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•When evaluating the digits, it is important to remember that the hand is broken down into a number of parts: 1. Thumb. 2. Index or Middle Finger. 3. Ring or Little Finger. •It is important that you use the correct chart when evaluating a patient and assigning an impairment.
impairment rating with that from another region." (per page 10). The AMA Guides state that the regional impairments resulting from the hand, wrist, elbow and shoulder regions are added or combined to provide the upper extremity impairment. The upper extremity is then converted to whole person impairment by means of.
If more than one limb is involved, each total extremity impairment is converted to a whole person impairment. (Table 16-3, 439), and these values are again combined using the Combined Values Chart (5th ed., 604). *Cases such as carpal tunnel are rated using the peripheral nerve section in Chapter 16, Upper Extremities.
24 Dec 2014 In the fourth edition of the AMA Guides, the musculoskeletal system is divided into three sections: the upper extremity, the lower extremity, and the spine. And the basic . There are pie charts in the upper extremity section which will allow one to convert degrees of motion to physical impairment. In the thumb
Dr. Gragnani relied on Figure 16-40, page 476 of the A.M.A., Guides, which are derived from section 16.4i of the A.M.A., Guides. Section 16.4i stipulates that there are impairment curves which should be converted to pie charts of upper extremity impairments by applying the upper extremity functional value of each motion
1. Upper Extremity. Strength Impairment. To Rate or Not to Rate. Disability Evaluation Unit 2011. 2. What the AMA Guides Say. • In a rare case, if the examiner believes the individual's loss of strength represents an impairing factor that has not been considered adequately by other methods in the Guides, loss of strength may
An analysis of the AMA Guides and the conceptual distinction between disability and impairment embodied in the 1977 Workers' Compensation Act is explained in an excerpt from . However, the Guides required the examining physician to evaluate upper extremity impairment and then convert to whole man impairment.
18 Mar 2013 The AMA Guides use Range of Motion rating to calculate impairment in joints The steps are based on the fundamental principle in the Guides that . conversion charts at p. 439 for the upper extremity and p. 525 for the lower extremities. And with that, you will have a perfect Joint Range of Motion rating
AMA Guides 5th Edition. Almaraz-Guzman II: The Most Accurate Impairment. Steven D. Feinberg, M.D. Board Certified, Physical Medicine & Rehabilitation. Board Certified, Pain Medicine. Adjunct Clinical Professor. Stanford University School of Medicine. Feinberg Medical Group. Functional Restoration Programs. Palo Alto
an Upper Extremity Impairment into a Whole Person. Impairment? Turn to page 439, and there you will find Table 16-3, the. "Magic Decoder Ring" which turns arms into people. Use this chart to convert an Upper Extremity Impairment into a Whole Person Impairment. 5% Upper Extremity = 3% WPI. Not too bad, huh?

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March 2018