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Spasticity ( = .02), shoulder pain ( = .03), consistency of handedness and sling position worn ( = .02), function of upper extremity ( = .03) and walking aids ( = .01) were predictors of gait efficiency. An arm sling may improve gait efficiency in individuals with hemiplegia and shoulder subluxation able to walk with a single cane, who have consistency in handedness and sling position, and with good upper extremity function, including no shoulder pain and reduced spasticity. An arm sling may improve gait efficiency in individuals with h