Evidence for 24-hour posture management:  A scoping review

Introduction: People with complex physical disabilities unable to change their position independently are at risk of developing  postural deformities and secondary complications. 24-hour posture management is needed to protect body structure. With  inconsistencies in current service provision, this research aimed to scope the evidence for a 24-hour posture management  approach. Method: A scoping review was conducted using four health and social science databases. Inclusion and exclusion criteria were  applied; further papers were included through citation chaining. Results: The evidence for 24-hour posture management was often low quality due to the complications of completing robust  research studies in this complex specialty. However, many professionals in the field agree that a 24-hour approach to postural  care is essential. Conclusion: There is a need for clear national policy and guidance relating to postural care and scope for development of  dedicated posture management services. Current NHS service provision is variable and inconsistent. Lack of postural care  is a safeguarding and human rights issue. Specialist training and research in postural care within the Occupational Therapy  profession is required to raise awareness of the role Occupational Therapists can play in preventing postural deformities and  other secondary complications through providing good postural care.