A 57 year-old male recently suffered a hemorrhagic stroke and is referred to you for outpatient therapy.Upon exam you find the patient presents with a flaccid upper extremity.He has absent deep tendon reflexes,absent muscle tone and no resistance to passive movement.You can elicit no voluntary movement and you observe no associated reactions (e.g.,involuntary movements occurring with higher stress activities).You also note a three-finger shoulder subluxation.He has not been given any shoulder support and is complaining of mild shoulder pain.Given the known long-term benefits and risks of various shoulder supports,which of the following would you NOT recommend for this patient?

Question

Quizplus · Accepted Answer

The traditional single strap hemi-sling is not recommended for patients with shoulder subluxation following a stroke because it can increase the risk of further shoulder damage by pulling the shoulder down rather than providing the necessary support and alignment. The other options, such as the humeral cuff sling, Giv-Mohr sling, and NMES, are designed to better support the shoulder, reduce pain, and potentially improve function.

A 57 Year-Old Male Recently Suffered a Hemorrhagic Stroke and Is