Shellie, The newest research I have seen reports that shoulder subluxation following CVA is less associated with rotator cuff stability than a tendency for a downward angling of the glenoid fossa (not sure where I read this though). This can be associated with weakness or abnormal tone. Does the patient have pain or is this causing some limitation, or are you just attempting protection from future complications of the subluxation? It might be possible to facilitate proper alignment of the glenoid fossa/scapula. Is there any potential? As others have reported positioning in bed or in a wheelchair can help. Slings are not usually real helpful and tend to cause other problems, however others have reported success witht he use of slings. In terms of the potential to return to improved ability to complete occupations, the patient would be better off if the arm could be used as, at the least, a gross support/assist. This would preclude use of most slings (there are some - see the emails from others - that do not interfere however). Jimmie
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Shellie Sent: Sunday, April 24, 2005 10:10 AM To: [email protected] Subject: [OTlist] Shoulder subluxation 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. I believe that a sling shouldn't be worn all the time because it keeps the person from trying to use the arm spontanously, but also believe it should be worn to prevent futher subluxation. The COTA is working with the client now but she has asked me for some suggestions. It has been 8 yrs since I practiced and I am trying to do some research. What suggestions do you have to decrease the subluxation? I appreciate any comments Shellie -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED] *** NOTICE--The attached communication contains privileged and confidential information. If you are not the intended recipient, DO NOT read, copy, or disseminate this communication. Non-intended recipients are hereby placed on notice that any unauthorized disclosure, duplication, distribution, or taking of any action in reliance on the contents of these materials is expressly prohibited. If you have received this communication in error, please delete this information in its entirety and contact the Amedisys Privacy Hotline at 1-866-518-6684. Also, please immediately notify the sender via e-mail that you have received this communication in error. *** -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
