The Pennsylvania State University, University Park, USA.
Lang Speech Hear Serv Sch. 2011 Apr;42(2):223-36. doi: 10.1044/0161-1461(2010/10-0001). Epub 2010 Sep 15.
This tutorial is designed to teach speech-language pathologists (SLPs) best practices to support functional seating of children with cerebral palsy (CP) in the classroom and in school-based therapy sessions. This tutorial teaches SLPs to (a) recognize the positive effects of seating intervention, (b) identify the characteristics of functional seating that may produce these positive effects, and (c) realize their role in supporting functional seating for school-age children with CP.
The research reporting positive effects of seating intervention for school-age children with CP is presented according to the International Classification of Functioning, Disability and Health (World Health Organization, 2001). Recommended guidelines for functional seating for school-age children with CP are gleaned from the research evidence. The specific role of the SLP in providing functional seating for children with CP is then discussed.
Seating intervention may produce positive body structure and function, activities, and participation effects for school-age children with CP when appropriate equipment is provided for weight bearing, the pelvis is positioned for stability and mobility, and the body is properly aligned. SLPs can support functional seating for school-age children with CP by communicating with professionals with seating expertise and by invoking and monitoring recommended guidelines for children with basic and complex seating needs, respectively.
本教程旨在教授言语语言病理学家（SLP）支持脑瘫（CP）儿童在课堂和学校治疗环境中功能性坐姿的最佳实践。本教程教导 SLP 们：(a) 认识到坐姿干预的积极效果；(b) 识别可能产生这些积极效果的功能性坐姿特征；(c) 了解他们在支持学龄期 CP 儿童功能性坐姿方面的作用。
根据国际功能、残疾和健康分类（世界卫生组织，2001 年），呈现坐姿干预对学龄期 CP 儿童的积极效果研究报告。从研究证据中提取了针对 CP 学龄儿童功能性坐姿的推荐指南。然后讨论了 SLP 在为 CP 儿童提供功能性坐姿方面的具体作用。
当为承重提供适当的设备、将骨盆定位在稳定和活动范围内以及正确对齐身体时，坐姿干预可能会为学龄 CP 儿童带来积极的身体结构和功能、活动和参与效果。SLP 可以通过与具有坐姿专业知识的专业人员沟通，并分别调用和监测针对基本和复杂坐姿需求的儿童的推荐指南，来支持 CP 学龄儿童的功能性坐姿。
