Paleg Ginny S, Smith Beth A, Glickman Leslie B
Montgomery County Infants and Toddlers Program , Rockville, Maryland, USA.
Pediatr Phys Ther. 2013 Fall;25(3):232-47. doi: 10.1097/PEP.0b013e318299d5e7.
There is a lack of evidence-based recommendations for effective dosing of pediatric supported standing programs, despite widespread clinical use.
Using the International Classification of Functioning, Disability, and Health (Child and Youth Version) framework, we searched 7 databases, using specific search terms.
Thirty of 687 studies located met our inclusion criteria. Strength of the evidence was evaluated by well-known tools, and to assist with clinical decision-making, clinical recommendations based on the existing evidence and the authors' opinions were provided.
Standing programs 5 days per week positively affect bone mineral density (60 to 90 min/d); hip stability (60 min/d in 30° to 60° of total bilateral hip abduction); range of motion of hip, knee, and ankle (45 to 60 min/d); and spasticity (30 to 45 min/d).
尽管小儿辅助站立训练方案在临床中广泛应用，但缺乏关于有效剂量的循证推荐。
我们使用《国际功能、残疾和健康分类（儿童与青少年版）》框架，运用特定检索词检索了7个数据库。
所检索到的687项研究中有30项符合我们的纳入标准。通过知名工具评估证据强度，并基于现有证据和作者观点提供临床推荐，以协助临床决策。
每周进行5天的站立训练方案对骨密度（60至90分钟/天）、髋关节稳定性（在双侧髋关节外展30°至60°时60分钟/天）、髋、膝和踝关节活动范围（45至60分钟/天）以及痉挛（30至45分钟/天）有积极影响。
