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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...
Guides Newsletter (2020) 25 (6): 10–12.
Published: 01 November 2020
... Clinical Evaluation Combined Values Chart Discussion Impairment Evaluation Impairment Rating (IR) IR Reports Reading all 600-plus pages of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) , Sixth Edition, is not a practical endeavor, even for treating physicians...
Guides Newsletter (2022) 27 (2): 8–11.
Published: 01 March 2022
... is a common error in IR reports. Table 16-11, Sensory and Motor Severity (6th ed, 533), requires the examiner to determine light touch and sharp/dull recognition. However, it does not require testing sensation by monofilament or 2-point discrimination as done with the UE. Section 16.4a, Clinical...
Guides Newsletter (2020) 25 (4): 14–15.
Published: 01 July 2020
... would also be 9% UE, and this should be explained in the context of the IR report. In summary, a Quick DASH score of >80 in an individual with a grade 3 level of impairment should not always “automatically” be considered unreliable, based on the circumstances of the condition. The AMA Guides...
Guides Newsletter (2018) 23 (5): 11–15.
Published: 01 September 2018
.... First, Grade Modifier 3 (column 6) and the Internal Rotation (IR) (row 12) lists ≤20° ER = 8% UEI; this should be ≥20° ER = 8% UEI; and Grade Modifier 4 (column 7) and IR (row 12) lists: 20° to 50° IR = 6% UEI, ≥60° IR or 10° IR to ER = 0% UEI; this should be ≥60° IR or 10° IR to ER = 10% UEI. Second...
Guides Newsletter (2020) 25 (3): 12–19.
Published: 01 May 2020
... a short period of temporary partial disability (TPD) payments. In June 2006, she underwent an impairment rating evaluation (IRE) pursuant to the AMA Guides, Fifth Edition, which determined that she had a 44% permanent impairment. Based on that IRE, a workers’ compensation judge (WCJ) modified...
Robert D. Rondinelli, MD, PhD, Marjorie Eskay-Auerbach, MD, JD, Mohammed I. Ranavaya, MD, JD, Christopher R. Brigham, MD
Guides Newsletter (2012) 17 (6): 1–9.
Published: 01 November 2012
... cases. Figure 3 Methodology Used in Determining Diagnosis-based Impairment (DBI) in the Spine Chapter The first step in the impairment rating (IR) process, after determination of permanency at maximum medical improvement (MMI) , is to assign the diagnosis and pick the appropriate...
Guides Newsletter (2022) 27 (1): 3–6.
Published: 01 January 2022
.../JBJS.J.01452 . 19. Hopewell S , Keene DJ , Marian IR , et al . Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders (GRASP): a multicentre, pragmatic, 2 × 2 factorial...
Guides Newsletter (2021) 26 (5): 13–16.
Published: 01 September 2021
... therapy on depression, anxiety, and stress in patients with COVID-19: a randomized controlled trial . Front Psychiatry. 2020 ; 11 : 580827 . doi: 10.3389/fpsyt.2020.580827 . 23. Behan C . The benefits of meditation and mindfulness practices during times of crisis such as COVID-19 . Ir J...
Guides Newsletter (2016) 21 (5): 3–8.
Published: 01 September 2016
... evaluated the amount of personal assistance needed by level of injury. “Exp” indicates the number of hours of personal assistance an expert panel assumed patients would need. “Med” indicates the median number of hours a patient actually received. “Data IR” is the range of hours of care received by persons...
Guides Newsletter (2002) 7 (2): 7–10.
Published: 01 March 2002
... as a threshold to determine if an employee is totally disabled. With respect to injuries sustained on or after June 24, 1996, Act 57 requires employees who have received total disability benefits for 104 weeks to submit to an Impairment Rating Evaluation (IRE) to determine the degree of impairment from which...