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Shoulder sling for hemiplegia: friend or foe?
Hurd MM, Farrell KH, Waylonis GW
Archives of Physical Medicine and Rehabilitation 1974 Nov;55(11):519-522
clinical trial
1/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The shoulder hemisling is commonly used to support the shoulder and arm of the hemiplegic patient with a flail upper extremity. During a nine-month period, all new hemiplegic patients referred to the Physical Medicine Department of Riverside Hospital were considered for inclusion in a clinical study on the value of the sling. Fourteen study patients were alternately placed in a treated or control group (no sling) but were treated identically in all other respects. No appreciable difference between the treated or control groups was observed using the parameters of shoulder range of motion, shoulder pain or subluxation, and there was no evidence of increased incidence of peripheral nerve or plexus injury. We conclude that the hemisling as traditionally designed need not be uniformly applied to all such patients following cerebrovascular accidents.

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