...Jay Blaisdell; James B. Talmage, MD Examiners use range-of-motion (ROM) testing to help calculate the physical examination modifier when they use the diagnosis-based impairment (DBI) method in the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition. DBI...

...James B. Talmage, MD; Jay Blaisdell In the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition, range of motion (ROM) is used to calculate the physical examination modifier when the diagnosis-based impairment (DBI) method is used, ie, Table 15-8, Physical Examination...

... © 2012 American Medical Association. All Rights Reserved. 2012 American Medical Association QUESTION: Range of motion in the lower extremity is graded according to the process and criteria specified in Section 16.7 (pp. 543–551). Lower extremity impairment may be evaluated...

... ( 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...

... and hip impairment rating according to the new edition. Anatomic, diagnostic, or functional methods can be used to estimate lower extremity impairments. Functional methods include ratings based on diminished range of motion, weakness, or gait derangement. In general, only one method should be used to rate...

...James J. Mangraviti, Jr, JD The AMA Guides to the Evaluation of Permanent Impairment, Fourth Edition, includes two methods of evaluating low back impairment following injury, the Diagnosis-related estimates (DRE) method and the Range of Motion (ROM) method. The DRE method should be used first...

... Reserved. 2012 American Medical Association Range of motion is an important aspect of extremity impairment evaluation; therefore, evaluators need to understand how to assess motion reliably and determine what is normal. Normal joint motions vary from one person to another. They depend...

... the AMA Guides to the Evaluation of Permanent Impairment, ( AMA Guides ) clearly specifies use of the Diagnosis related estimates (DRE) method, evaluators sometimes incorrectly use the range-of-motion (ROM) method, which is fraught with potential error and typically results in higher impairment ratings...

... © 2000 American Medical Association. All Rights Reserved. 2000 American Medical Association In the Guides to the Evaluation of Permanent Impairment , 4th Edition, spinal injuries are rated using the Injury Model. Range of motion measurements of the spine lack adequate validity...

... impairment in cases when symptomatology has improved with appropriate treatment. Grids in the AMA Guides, Sixth Edition, include impairment ratings for multiple-level conditions, so an alternative rating system (such as the range-of-motion method in the fifth edition) are not needed. The Diagnosis-related...

...James B. Talmage, MD The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Third Edition, exclusively used the Range of Motion (ROM) Model to rate motion of the spine. The fourth edition requires the additional use of an inclinometer and also indicates that the Injury Model...

...Jay Blaisdell; James Talmage, MD Workers who kneel for major portions of their workday (eg, floor and roof installers) may be prone to inflammation of the knee bursae and patellofemoral pain. In the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), range-of-motion (ROM...

... the use of judgment because large ranges are provided. Spinal injuries that involve corticospinal tract damage are assessed using the Diagnosis-related estimate (DRE) method, but the range-of-motion method can be used in specified situations. A case example demonstrates how to assess neurological...

...Robert H. Haralson, III, MD; Christopher R. Brigham, MD A careful and thorough physical examination is a critical component of the spinal impairment evaluation. Two methods have been used for this evaluation, the Diagnosis-related estimates (DRE) method and the Range of Motion (ROM) method...

... is noted; no calf atrophy is noted; strength appears normal; and range of motion reveals 20 degrees of flexion, 10 degrees extension, 20 degrees inversion and 10 degrees eversion. X-rays revealed avascular necrosis with partial dome collapse and a 1.8 mm tibiotalar joint space. Answer: First...

...Kathryn Mueller, MD Before the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Fourth Edition, spine impairment was based on range of motion (ROM) testing combined with ratings for specific spine disorders and neurologic impairment. The AMA Guides, Fourth Edition, uses...

... in terms of different approaches taken in each of these editions. In the AMA Guides, Sixth Edition, the process of rating impairment was simplified by the elimination of the range of motion method. In the examples presented, the impairment values calculated using the sixth edition fall between those...

...Kathryn Mueller, MD The first four editions of the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ) used the range of motion (ROM) method and derived impairment percentages. This method is reliable and works well to rate finger joint injuries such as fractures or sprains...

..., deals only briefly with TMD in Section 11.4b, noting that this dysfunction may impede mastication, affect speech, cause lower facial deformity, and produce pain. Objective criteria (disk displacement and radiographic evidence of joint degeneration, range of motion [ROM], and surgical intervention) have...

... and a minority of physical findings are objective. Some physical findings, such as strength and range of motion measurements, are both subjective and objective. Repeat testing, assessment of plausibility, and use of confirmatory physical findings can be used to validate or “objectify” subjective findings (eg...