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•When working on shoulder
movement, need to look at total
body position to inhibit any compensatory patterns. This
must be looked at early in infancy and throughout recovery and growth as patterns learned early will
remain if not inhibited. New patterns available to the child as the nerve recovers will be inhibited by these old patterns
if not discouraged early.
(concept of Developmental Apraxia)
•Therapist must look at the
actual capabilities of the child before
requesting that they complete an activity.
Any compensations or
movements out of alignment must be discouraged.
•Therapists who use
“constraint-induced movement” should be
diligent in promoting alignment and structuring the activity in order that all movements be clean and
without compensation.
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