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results of Restriction on Pulmonary Function Testing
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Restriction on Pulmonary Function Testing
Guides Newsletter (2022) 27 (5): 38–54.
Published: 01 September 2022
...Stephen L. Demeter, MD, MPH There is an association between obesity and restriction on pulmonary function testing when relying on the forced vital capacity (FVC) as the defining parameter for restriction. Body mass index (BMI) may not be the best measure of obesity, but it is the most commonly used...
Guides Newsletter (2014) 19 (4): 6.
Published: 01 July 2014
... in the AMA Guides, Sixth Edition, adds a single word, “static,” that significantly effects how this test should be conducted. Routine pulmonary function tests (PFTs) provide information about a person's ability to breathe, eg chronic obstructive pulmonary disease or asthma can stratify the severity...
Guides Newsletter (2022) 27 (6): 16–38.
Published: 01 November 2022
..., or cardiac insult.” In their study, no test of pulmonary function, cardiac physiology, or pulmonary vascular pressure was abnormal. The authors 13 stated that “persistent dyspnea after COVID-19 was not associated with overt cardiopulmonary pulmonary impairment or exercise intolerance.” Cassar et al 14...
Guides Newsletter (2016) 21 (4): 8–11.
Published: 01 July 2016
... Medical Association. All Rights Reserved. 2016 American Medical Association Accurate pulmonary impairment ratings are dependent on a valid and reliable lung function test and appropriate application of the criteria provided in the AMA Guides. There are 2 lung function tests: dynamic and static...
Guides Newsletter (2014) 19 (4): 7–10.
Published: 01 July 2014
... causes. ILDs are so-called because they affect the interstitium of the lung pathologically and/or present as interstitial infiltrates radiographically. They are also called restrictive lung diseases since they usually cause restriction on static pulmonary function testing (a decrease in the residual...
Guides Newsletter (2019) 24 (2): 12–14.
Published: 01 March 2019
... adjusting for objective test findings the rating remains at its default percentage or lower, it may be raised one more percentage increment (grade) for each of the other performance measures (audibility, intelligibility, functional efficiency) that has the same value as the initial impairment class...
James B. Talmage, MD, Mark H. Hyman, MD, Christopher R. Brigham, MD, Sarah H. Gulick, PsyD, Leslie Burton, PT
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
... correlates have been reported among COVID-19 survivors during early convalescence across age groups. 9 One study from China found that pulmonary function was still impaired 1 month after hospital discharge. 10 Based on currently available studies and their data, hospitalized patients are more...
Guides Newsletter (2015) 20 (4): 9–16.
Published: 01 July 2015
... to ½ flight and a daily, dry cough. His HP was unresponsive to steroids and he is now at maximal medical improvement (MMI). He smoked 1–2 packs of cigarettes per day since he was 21 but quit 2½ years ago when he began having exertional fatigue. His pulmonary function tests (PFTs) show a forced vital capacity...
Guides Newsletter (2021) 26 (6): 3–14.
Published: 01 November 2021
... assays as indicated (eg, cardiac enzymes, coagulation and immunologic analysis) Imaging studies, including chest X ray and/or computed tomography Other testing results when clinically indicated, such as electrocardiography, pulmonary function (especially DLCO), echocardiogram or treadmill stress...
Guides Newsletter (2001) 6 (2): 3–5.
Published: 01 March 2001
... ; 123 : 659 – 664 . 4. American Thoracic Society . Lung function testing: selection of reference values and interpretive strategies. Am Rev Respir Dis . 1991 ; 144 : 1202 – 1218 . 5. Ghio AJ , Crapo RO , Elliott CG . Reference equations used to predict pulmonary function...
Stephen L. Demeter, MD, MPH, Lorne Direnfeld, MD, Richard Katz, MD, James B. Talmage, MD, Christopher R. Brigham, MD
Guides Newsletter (2020) 25 (5): 3–11.
Published: 01 September 2020
.... In brief, this revealed mild to moderate cognitive deficits. However, the physician evaluating impairment did not have access to the neurophysiological testing, only to this summary conclusion. A psychiatric IME was also performed. Her global assessment of functioning (GAF) score was 55. Multiple...
Guides Newsletter (2014) 19 (5): 13–15.
Published: 01 September 2014
... or workability, it is understood that impairment ratings are used to determine financial settlements. Thus, it is incumbent on medical professionals to develop and use methods that accurately assess the impact of a medical condition on a person, his or her health, and his or her functionality. One long...
Guides Newsletter (2001) 6 (4): 5–7.
Published: 01 July 2001
...–531 3.2c 37 76 Manual Muscle Testing Functional 17.2e 17-7–8 531–533 3.2d 38–39 76–77 Range of Motion Functional 17.2f 17-9–14 533–538 3.2e 40–45 77–78, 90–92 Joint Ankylosis Anatomic 17.2g 17-15–30 538–543 3.2f 46–61 79–82 Arthritis Anatomic 17.2h 17–31 544–545...
Christopher R. Brigham, MD, MMS, Robert D. Rondinelli, MD, PhD, Elizabeth Genovese, MD, MBA, Craig Uejo, MD, MPH, Marjorie Eskay-Auerbach, MD, JD
Guides Newsletter (2008) 13 (1): 1–12.
Published: 01 January 2008
... in impairment rating, considers functional consequences of the impairment as a part of each physician's detailed history, and clarifies significant physical examination findings and clinical testing. The Sixth Edition uses the framework based upon the International Classification of Functioning...
Christopher R. Brigham, MD, Kathryn Mueller, MD, Douglas Van Zet, BS, Debra J. Northrup, RN, Edward B. Whitney, MD, Martha M. McReynolds, PhD
Guides Newsletter (2004) 9 (3): 1–12.
Published: 01 May 2004
... of the AMA Guides, including differences in ratings of the cardiovascular, pulmonary, digestive, and other systems. Critiquing the AMA Guides, the authors call for improvements, including the following: add a system to rate permanent impairments, including functional limitations; base impairment ratings...
Guides Newsletter (2000) 5 (6): 1–7.
Published: 01 November 2000
...%). “If residual symptoms or objective findings impact the ability to perform ADL despite treatment, the higher percentage in each range should be assigned.” DRE categories VI, VII, and VIII have been eliminated, and spinal cord injury is now evaluated according to the functional approach from the nervous...
Joseph A. Hirsch, PhD, PsyD, Steven Mandel, MD, Kurt T. Hegmann, MD, MPH, Alexandra G. Stratyner, PhD, Stuart Gitlow, MD, MPH, MBA, James B. Talmage, MD, Christopher R. Brigham, MD
Guides Newsletter (2023) 28 (2): 1–38.
Published: 01 March 2023
... neuropsychological testing and longitudinal, quantitative, structural, and functional brain imaging. 127 There are several considerations before defining drug addiction as a disability: Disability status is associated with increased mortality and reduced lifespan. Therefore, assigning drug addiction...
Guides Newsletter (2002) 7 (2): 7–10.
Published: 01 March 2002
... age 18). In 1999, 44 million (22%) adults reported having a disability, with a prevalence rate of disability at 24% among women and 20% among men. Approximately 32 million adults had difficulty with one or more functional activities such as climbing a flight of stairs (19.4 million), walking three...
Guides Newsletter (2018) 23 (2): 3–8.
Published: 01 March 2018
... Workers' Compensation (DLHWC).1 Injured workers who qualify for coverage are entitled to medical, disability, and rehabilitation benefits. A primary function of the Longshore Compensation Program is to act as a mediator in resolving disputed claims. By means of an informal conference, claimants...
Guides Newsletter (2009) 14 (2): 1–13.
Published: 01 March 2009
... Methods (5th ed, 526). Providing ratings for “deconditioning” associated with musculoskeletal and other disorders by utilizing Table 5-12, Impairment Classification for Respiratory Disorders, Using Pulmonary Function and Exercise Test Results. (5th ed, 107). The suggestion is rate for exercise test...