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•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.