A client recently sustained a C4 spinal cord injury which resulted in paralysis of the upper extremities, trunk, and lower extremities. The client complains of shoulder pain since he has been bed bound. The OTR is recommending bed positioning and incorporated an alternative position for the painful upper extremity. How should the upper extremity be intermittently positioned to relieve pain?
A. Scapular elevation, 80 degrees of shoulder abduction, shoulder internal rotation, elbow slight flexion
B. Scapular depression, 80 degrees of shoulder abduction, shoulder external rotation, elbow extension
C. Scapular retraction, 90 degrees of shoulder abduction, shoulder external rotation, elbow extension
D. Scapular protraction, 90 degrees of shoulder abduction, shoulder internal rotation, elbow flexion