By Chris E. Wiggins MD

ISBN-10: 0781765668

ISBN-13: 9780781765664

This easy-to-use guide is a timesaving consultant to assigning musculoskeletal impairment scores for workers repayment, own damage, and incapacity claims. It follows many of the ideas within the American clinical Association's publications to the review of everlasting Impairment and offers those directions in quick-reference tabular structure for busy clinicians. part One summarizes the methods and terminology of impairment score. part includes score tables for the higher extremity, reduce extremity, backbone, pelvis, dermis, and soreness. Appendices contain tables for changing rankings from one physique half to a different and mixing a number of accidents.

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Additional resources for A A Concise Guide to Orthopaedic and Musculoskeletal Impairment Ratings

Sample text

Chicago: American= Medical Association; 2001. 2. American Academy of Orthopaedic Surgeons. Manual for Orthopedic Surgeons = in Evaluating Permanent Physical Impairment. Chicago: American Academy of Orthopaedic Surgeons; 1960. 3. Burton R. The Hand, Examination and Diagnosis. 3rd ed. New York: Church= ill Livingstone; 1990.

This value, in turn, may be combin= ed (using the Combined Values Chart in Appendix B) with other impairments, such as amputation, nerve injury, or impairmen= ts in other body parts. We= akness Weakness is built into the standard rat= ing scheme, so Table 6-12 should be used only in unusu= al situations. ,= a partially torn quadriceps muscle). 31 It could be tested manually but would be more objectively evaluated by a physical therapist using an isokinetic machine = that produces graphic documentation of the results.

Although tables are published giving averages, there is far too much variability depending on age, gender, occupation, and physical condition for these tables to be of much value. To reach an accurate conclusion about strength diminution in a given individual, it is much better to just compare the injured with the uninjured side. Typically, in a normal individual, the = nondominant side has 93% grip strength compared with = the dominant side. (Most people are surprised at this, anticipating that they a= re much weaker on their nondominant side.

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