Systematic Review and Evidence-Based Clinical Recommendations for Dosing of Pediatric Supported Standing Programs

In Brief Purpose: There is a lack of evidence-based recommendations for effective dosing of pediatric supported standing programs, despite widespread clinical use. Methods: Using the International Classification of Functioning, Disability, and Health (Child and Youth Version) framework, we searched 7 databases, using specific search terms. Results: 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. Conclusions and recommendations for clinical practice: 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). This systematic review of the literature establishes evidence based parameters for dosing of supported standing programs that affect body structure, body function, activities, and participation.