Hi Ann, first off thank you for your helpful videos. I have a new patient with a flaccid arm from a severe CVA. No active movement whatsoever with the exception of scapular elevation. I was going to recommend a custom resting hand splint after the patient's husband mentioned she wakes up and goes about her day with a clenched fist. I think I am going to try this simple and effective alternative. My only concern is she has a history of shoulder subluxation on the affected side- is this still a safe position? They do not use a sling. Thanks!
Hi Gabrielle! You can always try this splint to see how it looks and feels to the patient and to you as the therapist. It may not be strong enough if the subluxation is severe, say, 2 fingers. For that much separation, I have always used a commercially constructed splint that holds the shoulder in position more securely. I've also had some great success with KT tape. The only problem with the tape is you have to replace it every few days and some patients cannot tolerate the adhesive. Good luck! Let me know how it goes!
Hi Ann, first off thank you for your helpful videos. I have a new patient with a flaccid arm from a severe CVA. No active movement whatsoever with the exception of scapular elevation. I was going to recommend a custom resting hand splint after the patient's husband mentioned she wakes up and goes about her day with a clenched fist. I think I am going to try this simple and effective alternative. My only concern is she has a history of shoulder subluxation on the affected side- is this still a safe position? They do not use a sling. Thanks!
Hi Gabrielle! You can always try this splint to see how it looks and feels to the patient and to you as the therapist. It may not be strong enough if the subluxation is severe, say, 2 fingers. For that much separation, I have always used a commercially constructed splint that holds the shoulder in position more securely. I've also had some great success with KT tape. The only problem with the tape is you have to replace it every few days and some patients cannot tolerate the adhesive. Good luck! Let me know how it goes!