Dynamic Adjustable Shoulder Flexion/Abduction/Rotation Device (E1840)

Name of the Procedure:

Common Name:

• Dynamic Shoulder Brace

Technical or Medical Term:

• Dynamic Adjustable Shoulder Flexion/Abduction/Rotation Device with Soft Interface Material (HCPCS Code E1840)

Summary

The dynamic adjustable shoulder flexion, abduction, and rotation device is a medical brace designed to help patients regain shoulder movement and strength after an injury or surgery. The device allows for controlled and adjustable movement in different directions, aiding in rehabilitation.

Purpose

This device is used to help patients recover from shoulder injuries, surgeries, or conditions that limit shoulder movement. The primary goals are:

• To restore range of motion.
• To strengthen shoulder muscles.
• To prevent stiffness and promote healing.

Indications

The procedure is indicated for patients experiencing:

• Shoulder stiffness or immobility.
• Rotator cuff injuries.
• Post-surgical shoulder rehabilitation.
• Shoulder dislocation recovery.
• Frozen shoulder (adhesive capsulitis).

Patient criteria:

• Must have a recommendation from a healthcare provider.
• Suitable for patients of various ages, depending on the specific condition.

Preparation

• No specific fasting or medication adjustments typically required.
• Patient may undergo diagnostic tests like X-rays or MRI scans to assess the shoulder condition.

Procedure Description

1. The healthcare provider assesses the patient's shoulder condition.
2. The dynamic adjustable shoulder brace is fitted to the patient, ensuring comfort and proper alignment.
3. The brace is adjusted to allow specific controlled movements—flexion, abduction, and rotation.
4. The soft interface material provides cushioning to prevent skin irritation.
5. The patient is educated on how to use the device and perform exercises.

Tools and Equipment:

• Dynamic adjustable shoulder brace.
• Soft interface material.
• Adjustment tools for the brace (e.g., straps, buckles).

Anesthesia or sedation:

• Generally not required for fitting the device.

Duration

• Initial fitting and instruction may take 30-60 minutes.
• Usage duration varies depending on the rehabilitation plan, often worn for several hours daily over weeks to months.

Setting

• Typically fitted in an outpatient clinic or physical therapy center.

Personnel

• Orthopedic specialist, physical therapist, or trained healthcare provider.
• Occasionally, assistance from a nurse for initial fitting and adjustment.

Risks and Complications

Common Risks:

• Skin irritation or discomfort.
• Improper fit leading to suboptimal movement.

Rare Risks:

• Increased pain or strain if used improperly.

Complications Management:

• Adjusting the fit or padding.
• Guidance from a healthcare provider for proper usage.

Benefits

• Improved range of motion and strength.
• Reduced risk of shoulder stiffness.
• Enhanced recovery following surgery or injury.
• Benefits typically realized within a few weeks to months of consistent use.

Recovery

• Follow instructions for daily wear time.
• Perform prescribed exercises.
• Periodic follow-ups with the healthcare provider.
• Recovery times vary but commonly range from a few weeks to several months.

Alternatives

Other Treatment Options:

• Physical therapy alone.
• Static shoulder braces.
• Surgical intervention, if applicable.

Pros and Cons:

• Dynamic brace provides continuous, adjustable motion versus static braces.
• Less invasive compared to surgical options, but requires patient compliance for effectiveness.

Patient Experience

During Procedure:

• Minimal discomfort during fitting.

After Procedure:

• Varies; some initial discomfort as the body adjusts.
• Gradual improvement in shoulder mobility and strength.
• Pain management through prescribed medications or over-the-counter pain relievers.
• Comfort measures such as proper padding and breaks from wearing the brace when appropriate.