AMA Guides® to the Evaluation of Permanent Impairment, Fourth Edition, 1993

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This page is designed to provide you with easy access to the AMA Guides to the Evaluation of Permanent Impairment 4th Edition, 1993 tables.

Jump to Chapter:

Chapter 1: Impairment Evaluation
Chapter 2: Records and Reports
Chapter 3: The Musculoskeletal System
Chapter 4: The Nervous System
Chapter 5: The Respiratory System
Chapter 6: The Cardiovascular System
Chapter 7: The Hematopoietic System
Chapter 8: The Visual System
Chapter 9: Ear, Nose, Throat and Related Structures
Chapter 10: The Digestive System
Chapter 11: The Urinary and Reproductive Systems
Chapter 12: The Endocrine System
Chapter 13: The Skin
Chapter 14: Mental and Behavioral Disorders
Chapter 15: Pain
Glossary

Chapter 1: Impairment Evaluation
Tables
Status of Guides to the Evaluation of Permanent Impairment (Guides) According to 53 Workers' Compensation Agencies
Chapter 2: Records and Reports
Tables
Report of Medical Evaluation (Permanent Medical Impairment)
Chapter 3: The Musculoskeletal System
Tables - The Hand and Upper Extremity
Table 3-1: Relationship of Impairment of the Digits to Impairment of the Hand
Table 3-2: Relationship of Impairment of the Hand to Impairment of the Upper Extremity
Table 3-3: Relationship of Impairment of the Upper Extremity to Impairment of the Whole Person
Table 3-4: Longitudinal Sensory Loss Impairment for the Thumb and Little Finger Based on Percent of Digit Length Involved
Table 3-5: Thumb Impairment Values Due to Lack of Adduction and to Ankylosis
Table 3-6: Thumb Impairments Due to Lack of Radial Abduction and to Ankylosis
Table 3-7: Thumb Impairments Due to Lack of Opposition and to Ankylosis
Table 3-8: Longitudinal Sensory Loss Impairment for the Thumb and Little Finger Based on Percent of Digit Length Involved
Table 3-9: Longitudinal Sensory Loss Impairment of Index, Middle, and Ring Fingers Based on the Percent of Digit Length Involved
Table 3-10: Origins and Functions of the Peripheral Nerves of the Upper Extremity Emanating from the Brachial Plexus
Table 3-11: Determining Impairment of the Upper Extremity Due to Pain or Sensory Deficit Resulting from Peripheral Nerve Disorders
Table 3-12: Determining Impairment of the Upper Extremity Due to Loss of Power and Motor Deficits Resulting from Peripheral Nerve Disorders Based on Individual Muscle Rating
Table 3-13: Maximum Upper Extremity Impairment Due to Unilateral Sensory or Motor Deficits of Individual Spinal Nerves or to Combined Deficits
Table 3-14: Maximum Upper Extremity Impairments Due to Unilateral Sensory or Motor Deficits of Brachial Plexus, or to Combined Deficits
Table 3-15: Maximum Upper Extremity Impairments Due to Unilateral Sensory or Motor Deficits or Combined Deficits of the Major Peripheral Nerves
Table 3-16: Upper Extremity Impairment Due to Entrapment Neuropathy
Table 3-17: Impairment of Upper Extremity Due to Peripheral Vascular Disease
Table 3-18: Impairment Values for Digits, Hand, Upper Extremity, and the Whole Person for Disorders of Specific Joints
Table 3-19: Impairment from Joint Crepitation
Table 3-20: Impairment from Synovial Hypertrophy
Table 3-21: Impairment from Digit Ulnar or Radial Deviation
Table 3-22: Impairment from Digit Rotational Deformity
Table 3-23: Impairment from Persistent Joint Subluxation or Dislocation
Table 3-24: Impairment from Joint Mediolateral Instability
Table 3-25: Impairment from Wrist and Elbow Joint Radial and Ulnar Deviations
Table 3-26: Upper Extremity Impairment Due to Carpal Instability Patterns
Table 3-27: Impairment of the Upper Extremity After Arthroplasty of Specific Bones or Joints
Table 3-28: Impairment from Intrinsic Tightness
Table 3-29: Impairment Due to Constrictive Tenosynovitis
Table 3-30: Impairment Due to Extensor Tendon Subluxation
Table 3-31: Average Strength of Unsupported Grip by Occupation in 100 Subjects
Table 3-32: Average Strength of Grip by Age in 100 Subjects
Table 3-33: Average Strength of Lateral Pinch by Occupation in 100 Subjects
Table 3-34: Upper Extremity Impairment for Loss of Strength
Tables - The Lower Extremity
Table 3-35: Impairment from Limb Length Discrepancy
Table 3-36: Lower Limb Impairment from Gait Derangement
Table 3-37: Impairments from Leg Muscle Atrophy
Table 3-38: Criteria for Grades of Muscle Function of the Lower Extremity
Table 3-39: Impairments from Lower Extremity Muscle Weakness
Table 3-40: Hip Motion Impairments
Table 3-41: Knee Impairment
Table 3-42: Ankle Motion Impairment Estimates
Table 3-43: Hindfoot Impairment Estimates
Table 3-44: Ankle or Hindfoot Deformity Impairments
Table 3-45: Toe Impairments
Table 3-46: Impairment from Ankylosis in Hip Flexion
Table 3-47: Impairment from Ankylosis in Hip Internal Rotation
Table 3-48: Impairment from Ankylosis in Hip External Rotation
Table 3-49: Impairment from Ankylosis in Hip Abduction
Table 3-50: Impairment from Ankylosis in Hip Adduction
Table 3-51: Impairment from Knee Ankylosis in Varus
Table 3-52: Impairment from Knee Ankylosis in Valgus
Table 3-53: Impairment from Knee Ankylosis in Flexion
Table 3-54: Knee Ankylosis Impairment in Internal or External Malrotation
Table 3-55: Ankle Impairment from Ankylosis in Plantar Flexion or Dorsiflexion
Table 3-56: Ankle Impairment from Ankylosis in Varus Position
Table 3-57: Ankle Impairment from Ankylosis in Valgus Position
Table 3-58: Ankle Impairment from Ankylosis in Internal Malrotation
Table 3-59: Ankle Impairment from Ankylosis in External Malrotation
Table 3-60: Impairments for Loss of Boehler's Angle (Tibia-Os Calcis Angle.)
Table 3-61: Impairment of the Foot Due to Impairments of Toes
Table 3-62: Arthritis Impairments Based on Roentgenographically Determined Cartilage Intervals
Table 3-63: Impairment Estimates for Amputations
Table 3-64: Impairment Estimates for Certain Lower Extremity Impairments
Table 3-65: Rating Hip Replacement Results
Table 3-66: Rating Knee Replacement Results
Table 3-67: Impairments for Skin Loss
Table 3-68: Impairments from Nerve Deficits
Table 3-69: Lower Extremity Impairment Due to Peripheral Vascular Disease
Tables - The Spine
Table 3-70: Spine Impairment Categories
Table 3-71: DRE Impairment Category Differentiators
Table 3-72: DRE Lumbosacral Spine Impairment Categories
Table 3-73: DRE Cervicothoracic Spine Impairment Categories
Table 3-74: DRE Thoracolumbar Spine Impairments
Table 3-75: Whole-person Impairment Percents Due to Specific Spine Disorders
Table 3-76: Cervical Region Impairment from Abnormal Flexion or Extension or Ankylosis
Table 3-77: Impairment Due to Abnormal Motion and Ankylosis of the Cervical Region: Lateral Flexion
Table 3-78: Impairment Due to Abnormal Motion and Ankylosis of the Cervical Region: Rotation
Table 3-79: Impairment Due to Abnormal Motion (Flexion) and Ankylosis of the Thoracic Region
Table 3-80: Impairment Due to Abnormal Motion and Ankylosis of the Thoracic Region: Rotation
Table 3-81: Impairment Due to Abnormal Motion of the Lumbosacral Region: Flexion and Extension
Table 3-82: Impairment Due to Abnormal Motion and Ankylosis of the Lumbosacral Region: Lateral Flexion
Table 3-83: Unilateral Spinal Nerve Root Impairment Affecting the Lower Extremity
Chapter 4: The Nervous System
Tables
Table 4-1: Impairments Related to Aphasia or Dysphasia
Table 4-2: Mental Status Impairments
Table 4-3: Emotional or Behavioral Impairments
Table 4-4: Impairment of Consciousness and Awareness
Table 4-5: Impairments Related to Epilepsy, Seizures, and Convulsive Disorders
Table 4-6: Impairment Criteria for Sleep and Arousal Disorders
Table 4-7: Selected Optic Nerve Impairment Criteria
Table 4-8: Visual Field Impairment
Table 4-9: Cranial Nerve V (Trigeminal) Impairment Criteria
Table 4-10: Impairment Criteria for Cranial Nerve VII (Facial) and Adjoining Region
Table 4-11: Impairment Criteria for Cranial Nerve VIII (Auditory Nerve)
Table 4-12: Impairment Criteria for Cranial Nerves IX and XII
Table 4-13: Station and Gait Impairment Criteria
Table 4-14: Criteria for One Impaired Upper Extremity
Table 4-15: Criteria for Two Impaired Upper Extremities
Table 4-16: Neurologic Impairment of Respiration
Table 4-17: Criteria for Neurologic Impairment of Bladder
Table 4-18: Criteria for Neurologic Anorectal Impairment
Table 4-19: Sexual Impairment Criteria
Table 4-20: Determining Impairment Due to Pain or Sensory Deficit Resulting from Peripheral Nerve Disorders
Table 4-21: Determining Nervous System Impairment Due to Loss of Muscle Power and Motor Function Resulting from Peripheral Nerve Disorders
Table 4-22: Impairments Related to Syncope or Transient Loss of Awareness
Table 4-23: Impairments of Spinal Nerves in the Head and Neck Region
Table 4-24: Impairments of Spinal Nerves Affecting the Inguinal and Perineal Regions
Chapter 5: The Respiratory System
Tables
Table 5-1: Classification of Dyspnea
Table 5-2: Predicted Normal FVC Values (Liters) for Men (BTPS)
Table 5-3: Predicted Normal FVC Values for Women (BTPS)
Table 5-4: Predicted Normal FEV1 Values for Men
Table 5-5: Predicted Normal FEV1 Values for Women
Table 5-6: Predicted Normal Single-Breath Dco Values for Men (STPD)
Table 5-7: Predicted Normal Single-Breath Dco Values for Women (STPD)
Table 5-8: Classes of Respiratory Impairment
Table 5-9: Classification of Prolonged Physical Work Intensity by Oxygen Consumption
Table 5-10: Impairments Not Directly Related to Lung Functions
Table 5-11: Scale for Judging Cancer Patients' Capabilities
Chapter 6: The Cardiovascular System
Tables
Table 6-1: Functional Classification of Cardiac Disease
Table 6-2: Relationship of METS and Functional Class According to Five Treadmill Protocols
Table 6-3: Energy Expenditure in METS During Bicycle Ergometry
Table 6-4: Severity of Valve Stenosis
Table 6-5: Impairment Classification for Valvular Heart Disease
Table 6-6: Impairment Classification for Coronary Heart Disease
Table 6-7: Maximal and 90% of Maximal Achievable Heart Rate, by Age and Sex
Table 6-8: Impairment Classification for Congenital Heart Disease
Table 6-9: Impairment Classification for Hypertensive Cardiovascular Disease
Table 6-10: Impairment Classification for Cardiomyopathies
Table 6-11: Impairment Classification for Pericardial Disease
Table 6-12: Impairment Classification for Cardiac Arrhythmias
Table 6-13: Impairment of the Upper Extremity Due to Peripheral Vascular Disease
Table 6-14: Impairment of the Lower Extremity Due to Peripheral Vascular Disease
Chapter 7: The Hematopoietic System
Tables
Table 7-1: Criteria for Evaluating Permanent Impairment Related to Anemia
Chapter 8: The Visual System
Tables
Table 8-1: Stimuli Equivalent to the Goldmann Kinetic Stimulus
Table 8-2: Visual Acuity Notations with Corresponding Percentages of Loss of Central Vision
Table 8-3: Loss (in %) of Central Vision* in a Single Eye
Table 8-4: Normal Visual Fields for Eight Principal Meridians
Table 8-5: Loss of Monocular Visual Field
Table 8-6: Impairment of the Visual System as It Relates to Impairment of the Whole Person
Table 8-7: Visual System Impairment for Both Eyes
Chapter 9: Ear, Nose, Throat and Related Structures
Tables
Table 9-1: Monaural Hearing Loss and Impairment
Table 9-2: Computation of Binaural Hearing Impairment
Table 9-3: Relationship of Binaural Hearing Impairment to Impairment of the Whole Person
Table 9-4: Facial Disfigurement and Impairments
Table 9-5: Classes of Air Passage Defects
Table 9-6: Relationship of Dietary Restrictions to Permanent Impairment
Table 9-7: Speech Impairment Criteria
Table 9-8: Test Oral Reading Paragraph
Table 9-9: Speech Impairment Related to Impairment of the Whole Person
Chapter 10: The Digestive System
Tables
Table 10-1: Desirable Weights by Sex, Height, and Body Build
Table 10-2: Classes of Impairment of the Upper Digestive Tract (Esophagus, Stomach and Duodenum, Small Intestine, and Pancreas)
Table 10-3: Classes of Colonic and Rectal Impairment
Table 10-4: Classes of Anal Impairment
Table 10-5: Impairments from Surgically Created Stomas
Table 10-6: Classes of Liver and Biliary Tract Impairment
Table 10-7: Classes of Hernia-related Impairment
Chapter 11: The Urinary and Reproductive Systems
Tables
Table 11-1: Upper Urinary Tract Impairments
Table 11-2: Impairment from Urinary Diversion
Chapter 12: The Endocrine System
Tables
Table 12-1: Impairments Related to Hyperparathyroidism
Table 12-2: Impairments Related to Hypoparathyroidism
Table 12-3: Impairments Related to Hypoadrenalism
Table 12-4: Impairments Related to Hyperadrenocorticism
Table 12-5: Permanent Impairment Related to Pheochromocytomas
Chapter 13: The Central and Peripheral Nervous System
Tables
Table 13-1: Structure and Functions of the Skin
Table 13-2: Whole Person Impairment Classes and Percents for Skin Disorders
Chapter 14: Mental and Behavioral Disorders
Tables
Table 14-1: Classification of Impairments Due to Mental and Behavioral Disorders
Chapter 15: Pain
No Tables.

Glossary

Table: Activities of Daily Living, with Examples
 

 

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