Proper Positioning for Stroke/CVA Patients

Question 1

Head and Neck position when lying in Supine

Answer 1

Neutral and Symmetrical; supported on pillow

Question 2

Affected UE Position when lying in supine

Answer 2

Scapulae Protracted
Shoulders forward and slight abducted
Arm supported under pillow
Elbow Extended
Fingers Extended & Thumb Abducted

Question 3

Affected LE Position when lying in supine

Answer 3

• Pelvis Protracted
• Knee on Small pillow/towel to prevent hyperextension
• nothing against soles of feet

Question 4

Trunk Alignment when laying in Supine

Answer 4

Aligned in Midline

Question 5

Head and Neck When lying on Affected Side

Answer 5

Neutral and Symmetrical

Question 6

Trunk Alignments when lying on Affected side

Answer 6

Aligned in Midline

Question 7

UE position when lying on affected side?

Answer 7

• Scapular protraction
• Shoulder forward, arm in slight abduction and ER
• Elbow Extended
• Forearm Supinated
• Fingers extended and thumb abducted

Question 8

LE position when lying on affected side?

Answer 8

• Hip extended
• Knee flexed and supported by pillows

Question 9

Head and neck when lying on non-affected side?

Answer 9

Neutral and Symmetrical

Question 10

Trunk position when lying on non-affected side?

Answer 10

Midline

Question 11

UE position when lying on non-affected side?

Answer 11

• Scapular protraction
• Shoulder forward, arm on support pillow
• Elbow Extended
• Fingers extended and thumb abducted

Question 12

Positioning while in WC: Trunk

Answer 12

Spine in Extension

Question 13

Positioning while in WC: Affected UE

Answer 13

• Shoulder Protracted
• Elbow supported
• Fingers extended and thumb abducted

Question 14

Positioning while in WC: LEs

Answer 14

Hips flexed to 90 degrees, neutral rotation