Are hemislings or Bobath slings effective?  I was told that they allow
function while providing some support to prevent further subluxation.
Sandi


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of
[EMAIL PROTECTED]
Sent: Monday, July 29, 2002 7:30 PM
To: [EMAIL PROTECTED]
Subject: Re: Slings: yes or no for treatment of the hemiplegic shoulder?


Slings are not effective for reducing subluxation - there have been
radiographic studies done to show that the sublux does NOT reduce with the
sling on.  You are further correct in your understanding that slings promote
non-use and abnormal patterns of movement, not just gait.  I'm at home, so
don't have references here, but unfortunately, it sounds like some of the
OTs
in your are are in fact behind the times.  If I were to sling anything, it
would more likely be the intact arm, to try constraint induced movement of
the hemiplegic arm.  Some therapists are trying taping for subluxed
shoulders, which does not restrict movement.
Ann

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