How is a shoulder subluxation prevented following middle cerebral artery (MCA) stroke?

Updated: Feb 20, 2018
  • Author: Daniel I Slater, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

Bracing and wheelchair positioning for shoulder subluxation is still a longstanding topic of debate. These interventions still show no benefit in terms of pain or function but also have not been shown to cause adverse shoulder contracture according to a recent literature review. [31] A lap tray or forearm gutter splint in wheelchair-bound patients is commonly used. Bobath, kinesiotape, and other slings are frequently used for patients during gait and standing activity.


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