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Comparative Effectiveness of the GivMohr Sling in Subjects With Flaccid Upper Limbs on Subluxation Through Radiologic Analysis

      Abstract

      Dieruf K, Poole JL, Gregory C, Rodriguez EJ, Spizman C. Comparative effectiveness of the GivMohr sling in subjects with flaccid upper limbs on subluxation through radiologic analysis.

      Objective

      To test the effectiveness of the GivMohr sling in reducing subluxation while providing joint compression through a flaccid limb, using the criterion standard of radiography for measuring subluxation.

      Design

      Anteroposterior 0° radiographs were taken of each subject: 1 of the unaffected shoulder and 3 of the affected shoulder; 1 without a sling, 1 with the GivMohr sling, and 1 with the Rolyan humeral cuff sling.

      Setting

      Two large rehabilitation centers.

      Participants

      Twenty-five adult volunteers with a flaccid upper limb (UL) secondary to cerebrovascular accident or other pathology.

      Interventions

      Not applicable.

      Main Outcome Measures

      Vertical and horizontal subluxation were measured in millimeters on each of the 4 radiographs for each subject.

      Results

      A 1-way analysis of variance revealed a significant main effect for vertical but not horizontal subluxation. Post hoc tests showed that the GivMohr sling measures were similar to measures for the uninvolved shoulder, but significantly different from measures for the Rolyan and the involved shoulder.

      Conclusions

      These results show that a properly fitted GivMohr sling reduces subluxation without overcorrecting. This new sling provides an alternative treatment option for persons with flaccid ULs that may prevent secondary complications and improve outcomes.

      Key Words

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