Which positions of the involved upper extremity are most detrimental to a patient with hemiplegia?
A) Prolonged shoulder adduction and internal rotation, and elbow flexion
B) Prolonged shoulder abduction and internal rotation, and elbow extension
C) Prolonged shoulder adduction and external rotation, and elbow flexion
D) Prolonged shoulder abduction and external rotation, and elbow extension

Question

Quizplus · Accepted Answer

When the patient's upper extremity is involved,the following should be avoided: prolonged shoulder adduction and internal rotation; elbow flexion; forearm supination or pronation; wrist,finger,or thumb flexion; and finger and thumb adduction.These positions,although possibly ones of comfort,are the most likely to lead to soft tissue contractures caused by muscle spasticity,reduced function of the opposing muscles,and lack of active motion.

Which Positions of the Involved Upper Extremity Are Most Detrimental