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Analysis of facilitation strategies for a patient in standing who presents with R hemiparesis

Question:

What manual techniques is the therapist above using to improve motor control in standing and walking?

Answer:

Standing on affected side

Mirroring patient's stance to match and facilitate weight shift

Deep pressure to shoulder internal rotators and weight bearing support to shoulder

Positioning affected arm in abduction, external rotation, elbow extension and supination

Using tacile input into palm to increase limb proprioception through approximation


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