As we move towards a specialised stroke service (an integrated care project
involving several providers here in Christchurch, New Zealand) we want to
write a policy for care of the stroke shoulder. In particular the vexed
question of support versus position when the patient is up and about.That
is, slings have not been shown to prevent subluxation, and most of them
hold the shoulder in internal rotation and the elbow in flexion, but if the
shoulder girdle muscles aren't active enough to take the weight of the limb,
what happens to the capsule of the gleno-humeral joint?
Is there an evidence-based solution to this dilemma?
Respondents may care to reply directly to me at
[log in to unmask] Thankyou
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