Chapter 15: The Upper Extremities

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Updates to AMA Guides Sixth Edition 2023

AMA Guides Sixth 2023 Errata (link)   

Chapter 15: The Upper Extremities

  • Tables 15-2, 15-3, 15-4 and 15-5
    • The words “with normal motion” be removed from all sections in which it appears; elimination of the footnote from the DBI tables that says: “*If motion loss is present, this impairment may alternatively be assessed using Section 15.7, Range of Motion Impairment. A range of motion impairment stands alone and is not combined with diagnosis impairment.”
  • Section 15-7 (and 15-3b) 
    • Edited to reinforce DBI as preferred method, but, when presented with decreased ROM, a rater can consider that as an alternative method when the impairment isn’t able to be rated with the DBI paradigm.
Chapter 15: The Upper Extremities
Table 15-1: Definition of Impairment Classes
Table 15-2: Digit Regional Grid: Digit Impairments
Table 15-3: Wrist Regional Grid: Upper Extremity Impairments
Table 15-4: Elbow Regional Grid: Upper Extremity Impairments
Table 15-5: Shoulder Regional Grid: Upper Extremity Impairments
Table 15-6: Adjustment Grid: Summary
Table 15-7: Functional History Adjustment: Upper Extremities
Table 15-8: Physical Examination Adjustment: Upper Extremities
Table 15-9: Clinical Studies Adjustment: Upper Extremities
Table 15-10: Methodology for Determining the Grade in an Impairment Class
Table 15-11: Impairment Values Calculated From Upper Extremity Impairment
Table 15-12: Impairment Values Calculated From Digit Impairment
Table 15-13: Monofilament Test Criteria
Table 15-14: Sensory and Motor Severity
Table 15-15: Sensory Quality Impairment Classification
Table 15-16: Digit Impairment for Transverse and Longitudinal Sensory Losses in Thumb and Little Finger Based on Percent of Digital Length Involved
Table 15-17: Digit Impairment for Transverse and Longitudinal Sensory Losses in Index, Middle, and Ring Fingers Based on Percent of Digital Length Involved
Table 15-18: Impairment for Sensory Only Peripheral Nerve Injury
Table 15-19: Origins and Functions of Peripheral Nerves of Upper Extremity Emanating From Brachial Plexus
Table 15-20: Brachial Plexus Impairment: Upper Extremity Impairments
Table 15-21: Peripheral Nerve Impairment: Upper Extremity Impairments
Table 15-22: Activities of Daily Living (ADLs)
Table 15-23: Entrapment/Compression Neuropathy Impairment
Table 15-24: Diagnostic Criteria for Complex Regional Pain Syndrome
Table 15-25: Objective Diagnostic Criteria Points for Complex Regional Pain Syndrome
Table 15-26: Complex Regional Pain Syndrome (Type I): Upper Extremity Impairments
Table 15-27: Level of Amputation
Table 15-28: Impairment for Upper Limb Amputation at Various Levels
Table 15-29: Amputation Impairment
Table 15-30: Thumb Range of Motion
Table 15-31: Finger Range of Motion
Table 15-32: Wrist Range of Motion
Table 15-33: Elbow/Forearm Range of Motion
Table 15-34: Shoulder Range of Motion
Table 15-35: Range of Motion Grade Modifiers
Table 15-36: Functional History Grade Adjustment: Range of Motion
Table 15-37: Activities of Daily Living Questionnaire
Table 15-38: ADLs Questionnaire Evaluation
Table 15-39: Comparison Between QuickDASH and ADL Questionnaires
Table 15-40: Self-Report Functional Assessment Measures
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