•
•Facilitation of Shoulder
Function
–Again following preparation
for function and determining
that there is adequate muscle length in the unaffected muscles, one can begin working directly on the shoulder.
–If there is not adequate
muscle length following preparation,
therapist should isolate out those muscles
as contractures and should no longer be doing passive range of motion or facilitation of active usage. Passive
range of motion or asking child to utilize
a contracted muscle, can ultimately cause joint deformity and long-term compensation.
–These children should be
referred immediately for surgical
consideration.