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Newsletter Articles
Guides Newsletter (2023) 28 (4): 40–41.
Published: 01 July 2023
...Christopher R. Brigham, MD © 2023 American Medical Association. All Rights Reserved. 2023 American Medical Association Combined Values Diagnosis-Based Impairment Lower Extremity Peripheral Nerve Impairment QUESTION: Are the multiple impairments added or combined for a patient...
Newsletter Articles
Guides Newsletter (2015) 20 (5): 15–16.
Published: 01 September 2015
... ( AMA Guides ), Fifth and Sixth Editions will help physicians avoid common pitfalls and improve the reliability of impairment ratings. One source of confusion associated with rating a shoulder is determining whether to use the range-of-motion (ROM) method or the diagnosis-based impairment (DBI) method...
Newsletter Articles
Guides Newsletter (2023) 28 (1): 1–15.
Published: 01 January 2023
.... The sixth edition focuses on diagnosis-based impairments (6th ed, 2). In the AMA Guides , Sixth Edition (2008), Chapter 13, The Central and Peripheral Nervous System, had significant rating-process discrepancies with other chapters. This article identifies the discrepancies and explains the revisions made...
Newsletter Articles
Guides Newsletter (2022) 27 (2): 14.
Published: 01 March 2022
... the percentage lower extremity impairments (LEIs) for each of the six hip motions, and the total is the impairment rating. When using the diagnosis-based impairment method, I have always assumed that if all motion impairments are mild, that is a good result, and I have selected class 2 in Table 16-4, Hip...
Newsletter Articles
Guides Newsletter (2018) 23 (1): 14–16.
Published: 01 January 2018
...) and diagnosis-based impairment (DBI) are the two possible stand-alone methods for rating knee impairment. The ROM method was widely used in previous editions of the AMA Guides, but at present DBI is the method of choice for calculating impairment. To rate knee impairment using the DBI method, the physician...
Newsletter Articles
Guides Newsletter (2019) 24 (5): 14–15.
Published: 01 September 2019
...Jay Blaisdell; James B. Talmage, MD Ratings for “non-specific chronic, or chronic reoccurring, back pain” are based on the diagnosis-based impairment method whereby an impairment class, usually representing a range of impairment values within a cell of a grid, is selected by diagnosis and “specific...
Newsletter Articles
Guides Newsletter (2022) 27 (2): 8–11.
Published: 01 March 2022
... include using the diagnosis-based approach for more than one diagnosis within a region, and incorrectly assessing gait abnormalities, motion loss, nerve injuries, and complex regional pain syndrome. Rigorous adherence to the AMA Guides methodology and recognition of common IR errors can prevent...
Newsletter Articles
Guides Newsletter (2022) 27 (1): 7–11.
Published: 01 January 2022
... in physician IR reports and independent medical examination reports. Recognizing these errors can result in the prevention and management of these ratings. Common errors include rating impairment using the diagnosis-based approach for more than one diagnosis within a region and making incorrect assessments...
Newsletter Articles
Newsletter Articles
Guides Newsletter (1997) 2 (5): 3.
Published: 01 September 1997
..., identify your options for calculation. These include gait (section 3.2b), arthritis (section 3.2g), diagnosis-based estimates (section 3.2i), and range of motion (section 3.2e). Then calculate the corresponding impairment. For gait, using Table 36 (4th ed., 76), she best fits the category of mild...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 12–15.
Published: 01 November 2019
...Jay Blaisdell, MA; James B. Talmage, MD Like the diagnosis-based impairment (DBI) method and the range-of-motion (ROM) method for rating permanent impairment, the approach for rating compression or entrapment neuropathy in the upper extremity (eg, carpal tunnel syndrome [CTS]) is a separate...
Newsletter Articles
Newsletter Articles
Guides Newsletter (2018) 23 (4): 9–10.
Published: 01 July 2018
... be less familiar with the rating process for these types of injuries. The diagnosis-based methodology for rating pelvic fractures is consistent with the process used to rate other musculoskeletal impairments. Evaluators must base the rating on reliable data when the patient is at maximum medical...