hi I'm Andrew Simpkins the DME coordinator at Cal Sports and today we're going to talk about the dawn joy ultra slim three so a few main pointers on this sling is going to be these straps so this will be the shoulder strap and the main thing about this sling is it's going to help to immobilize your arm so you're not going to be actively moving it after the procedure it will have a pillow here that'll take the arm a little bit away from the body into abduction that takes a lot of the stress off of the repair the big part about this link is going to be the shoulder strap noted by this shoulder pad here as well as a waist strap that will wrap around your waist to secure the sling to your body into the arm to the body it does have a thumb strap that will wrap around the thumb you don't want to use this right after the procedure until you regain feeling in your thumb as well have a nerve block after the procedure so as soon as you can feel your thumb have sensation there we do encourage you to use that thumb strap and then we'll go right around the webbing of your finger there is also another strap here on the brace that will go wrap around forearm and the really main reason for this one is just to secure the arm into the sling so now what we'll do is we'll also go ahead and show you how to put on this link you can't do this by yourself and so we'll go ahead and practice that with you're in it my recommendation is to have the sling facing you and if this was my right arm what I would do is I would bring this link close to you on the table if you have a higher counter in a kitchen it works a little bit easier but any type of a table should be sufficient first thing that you'll do is you'll have your arm supported by your opposite arm and what you can do is you're going to just slide your hand into this Lane and then you can slide the back of the sling back under the elbow this sling should fit into this position here next I do the velcro strap over the forearm to secure the arm into the sling and then I grab this shoulder strap note the shoulder strap with the shoulder pad and you're going to throw this as far back on your right shoulder for me it's my right shoulder you're going to throw that as far behind your shoulder as possible so that way you get a angle coming up over your left shoulder for me it's a lot easier to use this velcro rather than to go through these buckles but that's completely up to you whatever use your for you taking the velcro with the velcro facing up you're going to go through the o-ring and velcro it back onto the strap once this strap is attached your sling is now supported and you can stand up and you're going to position the sling off to the side the reason why we want it off to the side is because we're actually gaining that external rotation rather than keeping it here locked up in the front so the correct position is going to be here off to the side of the arm last but not least you're going to grab this waist strap you're in the back and you're going to buckle that into the front buckle it does have this ball here on the front we do encourage you to squeeze that ball you're going to be isometrically contracting those muscles but you're not actively going to be moving the arm it helps to cut down on atrophy which is the muscles wasting away because if you don't use them you live them and so this is the Don Droid ultra slim 3 Andrew at some point during the recovery period we let people remove the pillow and we let them know when we want them to do that or when it's okay to do that can you show people how to do that yes absolutely first to remove the sling what you'll do is again going over to a table first I undo the vote are the buckle here at the waist next the velcro strap on the forearm keeping this around your neck I've reached our lean down support the arm onto the table I'm not pushing down on to the table I'm just supporting the arm so it's had somewhere to sit next I'll go through the velcro through the o-ring blow that over the shoulder and then again using my other arm to support this the arm coming up and out of the the sleeve to remove the pillow there is a velcro piece here and you need to just peel that away and now you have your regular sling great can you also show them how to bend and flex keys me extend and flex their elbow wrist and fingers as one of the exercises that we encourage them to do so they don't get a lot of swelling in their forearm and absolutely so after the procedure we do encourage the pendulum exercises and you're really just going to picture you have a quarter on the floor and really you're just going to go around that quarter so it's a very small circle very small motion and we do want these clockwise and counterclockwise the next exercise is going to be a flexion and extension exercise with this one here you're going to start with your arm extended you're going to curl your fingers up curl the wrist up and then curl the arm up if you need to support your arm with your left hand or your opposite arm you can do so to extend extend the fingers first then the wrist and then the arm that's great because you're actually showing that you're not moving your shoulder at all in that exercise correct that stays in the same position perfect thank you