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An individual with left upper extremity flaccidity is observed with their arm dangling. What is the first positioning strategy to introduce?
Positioning the UE on the tabletop surface with Dycem
Repositioning the arm back on the wheelchair armrest
Using an arm sling
Attaching a lap tray
The correct answer is: Positioning the UE on the tabletop surface with Dycem
Introducing the arm positioning strategy of placing the upper extremity on a tabletop surface with Dycem is effective because it provides stability and support for the flaccid arm. This approach helps to ensure that the arm is positioned in a way that minimizes the risk of injury or additional complications, such as contractures or pressure sores. By using the Dycem material, which offers a non-slip surface, the arm can be secured in place, promoting better alignment and comfort. This strategy allows for the arm to be supported in a more functional position while encouraging engagement in activities that require the use of the other hand. It also facilitates better circulation and can help in maintaining some range of motion in the shoulder and wrist joints. Other strategies, such as repositioning the arm on the wheelchair armrest or using an arm sling, may not provide the same level of support and engagement. A lap tray can be helpful, but it does not directly address the need for support and stability that a tabletop offers in this scenario. Thus, supporting the upper extremity on a tabletop is a foundational and practical first step in the rehabilitation process for individuals with flaccidity.