Shoulder Subluxation Summary

Equipment to support the shoulder (v no intervention) on shoulder subluxation (prevention) in people with SCI at risk of shoulder subluxation

consensus: Strong For Recommendation

Equipment to support the shoulder such as wheelchair armrests or shoulder support devices should be provided to prevent and treat shoulder subluxation.

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	Equipment to support the shoulder (v no intervention) on shoulder subluxation (prevention) in people with SCI at risk of shoulder subluxation
P	People with SCI at risk of shoulder subluxation	Evidence recommendation No evidence recommendation Reason: No RCTs	Strong opinion statement FOR Equipment to support the shoulder such as wheelchair armrests or shoulder support devices should be provided to prevent and treat shoulder subluxation. Clinical note: Equipment to support the shoulder includes wheelchair armrests or pillows under the elbows.
I	Supportive equipment
C	No intervention	Consensus-based opinion statement Strong for (83%)
O	Shoulder subluxation

Neuromuscular electrical stimulation (v no intervention) on shoulder subluxation (prevention and treatment) in people with SCI

consensus: Weak For Recommendation

Neuromuscular electrical stimulation of the shoulder may be provided to prevent and treat shoulder subluxation in people with SCI.

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The Australian and New Zealand Physiotherapy Guidelines for people with SCI was funded by icare NSW, National Injury Insurance Scheme Queensland, Transport Accident Commission Victoria, and Lifetime Support Authority South Australia.

Acknowledgement of Country – The Australian and New Zealand Clinical Practice Guidelines team acknowledges the Traditional Custodians of country throughout Australia and their connections to land, sea and community. We pay our respect to their Elders past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today.

Honouring Te Tiriti – Ethical approval, including Māori consultation through University of Otago, Christchurch, Te Komiti Whakarite (Canterbury District Health Board), and through Māori consultation (Counties Manukau District Health Board) was obtained for Phase 1 of the study. In developing these guidelines, we were committed to meeting our obligations under Te Tiriti and reflect the principles of tino rangatiratanga, equity, active protection, options, and partnership.