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Posts tagged ‘Subluxation’

12
Oct

Subluxation

I got a question about a shoulder brace.  Here it is….

“I have subluxation on my left side. Not always. The KY helps. I would rather do shoulder shrugs with chanting & music than just counting .I also thought a brace -the criss cross cloth kind might help me hold my shoulders back. the left slumps forward.”

Does everyone know what subluxation is?  It’s the step before dislocation.  The joint is out of whack but not completely dislocated yet.  Now my initial reaction would be to say “no don’t get a shoulder sling.”  The reason is this…..We all know that nothing to us is more important than repetition…..which leads to neuroplasticity.  When you use a brace, neuroplasticity doesn’t happen because you’re not using the muscles.  I was at a course taught by Peter G. Levine and he was talking about using canes and said “we teach people to neuroplastically strengthen the wrong leg.”  He’s absolutely right.  The stuff about walking and transfers that a physical therapist teaches you is for SAFETY.  Getting a limb back to normal function is an entirely different story.  Entirely.  You pretty much have to do the opposite of all that safe stuff that your PT taught you in order to get stronger.  Disclaimer: do all the safe stuff.

Shoulders are a little different.  It’s not like walking or climbing steps where just doing the action will promote neuroplasticity.  The position of your shoulder has to be addressed before you use it.  Sooooo, I don’t know.  I never had a patient get a shoulder sling but I worked in orthopedics.  I never worked in neuro.  I also didn’t have this problem myself.  My shoulder never subluxed.  It hurt, but never subluxed.  So I don’t know.  Peter if you read this, what are your thoughts on this?  Like I said, I have no experience with shoulder slings for subluxation and can’t recommend one but this looks very good.

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