March 2005

For Therapists

When There is Tightness Around the Scapula
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If your patient has tightness around the scapula, you may notice decreased ROM in shoulder flexion or abduction or decreased scapular gliding as you try to mobilize the scapula.

Some patients may also experience pain or discomfort related to their tightness.

Here is an effective method to work on scapular tightness:

Start with the trunk.

Begin with your patient in supine, with their hips and knees in flexion.

Place their arm wherever it is comfortable, along their side is best.

Slowly help them move their knees toward their weak side and then toward their strong side, encouraging trunk rotation.

Go only to the point of any discomfort and no further.

As they move from side to side, this slow stretch puts the latissimus dorsi and other muscles acting on the scapula on length.

It will now be easier to continue with upper extremity ROM and scapular mobilization.

Avoid this if your patient has a history of back pain.

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March 2005

For Families & Caregivers

Cutting Food With One Hand
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"Asking someone to cut my food can be embarrassing."

Stroke survivors who have the use of just one hand can quickly learn how to cut food using this special knife. It is called a 'rocker knife' because of the rocking motion used to cut meat and other foods. The knife is sharp and should be used by stroke survivors with good judgment and safety awareness.

This knife (and others like it) is affordable and can be ordered online. The prices vary, so shop around. I found them for $5.95, but have seen them as high as $11. Search www.google.com for 'rocker knife'.

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