the hemiplegic arm is drawn forwards until it lies at an angle of not less than 90° to the body. The forearm is supinated and the wrist lies in passive dorsiflexion. The assistant working from the front, places one hand under the patient's shoulder and scapula and brings the latter forwards into protraction. The patient's body weight maintains the protraction, and when the shoulder-blade is protracted flexor spasticity in the entire arm and hand is reduced, enabling the correct position to be maintained. To check that the scapula is indeed protracted, the assistant should always feel across the back of the thorax. When the patient is correctly positioned the medial border of the scapula does not protrude at all, but lies flat against the chest wall. Without sufficient protraction, the patient will often complain of shoulder pain or discomfort after a short time, as he is lying on the point of his shoulder.
the hemiplegic arm is drawn forwards until it lies at an angle of not less than 90° to the body. The forearm is supinated and the wrist lies in passive dorsiflexion. The assistant working from the front, places one hand under the patient's shoulder and scapula and brings the latter forwards into protraction. The patient's body weight maintains the protraction, and when the shoulder-blade is protracted flexor spasticity in the entire arm and hand is reduced, enabling the correct position to be maintained. To check that the scapula is indeed protracted, the assistant should always feel across the back of the thorax. When the patient is correctly positioned the medial border of the scapula does not protrude at all, but lies flat against the chest wall. Without sufficient protraction, the patient will often complain of shoulder pain or discomfort after a short time, as he is lying on the point of his shoulder.
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