New publication on sleep positioning systems

A new academic paper has been published: "Sleep positioning systems for children and adults with a neurudisability: A systematic review"


Introduction: Sleep positioning systems are often prescribed as part of a 24-hour postural management programme for children and adults with neurodisabilities. In a search for evidence of effectiveness for children with cerebral palsy a recent Cochrane review found two randomised controlled trials. This review aims to appraise a broader set of studies including any neurological diagnosis and users of all ages to inform therapists about the quality of the evidence underlying practice.

Methods: A comprehensive search for all peer-reviewed studies that evaluated the use of sleep positioning systems was conducted in MEDLINE, EMBASE, CINAHL, Cochrane Library databases, BNI, HMIC, PEDro, OTSeeker and clinical trials registries. Disability organisations, manufacturers and colleagues worldwide were also contacted. Titles were screened for relevance by two reviewers. Data were extracted into bespoke

Results: A total of 14 studies were eligible for inclusion; all were small and most were of low quality. Inferences of benefits cannot be made from the literature but also no harm was found.

Conclusions: The body of evidence supporting practice remains small and mostly of low quality. Therapists should remain cautious when presenting the benefits to families.


PenCLAHRC have published a blog relating to this academic paper: Clinician-led research to inform new guidance for therapists

For more information about the Sleep Positioning Systems for Cerebral Palsy please visit the project page.

The paper is not published ‘Open Access’ which means you will not be able to access it outside of the University of Exeter. For a copy of the paper, please get in touch












Back to News