A 57 Year-Old Male Recently Suffered a Hemorrhagic Stroke and Is

Multiple Choice

A 57 year-old male recently suffered a hemorrhagic stroke and is referred to you for outpatient therapy.Upon exam you find the patient presents with a flaccid upper extremity.He has absent deep tendon reflexes,absent muscle tone and no resistance to passive movement.You can elicit no voluntary movement and you observe no associated reactions (e.g.,involuntary movements occurring with higher stress activities) .You also note a three-finger shoulder subluxation.He has not been given any shoulder support and is complaining of mild shoulder pain.Given the known long-term benefits and risks of various shoulder supports,which of the following would you NOT recommend for this patient?

A) Humeral cuff sling
B) Giv-Mohr sling
C) Traditional single strap hemi-sling
D) Neuromuscular electrical stimulation (NMES)