Flaccid Paralysis Treatment in Stroke

Flaccid Paralysis Treatment in Stroke

There is no predetermined length of time that one must spend in the flaccid stage. It may take days, weeks, or even months for it to be resolved for some people. The majority of people who have had a stroke that I’ve seen do not continue to have flaccid muscles and do gain some amount of tone, which can range anywhere from negligible to significant.


During the stage of flaccidity, it is critical to ensure that the arm is properly supported and positioned at all times. Hand and forearm edema can be helped by elevating the affected area, doing manual edoema mobilization, and wearing compression garments (unless contraindicated due to CHF or similar diagnosis, so always check with MD first). 


Support for the weak arm might be provided by pillows or a tray. Slings are a possibility; however, I do not prefer using slings since they prevent the arm from moving and frequently result in improper posture and alignment. When I do use a sling, it is typically just when a patient who has an atrophied arm is walking so that the arm does not hang excessively by the side of the person.


Weight-bearing, facilitation, and trying to elicit movement across gravity-removed or assisted planes are some of the other exercises that should be undertaken. The patient should begin weight bearing as soon as they are able to support some of their own weight since this will help them build their muscles and prevent their bones from becoming fragile. Eliciting weak movement can be helped along by facilitation and the use of gravity-decreased planes.


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