Question: An article on approaches to sleep disorders was published in the May-June 2009 issue of the Guides Newsletter. On page eight, this references the use of the Fifth Edition Section 13.3c, Arousal and Sleep Disorders (5th ed, 317-319) to rate a documented neurologic condition. What is considered a documented neurologic condition for these purposes?
Answer: In the Fifth Edition, Chapter 13, The Central and Peripheral Nervous System, provides criteria for “evaluating permanent impairments due to documented dysfunction of the brain, cranial nerves, spinal cord, nerve roots, and/or peripheral nerves and muscles” (5th ed, 305). Therefore, in assessing impairment, there must be a documented neurological condition, such as a cerebrovascular accident, tumor, infection, injury, or other anatomic process within the brain or spinal cord. Sleep alteration in response to pain, muscular injury, or any other process outside...
