Mr McTavish presents with:
- Shoulder: ½ normal range of flexion, ½ abduction and ⅓ lateral rotation, limited by pain.
- Elbow: Full range of movement (FROM)
- Wrist: Limited combined wrist & finger extension due to shortening in the long finger flexors as a result of increased tone
Mr McTavish has no active movement in the upper limb (Grade 0), he has proximal Grade 3 movement in the lower limb (hip flexors and extensors, knee extensors) and grade 2 movement distal to the knee.
Management plan- To maintain and improve joint movement by:
- Performing regular passive movements within normal anatomical, pain free range
- Using base of support and alignment to allow the patient to maximise their movement capabilities
- Encouraging the patient to be functionally independent as appropriate. Sometimes patients should be discouraged from attempting things which require a lot of effort since this can increase tone.
- Explaining the importance of maintaining flexibility of muscles and joints to the patient to maximise compliance
- Discussing management strategies with MDT to ensure a coordinated and consistent approach
Page last reviewed: 01 Feb 2021
