Shoulder Orthoses

Shoulder orthoses are beneficial for treatment of many medical conditions and injuries.

These conditions can be (but are not limited to):

Humeral fracture
Glenohumeral dislocation
Acromial clavicular dislocation
Post-operative
Osteoarthritis
Rotator cuff injury

Anatomy and Biomechanics of the Shoulder	The humerus, scapula, and clavicle are the bones of the shoulder joints. There are many muscles, tendons, ligaments and nerves in shoulder. The glenohumeral joint: Scapula Humerus The acromial clavicular joint: Scapula Clavicle
Goals of Shoulder Orthoses Treatment	Provide shoulder stability Allow for needed shoulder mobility Control biomechanical alignment of the shoulder Aid in adaption to surfaces Redistribute pressures on the shoulder Resist external forces on the shoulder Limit excessive movements in the shoulder Protect the shoulder Provide shock absorption
Design of Shoulder Orthoses	A Certified Orthotist will assess the shoulder and take a 3-D cast/mould of the shoulder if needed. This can be performed with the patient in a prone position or in a seated position. The Certified Orthotist will ensure the shoulder is in a corrected position. There are a variety of shoulder brace designs. The Certified Orthotist will determine which design is best for treatment based on individuals needs and goals. Shoulder braces may have metal joints. All shoulder braces have straps to help ensure correct application of the orthosis.
Types of Shoulder Braces	Sarmiento (hurmeral fracture orthosis) Figure 8, Clavicle Strap Various Slings ROM Post-operative Sully Airplane
Shoulder Orthoses Application	Shoulder orthoses work best when applied directly against the skin. There are specific donning (application) instructions that the Certified Orthotist will explain to the patient. The Orthotist will also provide a wear schedule accompanied by cleaning and care recommendations.
Living with Shoulder Orthoses (follow up)	The corrections provided by the shoulder orthosis may take some time to get used to. The shoulder orthosis should not be painful; however, it is not uncommon to feel some initial discomfort. The break-in period should not last more than two weeks. If you experience rubbing or blisters, please book an appointment with your Certified Orthotist for immediate attention. If you are experiencing pain after two weeks please book a follow up appointment with your Certified Orthotist. It is always recommended to book a follow up appointment with your Certified Orthotist if you experience any changes in condition (pain, change in size, growth). The Certified Orthotist can determine what changes need to be made or make recommendations for alternative treatment. Shoulder braces can to be modified or refurbished. The Certified Orthotist can reassess to determine the course of treatment with you.
Funding for Shoulder Orthoses	Alberta Aids to Daily Living (AADL) does provide funding for custom shoulder orthoses for Alberta Residents with valid Alberta Healthcare. AADL will pay 100% for the cost for Alberta Residents over the age of 65. AADL will pay 75% of the cost for Alberta Residents under the age of 65. A prescription from a physician is required. There is coverage for persons with low income. AADL may provide coverage for some off the shelf shoulder braces. WCB may provide coverage with a copy of a prescription from a physician. NIHB may provide coverage with a copy of a prescription from a physician. Private insurance may pay for or a portion of the cost of your shoulder orthosis. It is important to consult your insurance company to determine the coverage that they provide. Many insurance companies require a physician's prescription for shoulder orthoses benefits. An estimate letter may be requested by the insurance company. There may be an added cost for the Certified Orthotist to create this letter.