In a message dated 4/24/2005 12:08:02 PM Eastern Standard Time, [EMAIL PROTECTED] writes:
> I did a re-eval on a person post CVA with left hemiplegia. She has almost > a 2 finger width subluxation. The OT that did the original eval ordered a > sling. > > Is it a "traditional" pouch type sling? If so, the patient would be much better off without it. Pouch slings place the arm into an internally rotated position, and reinforce elbow and wrist flexion. This all exacerbates any tendencies toward excess flexor tone, and malalignment. There are alternatives available that take the weight of the arm(since you are concerned about the subluxation increasing), but don't place the arm in this internally rotated,flexed position. There are supports that have a cuff that goes around the upper arm, with a harness around the shoulders, that supports the weight of the arm while leaving it in a more aligned position. If the person is seated, supporting it on a full armrest or table is preferable to a sling, and when standing, I have had people place their hand in a pants pocket to prevent it hanging free, but keep out of that flexed posture. Ann -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
