It is important to make sure the hand stays clean and dry, and that the nails are well trimmed. Muscle spasticity in the hand may lead to finger and hand tightness, causing the hand to close into a tight fist. splints or orthotics – special devices that help position and support joints (note: routine use of upper extremity splints is not recommended although a person may be fitted with a splint in some situations).Talk to your healthcare team about proper positioning and strategies to help prevent injuries and promote recovery.Ĭhanges in muscle tone, movement and control can also lead to a stiff, swollen and painful shoulder, hand or wrist. It is very important to handle, move and position an affected limb carefully to help avoid injury to joints, muscles and ligaments. Low muscle tone around the shoulder joint can lead to shoulder subluxation - a partial dislocation of the shoulder joint. These changes in muscle tone can affect joint stability and movement. In the weeks or months after a stroke, the muscles may shorten and become very tight, making them more difficult to move. After a stroke, the muscles may become limp and feel heavy (flaccid or low tone). Stroke can affect muscles in your arms, legs, hands and feet. This poses challenges to your independence. The effects of stroke can leave one side of your body paralyzed or weakened.
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