Hello Koo, I'm not sure why the facility where your husband is currently at - did not perform damage prevention treatments on his arms. They can apply serial casting and special splinting to keep the arms straight during posturing episodes. Spasticity is very challenging to control, but there are methods to prevent damages as results to the arms, legs, foot, limbs. My son has severe TBI and once a week, the OT (Occupational Therapist) applies serial casting on his legs, just below the knees and down to his feet. The serial cast is soft inside and its weight helps the legs relax. It keeps the legs straight and therefore prevents damage from severe posturing during the neuro storm attacks. The serial cast are removed and replaced every 3-4 days. After 6 weeks of serial casting, my son had the last serial cast "bi-valved." They sliced each cast and smooth the rough edges. It is still a perfect fit. It is secured back in place by a wrapping of special ace bandages. Now the bi-valved serial casts can be taken off twice a day for duration of no longer than 30 minutes to let the skin breath and to apply lotion. It has immensely helped with my son tone and drop-foot. I'm attaching a link to a very good article about Current Understanding of Dysautonomic Syndrome in Severe TBI. In this article, you will find recommendation of various prevention treatments to spasticity such as serial casting, splinting and also the use of certain medications one of which is ITB (Intrathecal Baclofen) Therapy. It has a picture of a patient with serial cast on his wrist, but serial cast can also be applied to arms. It has good information on everything to preserve the quality of life when patient recovers from the initial injury - TBI (some/more or less) http://www.acnr.co.uk/mar_apr_2008/ACNRMA08_current.pdf Also our Neuro-Trauma Surgeon talking about Right Median Nerve Stimulation http://www.legacyhealth.org/body.cfm?id=1052 http://www.dendrites.com/coma.htm I truly admire your dedication to your husband. Take care and God Bless you. Stella