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Postural support in the lying orientation is a key element of 24-hour posture care management (PCM), but it has not previously been described in a Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) position paper. The purpose of this paper is to educate and advocate for the appropriate use of lying posture care management (LPCM) to prevent secondary complications and improve function and health outcomes for people with movement limitations. Postural support in the seated and standing orientations have been addressed in previous RESNA position papers (Babinec et al., 2013; Dicianno et al., 2015; Masselink et al., 2024; Rosen et al., 2018; Worobey, 2023). This document fills a gap in knowledge by specifically discussing LPCM, both outlining the need for such intervention as well as providing appropriate definitions, current evidence, and best practices in this area. This document has secondary purposes: serve as an educational tool; encourage practitioners to continue development of LPCM interventions; urge researchers to produce more and better-quality research; offer practitioners justification of funding in their practice; make available evidence for policy decisions, and finally, help in advancement of best practice. Utilizing this information requires informed clinical judgement that must be applied to unique, individual cases.
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