PURPOSE To systematically review the effectiveness of adaptive seating systems on sitting posture, postural control, and seated activity performance in children with cerebral palsy (CP). SUMMARY OF KEY POINTS From 5 databases, 3 of 21 (14%) articles were of good quality based on the Downs and Black checklist. Commercial modular contoured seating and paper-based low-cost, and contoured foam seating were effective at improving sitting posture, postural control, and seated activity performance. Parents and service providers reported that seating systems reduced stress, burden and psychosocial well-being, and quality of life in children with CP. CONCLUSION Limited evidence demonstrated that adaptive seating systems were effective at improving sitting ability and postural control. Randomized controlled trials with objective outcome measures of seating performance in children with CP are needed to evaluate effectiveness. RECOMMENDATIONS FOR CLINICAL PRACTICE Adaptive seating devices are preferred by parents and therapists for children with CP; however, objective measures of seating outcomes are needed.

中文翻译：

---

自适应座椅系统对姿势控制和活动表现的影响：系统评价。

目的 系统评价自适应座椅系统对脑瘫 (CP) 儿童坐姿、姿势控制和坐姿活动表现的有效性。要点摘要 根据 Downs 和 Black 检查清单，5 个数据库中 21 篇文章中的 3 篇 (14%) 质量良好。商业模块化轮廓座椅和纸基低成本轮廓泡沫座椅可有效改善坐姿、姿势控制和坐姿活动表现。家长和服务提供者报告说，座椅系统减轻了脑瘫儿童的压力、负担、社会心理健康和生活质量。结论 有限的证据表明自适应座椅系统可有效改善坐姿能力和姿势控制。需要对 CP 儿童的坐姿表现进行随机对照试验来客观测量结果来评估有效性。临床实践建议 对于脑瘫儿童，家长和治疗师更喜欢使用自适应座椅装置；然而，需要对座位结果进行客观衡量。