Guides to the evaluation of permanent impairment:
"The emphasis of this edition is on expanding the spectrum of diagnoses recognized in impairment rating. It is desigend to encourage attention to and documentation of functional consequences of the impairment as a part of each physician's detailed history"--Provided by publisher.
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
[Chicago, Ill.]
American Medical Assoc.
2008
|
| Edition: | 6. ed. |
| Subjects: | |
| Online Access: | Table of contents only Inhaltsverzeichnis |
| Summary: | "The emphasis of this edition is on expanding the spectrum of diagnoses recognized in impairment rating. It is desigend to encourage attention to and documentation of functional consequences of the impairment as a part of each physician's detailed history"--Provided by publisher. |
| Physical Description: | XXIV, 634 S. Ill. |
| ISBN: | 9781579478889 1579478883 |
Staff View
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| 250 | |a 6. ed. | ||
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| 650 | 7 | |a Médecine - Jurisprudence |2 ram | |
| 650 | 2 | |a Évaluation de l'incapacité | |
| 650 | 4 | |a Disability evaluation |v Handbooks, manuals, etc | |
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Table of Conten
PREFACE iii
CHAPTER 1
Conceptual Foundations and
Philosophy 1
1.1 History of the Guides 1
1.2 New Directions for the Sixth Edition 2
1.3 The International Classification of
Functioning, Disability, and Health (ICF):
A Contemporary Model of Disablement 3
1.4 Measurement Issues 6
1.5 Balancing Science and Clinical Judgment 8
1.6 The Case for Simplification and Ease of
Application 9
1.7 The Application of Functional Assessment . .9
1.8 The Need for Internal Consistency and
a Uniform Template 11
1.9 Summary 16
CHAPTER 2
Practical Application of the Guides 19
2.1 Use of the Guides in Workers' Compensation
and Other Disability Systems 20
2.2 Organ System and Whole Body Approach
to Impairment Ratings 21
2.3 Use of the Guides 23
2.4 Rules of Application for the Guides 24
2.5 Concepts Important to the Independent
Medical Examiner 25
2.6 Impairment Evaluation and the Law 27
2.7 Preparing Reports 28
its
CHAPTER 3
Pain-Related Impairment 31
3.1 Definition and Classification of Pain 32
3.2 Controversies Surrounding Pain-Related
Impairment 35
3.3 The Rating System 37
3.4 Future Directions—Need for Research
and Dialogue to Establish the Validity
of Rating Pain-Related Impairment 40
3.5 Conclusion 41
3.6 Examples 41
3.7 Appendixes 43
CHAPTER 4
The Cardiovascular System 47
4.1 Principles of Assessment 48
4.2 Valvular Heart Disease 51
4.3 Coronary Artery Disease 54
4.4 Cardiomyopathies 57
4.5 Pericardial Heart Disease 60
4.6 Dysrhythrnias 63
4.7 Hypertensive Cardiovascular Disease 65
4.8 Vascular Diseases Affecting the Extremities. . . 68
4.9 Diseases of the Pulmonary Artery 71
4.10 Cardiovascular Impairment Evaluation
Summary 74
xiii
Guides to the Evaluation of Permanent Impairment
CHAPTER 5
The Pulmonary System n
5.1 Assessing the Pulmonary System 78
5.2 Clinical Presentation of Pulmonary Disease . 78
5.3 Environmental Exposures, Lifestyle Choices,
and Pulmonary Disease 80
5.4 Clinical Evaluation, Imaging Studies,
and Other Tests for Evaluating Pulmonary
Disease 81
5.5 Methodology for Determining the Grade
in an Impairment Class 86
5.6 Asthma and Other Hyperreactive Airway
Diseases 87
5.7 Hypersensitivity Pneumonitis 91
5.8 Pneumoconiosis 91
5.9 Lung Cancer 92
5.10 Sleep Disorders and Other Impairments
Related to Pulmonary System 92
5.11 Examples of Impairment due to Pulmonary
Disorders 93
5.12 Respiratory Impairment Evaluation
Summary 96
CHAPTER 6
The Digestive System 101
6.1 Principles of Assessment 102
6.2 Upper Digestive Tract 106
6.3 Colon, Rectum, and Anus 113
6.4 Enterocutaneous Fistulas 118
6.5 Liver and Biliary Tract 118
6.6 Hernias 121
6.7 Digestive System Impairment Evaluation
Summary 124
CHAPTER 7
The Urinary and Reproductive
Systems 129
7.1 Principles of Assessment 130
7.2 The Urinary System 131
7.3 Upper Urinary Tract 132
7.4 Urinary Diversion 138
7.5 Bladder 138
7.6 Urethra 140
7.7 Male Reproductive Organs 143
7.8 Female Reproductive Organs 149
7.9 Urinary and Reproductive Systems
Impairment Evaluation Summary 156
CHAPTER 8
The Skin 159
8.1 Principles of Assessment 160
8.2 Disfigurement 162
8.3 Scars and Skin Grafts 162
8.4 Contact Dermatitis 163
8.5 Natural Rubber Latex Allergy 164
8.6 Skin Cancer 164
8.7 Criteria for Rating Permanent Impairment
due to Skin Disorders 164
8.8 Skin Impairment Evaluation Summary 178
CHAPTER 9
The Hematopoietic System 183
9.1 Principles of Assessment 183
9.2 Anemia 187
9.3 Myeloproliferative Disorders, including
Polycythemia, Myelofibrosis, and
Essential Thrombocytosis 191
9.4 White Blood Cell Diseases or
Abnormalities 193
9.5 Hemorrhagic and Platelet Disorders 201
9.6 Thrombotic Disorders 206
9.7 Criteria for Rating Permanent Impairment
due to Lymphoma and Metastatic
Disease 209
9.8 Hematologic Impairment Evaluation
Summary 210
CHAPTER 10
The Endocrine System 213
10.1 Principles of Assessment 214
10.2 Hypothalamic-Pituitary Axis 218
10.3 Thyroid 222
10.4 Parathyroids 223
10.5 Adrenal Cortex 226
10.6 Adrenal Medulla 230
10.7 Pancreas (Islets of Langerhans) 232
10.8 Gonads 237
10.9 Mammary Glands 239
10.10 Metabolic Bone Disease 241
10.11 Endocrine System Impairment Evaluation
Summary 244
CHAPTER 11
Ear, Nose, Throat, and Related
Structures 247
11.1 Principles of Assessment 248
11.2 Hearing and Tinnitus 248
11.3 The Face 260
11.4 The Nose, Throat, and Related Structures. . 265
CHAPTER 12
The Visual System 281
12.1 Principles of Assessment 282
12.2 Impairment of Visual Acuity 285
12.3 Impairment of the Visual Field 293
12.4 Impairment of the Visual System 303
12.5 Visual Acuity Measurement at Near
(Reading Acuity) 309
12.6 Reporting Aids 312
Table of Contents xv
CHAPTER 13
The Central and Peripheral
Nervous System 321
13.1 Principles of Assessment 322
13.2 Method for Rating Impairments due to
Nervous System Disorders 326
13.3 Criteria for Rating Cerebral Impairments. 326
13.4 Criteria for Rating Impairment due to
Spinal Cord Dysfunction and Movement
Disorders 333
13.5 Criteria for Rating Impairments of the
Upper Extremities due to CNS
Dysfunction 335
13.6 Criteria for Rating Impairments of Station,
Gait, and Movement Disorders 336
13.7 Criteria for Rating Neurogenic Bowel,
Bladder, and Sexual Dysfunction 336
13.8 Criteria for Rating Neurogenic Respiratory
Dysfunction 337
13.9 Criteria for Rating Peripheral Neuropathies,
Neuromuscular Junction Disorders, and
Myopathies 339
13.10 Criteria for Rating Impairments Related to
Complex Regional Pain Syndrome 341
13.11 Criteria for Rating Impairments Related to
Craniocephalic Pain 341
13.12 Criteria for Rating Miscellaneous Peripheral
Nerves of the Head and Trunk 343
13.13 Nervous System Impairment Evaluation
Summary 344
CHAPTER 14
Mental and Behavioral Disorders 347
14.1 Principles of Assessment 348
14.2 Psychiatric/Psychological Evaluation 349
14.3 Special Features of the Mental and
Behavioral Disorders Independent
Medical Examination 351
14.4 Maximum Medical Improvement 353
14.5 Concepts for Impairment Ratings 355
14.6 Method of Impairment Rating 356
14.7 Examples of Impairment Ratings due to
Mental and Behavioral Disorders 360
14.8 Appendix: Brief Psychiatric Rating Scale . . . .369
Guides to the Evaluation of Permanent Impairment
CHAPTER 15
The Upper Extremities 383
15.1 Principles of Assessment 385
15.2 Diagnosis-Based Impairment 387
15.3 Adjustment Grid and Grade Modifiers:
Non-Key Factors 405
15.4 Peripheral Nerve Impairment 419
15.5 Complex Regional Pain Syndrome
Impairment 450
15.6 Amputation Impairment 454
15.7 Range of Motion Impairment 459
15.8 Summary 478
15.9 Appendix 15-A: Functional Assessment
Inventories 481
Appendix 15-B: Electrodiagnostic Evaluation
of Entrapment Syndromes 486
CHAPTER 16
The Lower Extremities 493
16.1 Principles of Assessment 494
16.2 Diagnosis-Based Impairment 497
16.3 Adjustment Grid and Grade Modifiers -
Non-Key Factors 515
16.4 Peripheral Nerve Impairment 531
16.5 Complex Regional Pain Syndrome
Impairment 538
16.6 Amputation Impairment 542
16.7 Range-of-Motion Impairment 543
16.8 Summary 552
16.9 Appendix 16-A: Lower Limb Questionnaire. . 555
CHAPTER 17
The Spine and Pelvis 557
17.1 Principles of Assessment 558
17.2 Diagnosis-Based Impairment 560
17.3 Adjustment Grid and Grade Modifiers:
Non-Key Factors 566
17.4 Pelvic Impairment 592
17.5 Summary 597
17.6 Appendix 17-A: Pain Disability
Questionnaire 599
APPENDIX 603
Appendix A: Combined Values Chart 604
Appendix B: Burden of Treatment Scoring 607
GLOSSARY 609
INDEX 617
Tables
CHAPTER 1
Conceptual Foundations and
Philosophy 1
Table 1-1 Self-Care 7
Table 1-2 Hierarchy of Study Types 8
Table 1-3 ICF Codes and Functional Levels 11
Table 1-4 Sample Impairment Functional
Classification 11
?Table 1-5 Generic Template for Impairment
Classification Grids 13
Table 1-6 General Principles and Rules for
Calculating Impairment 14
CHAPTER 2
Practical Application of the Guides 19
Table 2-1 Fundamental Principles of the
Guides 20
CHAPTER 3
Pain-Related Impairment 31
*Table 3-1 Pain-Related Impairment and Whole
Person Impairment Based on Pain
Disability Questionnaire 40
CHAPTER 4
The Cardiovascular System 47
Table 4-1 NYHA Functional Classification of
Cardiac Disease 48
Table 4-2 Relationship of METs and
Functional Class According to
5 Treadmill Protocols 49
Table 4-3 Energy Expenditure in METs During
Bicycle Ergometry 49
Table 4-4 Methodology for Determining the
Grade in an Impairment Class 50
Table 4-5 Criteria for Rating Permanent
Impairment due to Valvular Heart
Disease 53
Table 4-6 Criteria for Rating Impairment due to
Coronary Artery Disease 55
Table 4-7 Criteria for Rating Impairment due to
Cardiomyopathies 59
Table 4-8 Criteria for Rating Impairment due to
Pericardial Heart Disease 61
Table 4-9 Criteria for Rating Permanent
Impairment due to Dysrhythmias . .64
Table 4-10 Classification of Blood Pressure
for Adults 66
Table 4-11 Criteria for Rating Impairment due to
Hypertensive Cardiovascular
Disease 67
Table 4-12 Criteria for Rating Impairment due to
Peripheral Vascular Disease - Lower
Extremity 69
Table 4-13 Criteria for Rating Impairment due to
Peripheral Vascular Disease - Upper
Extremity 70
Table 4-14 Criteria for Rating Impairment due to
Diseases of the Pulmonary Artery . .72
Table 4-15 Cardiac Impairment Evaluation
Summary 74
CHAPTER 5
The Pulmonary System 77
Table 5-1 Impairment Classification of
Dyspnea (Adapted) 79
Table 5-2 Impairment Classification for
Prolonged Physical Work Intensity
by Oxygen Consumption 85
xvii
Guides to the Evaluation of Permanent Impairment
Table 5-3 Methodology for Determining the
Grade in an Impairment Class 86
*Table 5-4 Criteria for Rating Permanent
Impairment due to Pulmonary
Dysfunctiona 88
*Table 5-5 Criteria for Rating Permanent
Impairment due to Asthma 90
Table 5-6 Scale for Judging Capabilities of
Subjects With Cancer 92
Table 5-7 Pulmonary Impairment Evaluation
Summary 96
CHAPTER 6
The Digestive System 101
Table 6-1 Desirable Weights for Men by
Height and Body Build 104
Table 6-2 Desirable Weights for Women by
Height and Body Build 104
Table 6-3 Methodology for Determining the
Grade in an Impairment Class 105
Table 6-4 Criteria for Rating Permanent
Impairment due to Upper Digestive
Tract (Esophagus, Stomach and
Duodenum, Small Intestine, and
Pancreas) Disease 107
*Table 6-5 Criteria for Rating Permanent
Impairment due to Colonic and
Rectal Disorders 114
Table 6-6 Criteria for Rating Permanent
Impairment due to Anal Disease . 116
Table 6-7 Impairments From Surgically
Created Stomas 118
*Table 6-8 Criteria for Rating Permanent
Impairment due to Liver Disease . 119
?Table 6-9 Criteria for Rating Permanent
Impairment due to Biliary Tract
Disease 120
*Table 6-10 Criteria for Rating Permanent
Impairment due to Herniation 122
Table 6-11 Digestive System Impairment
Evaluation Summary 124
CHAPTER 7
The Urinary and Reproductive
Systems 129
Table 7-1 Methodology for Determining the
Grade in an Impairment Class 130
"Table 7-2 Criteria for Rating Permanent
Impairment due to Upper Urinary
Tract Disease 134
*Table 7-3 Criteria for Rating Permanent
Impairment due to Urinary
Diversion Disorders 138
*Table 7-4 Criteria for Rating Permanent
Impairment due to Bladder
Disease 139
Table 7-5 Criteria for Rating Permanent
Impairment due to Urethral
Disease 141
*Table 7-6 Criteria for Rating Permanent
Impairment due to Penile Disease . . . 144
*Table 7-7 Criteria for Rating Permanent
Impairment due to Scrotal
Disease 146
Table 7-8 Criteria for Rating Impairment due
to Testicular, Epididymal, and
Spermatic Cord Disease 147
Table 7-9 Criteria for Rating Impairment due
to Prostate Disease 149
Table 7-10 Criteria for Rating Permanent
Impairment due to Vulval and
Vaginal Disease 151
Table 7-11 Criteria for Rating Permanent
Impairment due to Cervical and
Uterine Disease 152
Table 7-12 Criteria for Rating Permanent
Impairment due to Fallopian Tube
and Ovarian Disease 154
Table 7-13 Urinary and Reproductive Systems
Impairment Evaluation Summary. . 156
CHAPTER 8
The Skin 159
Table 8-1 Structure, Functions, and Disorders
of the Skin 160
Table 8-2 Criteria for Rating Permanent
Impairment due to Skin Disorders. 166
Table 8-3 Skin Impairment Evaluation
Summary 178
CHAPTER 9
The Hematopoietic System 183
Table 9-1 Karnofsky Performance Status Scale
Definitions Rating (%) Criteria 185
Table 9-2 Eastern Cooperative Oncology
Group Performance Status Scale
(ECOG-PSS) 185
Table 9-3 Burden of Treatment Compliance . . . 186
Table 9-4 Methodology for Determining the
Grade in an Impairment Class 187
Table 9-5 Criteria for Rating Permanent
Impairment due to Anemia 189
*Table 9-6 Criteria for Rating Permanent
Impairment due to Neutropenia . 194
*Table 9-7 Criteria for Rating Permanent
Impairment due to the Leukemias. . . 196
"Table 9-8 Criteria for Rating Permanent
Impairment due to HIV Disease 199
Table 9-9 Criteria for Rating Impairment due
to Platelet Disorders 202
Table 9-10 Criteria for Rating Impairment due
to the Hemophilias 204
Table 9-11 Criteria for Rating Impairment due
to Other Bleeding Disorders 205
Table 9-12 Criteria for Rating Impairment due
to Thrombotic Disorders 208
Table 9-13 Criteria for Rating Impairment due
to Lymphoma and Metastatic
Disease 209
Table 9-14 Hematologic Impairment Evaluation
Summary 210
CHAPTER 10
The Endocrine System 213
Table 10-1 Methodology for Determining the
Grade in an Impairment Class 215
Table 10-2a Enteral, Intranasal, and Topical
Medications 217
Table 10-2b Parenteral Medications 217
Table 10-3 Points Assigned for Dietary
Modification 217
Table 10-4 Procedure-Based Points 218
Table 10-5 Criteria for Rating Impairment due
to Disorders of the Hypothalamic-
Pituitary Axis 220
Table 10-6 Criteria for Rating Impairment due
to Thyroid Abnormalities 223
Table 10-7 Criteria for Rating Impairment due
to Disorders of the Parathyroids . 224
Table 10-8 Criteria for Rating Impairment due
to Disorders of the Adrenal
Cortex 227
Table 10-9 Criteria for Rating Impairment due
to Disorders of the Adrenal
Medulla 231
Table 10-10 Criteria for Rating Impairment due
to Diabetes Mellitus 234
Table 10-11 Criteria for Rating Impairment due
to Hypoglycemia 237
Table 10-12 Criteria for Rating Impairment due
to Gonadal Disorders 239
Tables xix
*Table 10-13 Criteria for Rating Impairment due
to Mammary Disorders 240
*Table 10-14 Criteria for Rating Impairment due
to Metabolic Bone Disease 242
Table 10-15 Endocrine System Impairment
Evaluation Summary 244
CHAPTER 11
Ear, Nose, Throat, and Related
Structures 247
Table 11-1 Monaural Hearing Loss and
Impairment 250
Table 11-2 Computation of Binaural Hearing
Impairment 252
Table 11-3 Relationship of Binaural Hearing
Impairment to Impairment of the
Whole Person 254
*Table 11-4 Criteria for Rating Impairments due
to Vestibular Disorders 258
*Table 11-5 Criteria for Rating Impairment due
to Facial Disorders and/or
Disfigurement 262
•Table 11-6 Criteria for Rating Impairment due
to Air Passage Deficits 267
*Table 11-7 Impairments of Mastication and
Deglutition: Relationship of
Dietary Restrictions to Permanent
Impairment 269
*Table 11-8 Criteria for Rating Voice and
Speech Impairment 274
CHAPTER 12
The Visual System 281
Table 12-1 Calculation Steps for the Visual
System 283
•Table 12-2 Impairment of Visual Acuity 288
Table 12-3 Calculation of the Acuity-Related
Impairment Rating 289
?Table 12-4 Classification of Impairment of
Visual Acuity 290
Table 12-5 Impairment of the Visual Field 296
Table 12-6 Conversion of Field Radius to
Field Score 296
Table 12-7 Calculation of the Visual Field-
Related Impairment Rating 297
*Table 12-8 Classification of Impairment of
Visual Field 298
Table 12-9 Correction for Central Scotomata . . .304
Guides to the Evaluation of Permanent Impairment
?Table 12-10 Classification of Impairment of
the Visual System and of the
Whole Person 307
Table 12-11 Determination of Reading Acuity and
Impairment Rating Using Letter
Size and Viewing Distance 310
CHAPTER 13
The Central and Peripheral
Nervous System 321
Table 13-1 Summary of Chapters Used to Rate
Various Neurologic Disorders 323
Table 13-2 Activities of Daily Living 323
Table 13-3 Neurologic Impairments That are
Combined With the Most Severe
Cerebral Impairment 326
*Table 13-4 Criteria for Rating Impairment of
Consciousness and Awareness 327
*Table 13-5 Criteria for Rating Impairment due
to Episodic Loss of Consciousness
or Awareness 328
*Table 13-6 Criteria for Rating Impairment due
to Sleep and Arousal Disorders 329
Table 13-7 Mental Status Exam for the
Neurologically Impaired Patient 330
?Table 13-8 Criteria for Rating Neurologic
Impairment due to Alteration in
Mental Status, Cognition, and
Highest Integrative Function
(MSCHIF) 331
?Table 13-9 Criteria for Rating Impairment due
to Aphasia or Dysphasia 332
Table 13-10 Global Assessment of Functioning
(GAF) Impairment Score 334
?Table 13-11 Criteria for Rating Impairments of
the Upper Extremities due to CNS
Dysfunction 335
?Table 13-12 Criteria for Rating Impairments due
to Station and Gait Disorders 336
?Table 13-13 Criteria for Rating the Neurogenic
Bowel 337
?Table 13-14 Criteria for Rating the Neurogenic
Bladder 337
?Table 13-15 Criteria for Rating Neurogenic
Sexual Dysfunction 338
?Table 13-16 Criteria for Rating Neurogenic
Respiratory Dysfunction 338
Table 13-17 Dysesthetic Pain Secondary to
Peripheral Neuropathy or Spinal
Cord Injury 339
Table 13-18 Grading System for Rating
Impairment due to Migraine
Headache 342
?Table 13-19 Criteria for Rating Trigeminal or
Glossopharyngeal Neuralgia 343
*Table 13-20 Criteria for Rating Miscellaeous
Peripheral Nerves 344
CHAPTER 14
Mental and Behavioral Disorders 347
Table 14-1 Multiaxial System of the
DSM-IV-TR 348
Table 14-2 Mental Status Examination 349
Table 14-3 Selected Psychological Assessment
Tools in Adults 350
Table 14-4 Suggestions for the M BD IME 352
Table 14-5 Functional Impairment Scales for
Patients With M BD 352
Table 14-6 Factors That May Affect
Motivation 353
Table 14-7 Characteristics Suggestive of
Malingering 354
Table 14-8 BPRS Form 357
Table 14-9 Impairment Score of Brief
Psychiatric Rating Scale (BPRS) 357
Table 14-10 Impairment Score of Global
Assessment of Functioning
Scale (GAF) 358
Table 14-11 Self-Care, Personal Hygiene, and
Activities of Daily Living 358
Table 14-12 Role Functioning, Social and
Recreational Activities 359
Table 14-13 Travel 359
Table 14-14 Interpersonal Relationships 359
Table 14-15 Concentration, Persistence, and
Pace 359
Table 14-16 Resilience and Employability 360
Table 14-17 Impairment Score of Psychiatric
Impairment Rating Scale (PIRS) 360
CHAPTER 15
The Upper Extremities 383
?Table 15-1 Definition of Impairment Classes. . . .385
?Table 15-2 Digit Regional Grid: Digit
Impairments 391
*Table 15-3 Wrist Regional Grid: Upper
Extremity Impairments 395
?Table 15-4 Elbow Regional Grid: Upper
Extremity Impairments 398
?Table 15-5 Shoulder Regional Grid: Upper
Extremity Impairments 401
Table 15-6 Adjustment Grid: Summary 406
Table 15-7 Functional History Adjustment:
Upper Extremities 406
Table 15-8 Physical Examination Adjustment:
Upper Extremities 408
"Table 15-9 Clinical Studies Adjustment:
Upper Extremities 410
Table 15-10 Methodology for Determining the
Grade in an Impairment Class 412
Table 15-11 Impairment Values Calculated From
Upper Extremity Impairment 420
Table 15-12 Impairment Values Calculated
From Digit Impairment 421
Table 15-13 Monofilament Test Criteria 424
Table 15-14 Sensory and Motor Severity 425
Table 15-15 Sensory Quality Impairment
Classification 426
Table 15-16 Digit Impairment for Transverse and
Longitudinal Sensory Losses in Thumb
and Little Finger Based on Percent of
Digital Length Involved 427
Table 15-17 Digit Impairment for Transverse and
Longitudinal Sensory Losses in Index,
Middle, and Ring Fingers 427
Table 15-18 Impairment for Sensory Only
Peripheral Nerve Injury 429
Table 15-19 Origins and Functions of Peripheral
Nerves of Upper Extremity Emanating
From Brachial Plexus 431
*Table 15-20 Brachial Plexus Impairment: Upper
Extremity Impairments 434
Table 15-21 Peripheral Nerve Impairment:
Upper Extremity Impairments 436
Table 15-22 Activities of Daily Living 445
Table 15-23 Entrapment/Compression
Neuropathy Impairment 449
Table 15-24 Diagnostic Criteria for Complex
Regional Pain Syndrome 453
Table 15-25 Objective Diagnostic Criteria Points
for Complex Regional Pain
Syndrome 453
Table 15-26 Complex Regional Pain Syndrome
(Type I): Upper Extremity
Impairments 454
Table 15-27 Level of Amputation 456
Table 15-28 Impairment for Upper Limb
Amputation at Various Levels 457
Table 15-29 Amputation Impairment 460
Table 15-30 Thumb Range of Motion 468
Table 15-31 Finger Range of Motion 470
Table 15-32 Wrist Range of Motion 473
Tables xxi
•Table 15-33 Elbow/Forearm Range of Motion . . . 474
•Table 15-34 Shoulder Range of Motion 475
Table 15-35 Range of Motion Grade Modifiers . . 477
Table 15-36 Functional History Grade
Adjustment: Range of Motion 477
Table 15-37 Activities of Daily Living
Questionnaire 483
Table 15-38 ADLs Questionnaire Evaluation 484
Table 15-39 Comparison Between Qu/c/cDASH
and ADL Questionnaires 485
Table 15-40 Self-Report Functional Assessment
Measures 486
CHAPTER 16
The Lower Extremities 493
Table 16-1 Definition of Impairment Classes. . . 495
*Table 16-2 Foot and Ankle Regional Grid -
Lower Extremity Impairments 501
*Table 16-3 Knee Regional Grid - Lower
Extremity Impairments 509
*Table 16-4 Hip Regional Grid - Lower
Extremity Impairments 512
Table 16-5 Adjustment Grid: Summary 515
Table 16-6 Functional History Adjustment -
Lower Extremities 516
Table 16-7 Physical Examination Adjustment-
Lower Extremities 517
Table 16-8 Clinical Studies Adjustment - Lower
Extremities 519
•Table 16-9 Methodology for Determining the
Grade in an Impairment Class 520
Table 16-10 Impairment Values Calculated From
Lower Extremity Impairment 530
Table 16-11 Sensory and Motor Severity 533
Table 16-12 Peripheral Nerve Impairment-
Lower Extremity Impairments 534
Table 16-13 Diagnostic Criteria for Complex
Regional Pain Syndrome 539
Table 16-14 Objective Diagnostic Criteria
Points for Complex Regional
Pain Syndrome 540
*Table 16-15 Complex Regional Pain Syndrome
(Type 1) - Lower Extremity
Impairments 541
*Table 16-16 Amputation Impairment 542
Table 16-17 Functional History Met Modifier . . . .545
Table 16-18 Lesser Toe Impairments 549
Table 16-19 Greater Toe Impairments 549
Table 16-20 Hindfoot Motion Impairments 549
Guides to the Evaluation of Permanent Impairment
Table 16-21 Ankle or Hindfoot Deformity
Impairments 549
Table 16-22 Ankle Motion Impairments 549
Table 16-23 Knee Motion Impairments 549
Table 16-24 Hip Motion Impairments - Lower
Extremity Impairment 549
?Table 16-25 Range of Motion ICF
Classification 550
CHAPTER 17
The Spine and Pelvis 557
Table 17-1 Definition of Impairment Classes
and Impairment Ranges 559
Table 17-2 Cervical Spine Regional Grid:
Spine Impairments 564
Table 17-3 Thoracic Spine Regional Grid:
Spine Impairments 567
* Indicates Impairment Rating Table
Table 17-4 Lumbar Spine Regional Grid:
Spine Impairments 570
Table 17-5 Adjustment Grid: Summary 573
Table 17-6 Functional History Adjustment:
Spine 574
Table 17-7 Physical Examination Adjustment:
Spine 575
Table 17-8 Common Radicular Syndromes 578
Table 17-9 Clinical Studies Adjustment: Spine . . 581
Table 17-10 Methodology for Determining the
Grade in an Impairment Class 582
Table 17-11 Diagnosis-Based Impairment
Grid: Pelvis 593
Table 17-12 Functional History Adjustment:
Pelvis 594
Table 17-13 Physical Examination Adjustment:
Pelvis 595
Table 17-14 Clinical Studies Adjustment: Pelvis. . . 595
Table 17-A PDQ Scoring 599
Illustrations
CHAPTER 1
Conceptual Foundations and
Philosophy 1
Figure 1-1 ICF Model of Disablement 3
Figure 1-2 World Health Organization's
International Classification of Illness . . .4
CHAPTER 2
Practical Application of the Guides 19
Figure 2-1 Hierarchy in Whole Person Concept
for Upper and Lower Extremities 22
Figure 2-2 Hierarchy in Whole Person Concept
for Upper Extremity and Hand 22
Figure 2-3 Sample Report for Permanent
Medical Impairment 29
CHAPTER 3
Pain-Related Impairment 31
Figure 3-1 Nociception 33
CHAPTER 12
The Visual System 281
Figure 12-1 Distribution of the Grid Points
for Visual Field Evaluation 295
Figure 12-2 Normal Visual Field 299
Figure 12-3 Midperipheral Scotoma 300
Figure 12-4 Juxtafoveal Scotoma 300
Figure 12-5 Tunnel Vision: Automated
Perimetry Plot 301
Figure 12-6 Effect of Nasal Field Loss on the
Binocular Field 302
Figure 12-7 Effect of Temporal Field Loss on
the Binocular Field 303
Figure 12-8 Conversion From VSI to WPI 307
Figure 12-9 Evaluation of Permanent Visual
Impairment 313
Figure 12-10 Overlay Grid for Goldmann Fields. 315
Figure 12-11 Overlay Grids for Humphrey Field
Plots 317
CHAPTER 15
The Upper Extremities 383
Figure 15-1 Upper Extremity Regions 384
Figure 15-2 Upper Extremity Impairment
Evaluation 388
Figure 15-3 Techniques for Measuring the
Scaphoid, Lunate Axis, and
Long Axis of the Radius and
Corresponding Angles 409
Figure 15-4 Digit Impairment due to Thumb
Amputation at Various Lengths or
Total Transverse Sensory Loss 426
Figure 15-5 Digit Impairment due to Finger
Amputation at Various Lengths or
Total Transverse Sensory Loss 426
Figure 15-6 Hand Impairment Values for Total
Transverse Sensory Loss and Total
Longitudinal Sensory Loss on
Radial and Ulnar Sides Involving
100 % of the Digit Length 428
Figure 15-7 Motor Innervation of the Upper
Extremity 432
Figure 15-8 Cutaneous Innervation of the
Upper Extremity and Related
Peripheral Nerves and Roots 432
xxiii
Guides to the Evaluation of Permanent Impairment
Figure 15-9 Impairment Estimates for Upper
Extremity Amputation at Various
Levels 456
Figure 15-10 Impairments of the Digits and the
Hand for Amputation at Various
Levels 456
Figure 15-11 Digit Impairment Percent for Thumb
Amputation at Various Levels 458
Figure 15-12 Digit Impairment Percent for Finger
Amputation at Various Levels 458
Figure 15-13 Upper Extremity Range of Motion
Record 462
Figure 15-14 Measurement of MCP Joint Position
in Flexion, Extension Lag, Full
Extension, and Hyperextension 466
Figure 15-15 Neutral Position and Flexion of
Thumb IP Joint 467
Figure 15-16 Flexion of Thumb MCP Joint 467
Figure 15-17 Neutral Position of Thumb MCP
Joint 467
Figure 15-18 Thumb Radial Abduction,
Measuring the Angle of Separation
Formed Between First and Second
Metacarpals in Coronal Plane 467
Figure 15-19 Adduction of Thumb 467
Figure 15-20 Linear Measurements of Thumb
Opposition (cm) at Various
Positions 467
Figure 15-21 Neutral Position and Flexion of
Finger DIP Joint 470
Figure 15-22 Neutral Position and Flexion of
Finger PIP Joint 470
Figure 15-23 Neutral Position and Flexion of
Finger MCP Joint 471
Figure 15-24 Wrist Flexion and Extension 472
Figure 15-25 Radial Deviation and Ulnar
Deviation of the Right Wrist 473
Figure 15-26 Flexion and Extension of Elbow 474
Figure 15-27 Pronation and Supination of
Forearm 475
Figure 15-28 Shoulder Flexion and Extension 475
Figure 15-29 Shoulder Abduction and
Adduction 476
Figure 15-30 Shoulder External Rotation and
Internal Rotation 476
Figure 15-31 Upper Extremity Impairment
Evaluation Example 480
CHAPTER 16
The Lower Extremities 493
Figure 16-1 Lower Extremity Regions 494
Figure 16-2 Lower Extremity Impairment
Evaluation Record Example 498
Figure 16-3 Sensory Nerves of the Lower
Extremity 537
Figure 16-4 Motor Nerves of the Lower
Extremity 537
Figure 16-5 Evaluating the Range of Motion
of a Toe: The Metatarsophalangeal
(MTP) Joint of the Great Toe 545
Figure 16-6 Measuring Inversion and Eversion. . .546
Figure 16-7 Measuring Ankle Dorsiflexion
(Extension) and Plantar Flexion 546
Figure 16-8 Measuring Knee Flexion 546
Figure 16-9 Using a Goniometer to Measure
Flexion of the Right Hip 547
Figure 16-10 Neutral Position, Abduction, and
Adduction of Right Hip 547
Figure 16-11 Measuring Internal and External
Hip Rotation 548
Figure 16-12 Lower Extremity Range of Motion
Record 551
Figure 16-13 Lower Extremity Impairment
Evaluation Record Example 554
CHAPTER 17
The Spine and Pelvis 557
Figure 17-1 Spine and Pelvis Regions 558
Figure 17-2 Spine and Pelvis Impairment
Evaluation Record 561
Figure 17-3 Skin Areas Innervated by Cervical
and Thoracic Nerve Roots Showing
Autonomous Zones 577
Figure 17-4 Skin Areas Innervated by Thoracic
and Lumbosacral Nerve Roots and
Showing Autonomous Zones 578
Figure 17-5 Loss of Motion Segment Integrity,
Translation 579
Figure 17-6 Loss of Motion Segment Integrity,
Angular Motion (Sagittal Rotation),
Lumbar Spine 580
Figure 17-7 Spine and Pelvis Evaluation Record
Example 598
Figure 17-A Pain Disability Questionnaire 600 |
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| id | DE-604.BV035793186 |
| illustrated | Illustrated |
| indexdate | 2024-08-14T00:52:26Z |
| institution | BVB |
| institution_GND | (DE-588)35307-3 |
| isbn | 9781579478889 1579478883 |
| language | English |
| lccn | 2007045150 |
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| spelling | Guides to the evaluation of permanent impairment medical ed.: Robert D. Rondinelli 6. ed. [Chicago, Ill.] American Medical Assoc. 2008 XXIV, 634 S. Ill. txt rdacontent n rdamedia nc rdacarrier "The emphasis of this edition is on expanding the spectrum of diagnoses recognized in impairment rating. It is desigend to encourage attention to and documentation of functional consequences of the impairment as a part of each physician's detailed history"--Provided by publisher. Invalidité - Évaluation ram Médecine - Jurisprudence ram Évaluation de l'incapacité Disability evaluation Handbooks, manuals, etc Medical jurisprudence Handbooks, manuals, etc Disability Evaluation Krankheit (DE-588)4032844-2 gnd rswk-swf Schweregrad (DE-588)4180491-0 gnd rswk-swf (DE-588)4137814-3 Richtlinie gnd-content Krankheit (DE-588)4032844-2 s Schweregrad (DE-588)4180491-0 s DE-604 Rondinelli, Robert D. Sonstige oth American Medical Association Sonstige (DE-588)35307-3 oth http://www.loc.gov/catdir/toc/ecip084/2007045150.html Table of contents only HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018652481&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Guides to the evaluation of permanent impairment Invalidité - Évaluation ram Médecine - Jurisprudence ram Évaluation de l'incapacité Disability evaluation Handbooks, manuals, etc Medical jurisprudence Handbooks, manuals, etc Disability Evaluation Krankheit (DE-588)4032844-2 gnd Schweregrad (DE-588)4180491-0 gnd |
| subject_GND | (DE-588)4032844-2 (DE-588)4180491-0 (DE-588)4137814-3 |
| title | Guides to the evaluation of permanent impairment |
| title_auth | Guides to the evaluation of permanent impairment |
| title_exact_search | Guides to the evaluation of permanent impairment |
| title_full | Guides to the evaluation of permanent impairment medical ed.: Robert D. Rondinelli |
| title_fullStr | Guides to the evaluation of permanent impairment medical ed.: Robert D. Rondinelli |
| title_full_unstemmed | Guides to the evaluation of permanent impairment medical ed.: Robert D. Rondinelli |
| title_short | Guides to the evaluation of permanent impairment |
| title_sort | guides to the evaluation of permanent impairment |
| topic | Invalidité - Évaluation ram Médecine - Jurisprudence ram Évaluation de l'incapacité Disability evaluation Handbooks, manuals, etc Medical jurisprudence Handbooks, manuals, etc Disability Evaluation Krankheit (DE-588)4032844-2 gnd Schweregrad (DE-588)4180491-0 gnd |
| topic_facet | Invalidité - Évaluation Médecine - Jurisprudence Évaluation de l'incapacité Disability evaluation Handbooks, manuals, etc Medical jurisprudence Handbooks, manuals, etc Disability Evaluation Krankheit Schweregrad Richtlinie |
| url | http://www.loc.gov/catdir/toc/ecip084/2007045150.html http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018652481&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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