During the initial period following a stroke the hemiplegic arm is flaccid or hypotonic the shoulder muscles are unable to anchor the humeral head within the glenoid cavity resulting in a high risk of shoulder subluxation. Abstract development of a painful shoulder in the hemiplegic patient is a significant and serious problem because it can limit the patients ability to reach his or her maximum functional potential. Hemiplegic shoulder pain good shoulder function is a prerequisite for effective hand function as well as for performing multiple tasks involving mobility ambulation and activities of daily. Shoulder subluxation occurs at an early stage after stroke and is associated with subluxation of the shoulder joint and spasticity mainly subscapularis and pectoralis slings prevent subluxation of the shoulder it is preferable to move within a lower range of motion and without aggression to pre
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