measure for assessing changes in trunk alignment and to evaluate which of five sitting positions was the most effective in encouraging trunk extension. Fifteen children ages two to six years with a diagnosis of a neurologically based motor impairment and weak trunk musculature were measured using the modified Schober Measurement for spinal extension in each of five randomly ordered positions. Significant differences were noted among the five positions. The ability to quantitatively identify those positions most likely to increase function and active control of the trunk is critical knowledge in the evaluation and management of children with motor disability.
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