{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:01:46Z","timestamp":1787018506879,"version":"build-2736575974"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1999,10,1]],"date-time":"1999-10-01T00:00:00Z","timestamp":938736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Occup Ther"],"published-print":{"date-parts":[[1999,10]]},"abstract":"<jats:p>External support systems, such as slings and lapboards, may reduce shoulder subluxation in individuals with hemiplegia. However there is controversy among occupational therapists concerning the most appropriate method to support the affected arm. The purpose of the present paper is to report the biomechanical analysis of four support systems; two shoulder support systems, a Bobath axillary roll, and a laptray. Two dimensional static biomechanical analyses determine the mechanical characteristics of each of these four support systems. The results of the analyses demonstrate the magnitude of the shoulder loading and the effectiveness of the various components of each of the systems. The effect of changing some of the characteristics of the slings is demonstrated. Slings with straps over the unaffected shoulder provide continuous support for the flaccid extremity. The Bobath axillary roll may introduce an unwanted lateral force. Lapboards must be maintained at an appropriate distance from the subluxed shoulder to be effective. This theoretical analysis of supports systems will provide therapists information to help them understand effective supports for subluxation.<\/jats:p>","DOI":"10.1177\/000841749906600404","type":"journal-article","created":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T18:32:08Z","timestamp":1364409128000},"page":"169-175","source":"Crossref","is-referenced-by-count":11,"title":["Biomechanical Analysis of Four Supports for the Subluxed Hemiparetic Shoulder"],"prefix":"10.1177","volume":"66","author":[{"given":"Sandi J.","family":"Spaulding","sequence":"first","affiliation":[{"name":"Sandi J. Spaulding, Ph.D, OT(C) is an Associate Professor in the School of Occupational Therapy, University of Western Ontario, London, Ontario N6G 1H1"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1999,10,1]]},"reference":[{"key":"bibr1-000841749906600404","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.44.6.507"},{"key":"bibr2-000841749906600404","doi-asserted-by":"publisher","DOI":"10.1177\/000841748605300201"},{"key":"bibr3-000841749906600404","first-page":"582","volume":"72","author":"Brooke M. M.","year":"1991","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"bibr4-000841749906600404","first-page":"151","volume":"38","author":"Buchholz Moodie N.","year":"1986","journal-title":"Physiotherapy Canada"},{"key":"bibr5-000841749906600404","first-page":"139","volume":"50","author":"Chaco J.","year":"1971","journal-title":"American Journal of Physical Medicine"},{"key":"bibr6-000841749906600404","doi-asserted-by":"crossref","unstructured":"Clauser C.E., McConville J.T., Young J.W. (1969). Weight, volume, and center of segments of the human body. Wright-Patterson Air Force Base, Ohio, (AMRL-TR-69-70).","DOI":"10.21236\/AD0710622"},{"key":"bibr7-000841749906600404","doi-asserted-by":"publisher","DOI":"10.3109\/03093648909078219"},{"key":"bibr8-000841749906600404","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(95)80552-4"},{"key":"bibr9-000841749906600404","first-page":"409","volume":"73","author":"Joynt R. L.","year":"1992","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"bibr10-000841749906600404","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/68.2.228"},{"key":"bibr11-000841749906600404","first-page":"786","volume":"68","author":"Pr\u00e9vost R.","year":"1987","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"bibr12-000841749906600404","first-page":"673","volume":"71","author":"de Courval Poulin L.","year":"1990","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"bibr13-000841749906600404","first-page":"191","volume":"66","author":"Rajaram V.","year":"1985","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"bibr14-000841749906600404","doi-asserted-by":"publisher","DOI":"10.1177\/026921558800200106"},{"key":"bibr15-000841749906600404","doi-asserted-by":"publisher","DOI":"10.1177\/026921559500900103"},{"key":"bibr16-000841749906600404","first-page":"161","volume":"20","author":"Van Langenberghe H. V. K.","year":"1988","journal-title":"Scandinavian Journal of Rehabilitation Medicine"},{"key":"bibr17-000841749906600404","first-page":"23","volume":"67","author":"Van Ouwenaller C.","year":"1986","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"bibr18-000841749906600404","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.41.8.533"},{"key":"bibr19-000841749906600404","first-page":"1209","volume":"68","author":"Williams R.","year":"1988","journal-title":"Physical Therapy"},{"key":"bibr20-000841749906600404","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.50.3.194"},{"key":"bibr21-000841749906600404","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(95)80532-X"}],"container-title":["Canadian Journal of Occupational Therapy"],"original-title":[],"language":"fr","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000841749906600404","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000841749906600404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:28:45Z","timestamp":1777390125000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000841749906600404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,10]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1999,10]]}},"alternative-id":["10.1177\/000841749906600404"],"URL":"https:\/\/doi.org\/10.1177\/000841749906600404","relation":{},"ISSN":["0008-4174","1911-9828"],"issn-type":[{"value":"0008-4174","type":"print"},{"value":"1911-9828","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,10]]}}}