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The therapy is starting out by what they call "passive" manipulation of the
arm - she is not supposed to try to move the arm without a "helper". The arm is
supposed to just hang down loosely. The idea is to allow the bicep to return to
a full length position - which has been prevented by the sling for about 2 weeks.
Then the arm is allowed to move a little back and froth, side to side, and then rotating
without her actually causing the movement - letting the body sway. All these cause pain
for her and will take a while to go through. She has lower back pain and has for several
years as well as arthritis in her hips which cause other problem in leaning over to
allow the arm to hang down straight. The therapy is considered occupational rather than
strictly PT - and the PT she has been on is scheduled to continue - just at a reduced

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