Chapter 17: The Spine and Pelvis
Summary of Updates to AMA Guides Sixth Edition 2021
- Content update provides clarification and updated terminology around mental and behavioral health concepts to improve interrater reliability. Overview of updates to Mental and Behavioral Health Content:
- Change from DSM IV to DSM 5 terminology and methodology
- Newer editions of Assessment Tools and Tests
- Descriptions of Malingering and Motivation
- Removal of summaries of psychiatric diagnoses and conditions from the Glossary to mitigate discrepancies in a forensic setting
- Removal of GAF results in more accurate mental and behavioral health impairment ratings
- Minor editorial corrections to Lower Extremities and Spine and Pelvis content
Minor Editorial Enhancements
Editorial clarifications that have no substantiative impact on content, supporting evidence used, or impairment ratings.
Spine and Pelvis (Chapter 17)
- Table 17-3: ‘Soft tissue and nonspecific conditions’ subheading added to the top of table 17-3.
- Introduction
- 17.1 Principles of Assessment
- 17.2 Diagnosis-Based Impairment
- 17.3 Adjustment Grids and Grade Modifiers: Non-Key Factors
- 17.3a Adjustment Grid: Functional History
- 17.3b Adjustment Grid: Physical Examination
- 17.3c Adjustment Grid: Clinical Studies
- 17.3d Corticospinal Injury
- 17.3e Mental and Behavioral Problems and Chronic Pain
- 17.3f Impairment Calculation Methodology
- 17.3g Spine Impairment Case Examples
- 17.3h Combining and Converting Impairments
- 17.4 Pelvic Impairment
- 17.5 Summary
- 17.6 Appendix 17–A: Pain Disability Questionnaire
- Bibliography
-
Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am, 1990; Mar;72(3):403–8.
-
American Academy of Physical Medicine and Rehabilitation. 1999.
-
Anagnostis C, Mayer TG, Gatchel RJ, Proctor TJ. The million visual analog scale: its utility for predicting tertiary rehabilitation outcomes. Spine. 2003;28(10):1051–1060.
-
Anagnostis C, Gatchel RJ, Mayer TG. The pain disability questionnaire: a new psychometrically sound measure for chronic musculoskeletal disorders. Spine. 2004;29(20):2290–2302; discussion 2303.
-
Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am, 1990; Mar;72(3):403–8.
-
Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine. 2000;25(22):2940–52; discussion 2952.
-
Gatchel RJ, Mayer TG, Theodore BR. The pain disability questionnaire: relationship to one-year functional and psychosocial rehabilitation outcomes. J Occup Rehabil. 2006;16(1):75–94.
-
Jensen MC, Brant-Zawadski MN, Obuchwki N, et al.Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994;331:69–73.
-
Lowery WD Jr, Horn TJ, Boden SD, Wiesel SW. Impairment evaluation based on spinal range of motion in normal subjects. J Spinal Disord. 1992;5(4):398–402.
-
Lyle MA, Manes S, McGuinness M, Ziaei S, Iversen MD. Relationship of physical examination findings and self-reported symptom severity and physical function in patients with degenerative lumbar conditions. Phys Ther. 2005;85(2):120–33.
-
Nattrass CL, Nitschke JE, Disler PB, Chou MJ, Ooi KT. Lumbar spine range of motion as a measure of physical and functional impairment: an investigation of validity. Clin Rehabil. 1999;13(3):211–218.
-
Nitschke JE, Nattrass CL, Disler PB, Chou MJ, Ooi KT. Reliability of the American Medical Association Guides' model for measuring spinal range of motion; its implication for whole-person impairment rating. Spine. 1999;24(3):262–268.
-
Parks KA, Crichton KS, Goldford RJ, McGill SM. A comparison of lumbar range of motion and functional ability scores in patients with low back pain: assessment for range of motion validity. Spine. 2003;28(4):380–384.
-
Rubinstein SM, Pool JJ, van Tulder MW, Riphagen II, de Vet HC. A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy. Eur Spine J. 2007;16(3):307–319.
-
Sullivan MS, Dickinson CE, Troup JD. The influence of age and gender on lumbar spine sagittal plane range of motion: a study of 1126 healthy subjects. Spine. 1994;19(6):682–686.
-
Valkenburg HA, Haanan HCN. The epidemiology of low back pain. In: White A III, Gordon SL., Symposium of Idiopathic Low Back Pain, St. Louis, Mo: CV Mosby Co; 1982;9–22.
-
Zuberbier OA, Hunt DG, Kozlowski AJ, et al.Commentary on the American Medical Association Guides' lumbar impairment validity checks. Spine. 2001;26(24):2735–2737.
-
Zuberbier OA, Kozlowski AJ, Hunt DG, et al.Analysis of the convergent and discriminant validity of published lumbar flexion, extension, and lateral flexion scores. Spine. 2001;26(20):472–478.Page intentionally left blank.
| All Time | Past Year | Past 30 Days | |
|---|---|---|---|
| Full Text Views | 42 | 42 | 1 |
