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Validity Testing

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Newsletter Articles
Guides Newsletter (2018) 23 (6): 14–15.
Published: 01 November 2018
...Lee H. Ensalada, MD, MPH Symptom validity testing (SVT), also known as forced-choice testing, is a means of assessing the validity of sensory and memory deficits, including tactile anesthesias, paresthesias, blindness, color blindness, tunnel vision, blurry vision, and deafness. The common feature...
Newsletter Articles
Guides Newsletter (1999) 4 (4): 8–9.
Published: 01 July 1999
...Leon H. Ensalada, MD, MPH © 1999 American Medical Association. All Rights Reserved. 1999 American Medical Association Symptom validity vesting (SVT), also known as forced-choice testing, is a means of assessing the validity of sensory and memory deficits, including tactile anesthesias...
Newsletter Articles
Guides Newsletter (2016) 21 (6): 5–11.
Published: 01 November 2016
... standards for each type of validity study. FCEs are a systematic method of measuring an individual's ability to perform various activities, and results are matched to descriptions of specific work-related tasks. Results of physical abilities/agilities tests are reported as “matching” or “not matching” job...
Newsletter Articles
Guides Newsletter (1999) 4 (4): 4.
Published: 01 July 1999
... Symptom validity testing, also known as forced-choice testing, is a way to assess the validity of sensory and memory deficits, including tactile anesthesias, paresthesias, blindness, color blindness, tunnel vision, blurry vision, and deafness—the common feature of which is a claimed inability...
Newsletter Articles
Guides Newsletter (2022) 27 (4): 18–59.
Published: 01 July 2022
... subjective process by employing relevant psychological validity testing and conducting a coherence analysis in formulating an opinion. In summary, we provide a synopsis of current best practices and offer the examiner a method for aligning M&BD IMEs with equally high standards of excellence. © 2022...
Newsletter Articles
Guides Newsletter (2011) 16 (5): 5–7.
Published: 01 September 2011
... and social history, and emotional predispositions; emotional reactions to symptoms; evaluation of nonphysiological findings; results obtained using standardized test instruments; and tests of dissimulation, such as symptom validity testing. Unsupported and insupportable conclusions regarding inappropriate...
Newsletter Articles
Guides Newsletter (1998) 3 (3): 4–5.
Published: 01 May 1998
..., pain, and loss of sensation. Specialized assessments include symptom validity testing to assess memory or sensory deficits, and maximum voluntary effort testing assesses strength deficits. In their assessment of illness behavior, physicians should employ the same degree of thoroughness as they would...
Newsletter Articles
Guides Newsletter (2021) 26 (3): 3–7.
Published: 01 May 2021
... impaired patient is outlined in Table 13-7. Neuropsychological test battery covers many functional domains—attention, language, memory, visuospatial skills, executive function, intelligence, motor speed, and educational achievement—using tests with established validity and reliability. Individuals...
Newsletter Articles
Guides Newsletter (2007) 12 (1): 4–5.
Published: 01 January 2007
... Association. All Rights Reserved. 2007 American Medical Association On Fig. 15-10 (5th ed, 410) the straight leg validity test notes that “if the tightest SLR ROM exceeds the sum of sacral flexion and extension by more than 15% (sic, degrees), lumbar ROM test is invalid.” I examined an individual...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 12–15.
Published: 01 November 2019
... these modifiers are applied is different from that in the DBI method. Notably, the evaluator must have valid nerve conduction test results and cannot diagnose or rate nerve entrapment or compression without them; postoperative nerve conduction studies are not necessary for impairment rating purposes. The AMA...
Newsletter Articles
Guides Newsletter (2016) 21 (2): 3–8.
Published: 01 March 2016
... testes because hypogonadism is treatable. Hypogonadism in the male patient is evaluated using a validated questionnaire (ADAM [Androgen Deficiency in the Aging Male]) and laboratory testing. Using the ADAM questionnaire, scores range from 10 representing the most symptoms to 50 representing...
Newsletter Articles
Guides Newsletter (2016) 21 (4): 6–7.
Published: 01 July 2016
... Accurate pulmonary impairment ratings depend on a valid and reliable lung function test and appropriate application of the criteria provided in the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition. The two lung function tests are dynamic and static; the principal...
Newsletter Articles
Guides Newsletter (2017) 22 (2): 5.
Published: 01 March 2017
... A method for determining the severity of a presentation of cognitive impairment has been developed and scientifically validated specifically for use with cases in which the causative diagnosis is traumatic brain injury. The method determines if the impairment, as demonstrated on neuropsychology...
Newsletter Articles
Guides Newsletter (2000) 5 (1): 2–3.
Published: 01 January 2000
... of the article referred to several shortcomings of neuropsychological assessment; specifically, they questioned the ecological (real-world) validity of such testing for less severely impaired individuals. The authors of the letter agree that neuropsychological testing may underestimate problems with attention...
Newsletter Articles
Guides Newsletter (2016) 21 (3): 3–8.
Published: 01 May 2016
... of appropriate women's sexual health care delivery. The evaluation of FSD involves a psychosocial assessment / history, medical history, completion of validated questionnaires, physical examination, neurological testing and laboratory testing. It is not necessary to do an exhaustive sexual...
Newsletter Articles
Guides Newsletter (2021) 26 (4): 12–13.
Published: 01 July 2021
... right anterior chest wall tenderness. Later, another physician reported muscle guarding. Neither of us performed symptom validity testing, nor did we complete the AMA Guides ' Table 18-4, Ratings Determining Impairment Associated With Pain (5th ed, 576–577). However, using the fifth edition of the AMA...
Newsletter Articles
Guides Newsletter (2012) 17 (2): 4–6.
Published: 01 March 2012
... 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...
Newsletter Articles
Guides Newsletter (2015) 20 (3): 3–5.
Published: 01 May 2015
... a higher impairment rating. The article outlines the steps for measuring ROM. Invalid results on the day of testing are declared after three consecutive efforts if the three measurements for a given plane of motion vary by more than 10 degrees from the average (mean) of these three measurements...
Newsletter Articles
Guides Newsletter (2001) 6 (5): 1–4, 11.
Published: 01 September 2001
... of determining sexual disability by incorporating objective, laboratory-based data in order to render more reliable and valid determinations, including whether the patient has received appropriate treatment and is at maximum medical improvement. MSD is of organic, psychogenic, mixed, or indeterminate cause...
Newsletter Articles
Guides Newsletter (2004) 9 (4): 5–9.
Published: 01 July 2004
... the same patient, should report similar results and reach similar conclusions.” In addition, the AMA Guides emphasizes that “[c]onsistency tests are designed to ensure reproducibility and greater accuracy.” If findings are inconsistent, the examiner may choose not to base an impairment rating on them...