Limited ROM

Barriers:

May not be able to get into or maintain typical positions
May not be able to participate in masturbation or manual stimulation of a partner
Some positions may result in impingement
Difficulty getting undressed

Experiment with different positions that are comfortable for both partners
Try taking a warm shower with your partner before sex. This can help warm up and increase ROM in the affected area.
Keep an open line of communication with your partner, especially when experimenting with new positions.
Use adaptive equipment or adaptive sex toys to increase sexual participation and pleasure
Look at these websites for ideas on equipment to facilitate sexual activity:
- Condom application aide: https://wingmancondoms.com/
- Adaptive sex toys: https://www.sportsheets.com/collections/disability
- Positioning wedges: https://www.especialneeds.com/shop/special-needs-seating-positioning/positioning-aids/positioning-therapy-wedges.html
- Additional information: http://atwiki.assistivetech.net/index.php/Sexual_Positioning_Devices