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Effect of adaptive seating on pulmonary function of children with cerebral palsy
Nwaobi OM, Smith PD
Developmental Medicine and Child Neurology 1986 Jun;28(3):351-354
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; 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: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The vital capacity (VC), forced expiratory volume in one second (FEV1) and expiratory time (ET) of eight cerebral-palsied children aged between five and 12 years was measured, when seated in a regular sling-type wheelchair and in an adaptive seating system. The results showed a 57.7% increase in VC, a 51.6% increase in FEV1 as a percentage of VC, and a 55% increase in ET in the adaptive seating system compared with the standard wheelchair. These results have important implications for speech, sitting for prolonged periods and prevention of hypoxia and pulmonary hypertension.

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