Guides 4th 1993 Tables

This page is designed to provide you with easy access to the AMA Guides to the Evaluation of Permanent Impairment 4th Edition, 1993 tables.

Jump to Chapter:

Chapter 1: Impairment Evaluation
Chapter 2: Records and Reports
Chapter 3: The Musculoskeletal System
Chapter 4: The Nervous System
Chapter 5: The Respiratory System
Chapter 6: The Cardiovascular System
Chapter 7: The Hematopoietic System
Chapter 8: The Visual System
Chapter 9: Ear, Nose, Throat and Related Structures
Chapter 10: The Digestive System
Chapter 11: The Urinary and Reproductive Systems
Chapter 12: The Endocrine System
Chapter 13: The Skin
Chapter 14: Mental and Behavioral Disorders
Chapter 15: Pain
Glossary

Chapter 1: Impairment Evaluation
Tables
Status of Guides to the Evaluation of Permanent Impairment (Guides) According to 53 Workers' Compensation Agencies
Chapter 2: Records and Reports
Tables
Report of Medical Evaluation (Permanent Medical Impairment)
Chapter 3: The Musculoskeletal System
Tables - The Hand and Upper Extremity
Table 3-1: Relationship of Impairment of the Digits to Impairment of the Hand
Table 3-2: Relationship of Impairment of the Hand to Impairment of the Upper Extremity
Table 3-3: Relationship of Impairment of the Upper Extremity to Impairment of the Whole Person
Table 3-4: Longitudinal Sensory Loss Impairment for the Thumb and Little Finger Based on Percent of Digit Length Involved
Table 3-5: Thumb Impairment Values Due to Lack of Adduction and to Ankylosis
Table 3-6: Thumb Impairments Due to Lack of Radial Abduction and to Ankylosis
Table 3-7: Thumb Impairments Due to Lack of Opposition and to Ankylosis
Table 3-8: Longitudinal Sensory Loss Impairment for the Thumb and Little Finger Based on Percent of Digit Length Involved
Table 3-9: Longitudinal Sensory Loss Impairment of Index, Middle, and Ring Fingers Based on the Percent of Digit Length Involved
Table 3-10: Origins and Functions of the Peripheral Nerves of the Upper Extremity Emanating from the Brachial Plexus
Table 3-11: Determining Impairment of the Upper Extremity Due to Pain or Sensory Deficit Resulting from Peripheral Nerve Disorders
Table 3-12: Determining Impairment of the Upper Extremity Due to Loss of Power and Motor Deficits Resulting from Peripheral Nerve Disorders Based on Individual Muscle Rating
Table 3-13: Maximum Upper Extremity Impairment Due to Unilateral Sensory or Motor Deficits of Individual Spinal Nerves or to Combined Deficits
Table 3-14: Maximum Upper Extremity Impairments Due to Unilateral Sensory or Motor Deficits of Brachial Plexus, or to Combined Deficits
Table 3-15: Maximum Upper Extremity Impairments Due to Unilateral Sensory or Motor Deficits or Combined Deficits of the Major Peripheral Nerves
Table 3-16: Upper Extremity Impairment Due to Entrapment Neuropathy
Table 3-17: Impairment of Upper Extremity Due to Peripheral Vascular Disease
Table 3-18: Impairment Values for Digits, Hand, Upper Extremity, and the Whole Person for Disorders of Specific Joints
Table 3-19: Impairment from Joint Crepitation
Table 3-20: Impairment from Synovial Hypertrophy
Table 3-21: Impairment from Digit Ulnar or Radial Deviation
Table 3-22: Impairment from Digit Rotational Deformity
Table 3-23: Impairment from Persistent Joint Subluxation or Dislocation
Table 3-24: Impairment from Joint Mediolateral Instability
Table 3-25: Impairment from Wrist and Elbow Joint Radial and Ulnar Deviations
Table 3-26: Upper Extremity Impairment Due to Carpal Instability Patterns
Table 3-27: Impairment of the Upper Extremity After Arthroplasty of Specific Bones or Joints
Table 3-28: Impairment from Intrinsic Tightness
Table 3-29: Impairment Due to Constrictive Tenosynovitis
Table 3-30: Impairment Due to Extensor Tendon Subluxation
Table 3-31: Average Strength of Unsupported Grip by Occupation in 100 Subjects
Table 3-32: Average Strength of Grip by Age in 100 Subjects
Table 3-33: Average Strength of Lateral Pinch by Occupation in 100 Subjects
Table 3-34: Upper Extremity Impairment for Loss of Strength
Tables - The Lower Extremity
Table 3-35: Impairment from Limb Length Discrepancy
Table 3-36: Lower Limb Impairment from Gait Derangement
Table 3-37: Impairments from Leg Muscle Atrophy
Table 3-38: Criteria for Grades of Muscle Function of the Lower Extremity
Table 3-39: Impairments from Lower Extremity Muscle Weakness
Table 3-40: Hip Motion Impairments
Table 3-41: Knee Impairment
Table 3-42: Ankle Motion Impairment Estimates
Table 3-43: Hindfoot Impairment Estimates
Table 3-44: Ankle or Hindfoot Deformity Impairments
Table 3-45: Toe Impairments
Table 3-46: Impairment from Ankylosis in Hip Flexion
Table 3-47: Impairment from Ankylosis in Hip Internal Rotation
Table 3-48: Impairment from Ankylosis in Hip External Rotation
Table 3-49: Impairment from Ankylosis in Hip Abduction
Table 3-50: Impairment from Ankylosis in Hip Adduction
Table 3-51: Impairment from Knee Ankylosis in Varus
Table 3-52: Impairment from Knee Ankylosis in Valgus
Table 3-53: Impairment from Knee Ankylosis in Flexion
Table 3-54: Knee Ankylosis Impairment in Internal or External Malrotation
Table 3-55: Ankle Impairment from Ankylosis in Plantar Flexion or Dorsiflexion
Table 3-56: Ankle Impairment from Ankylosis in Varus Position
Table 3-57: Ankle Impairment from Ankylosis in Valgus Position
Table 3-58: Ankle Impairment from Ankylosis in Internal Malrotation
Table 3-59: Ankle Impairment from Ankylosis in External Malrotation
Table 3-60: Impairments for Loss of Boehler's Angle (Tibia-Os Calcis Angle.)
Table 3-61: Impairment of the Foot Due to Impairments of Toes
Table 3-62: Arthritis Impairments Based on Roentgenographically Determined Cartilage Intervals
Table 3-63: Impairment Estimates for Amputations
Table 3-64: Impairment Estimates for Certain Lower Extremity Impairments
Table 3-65: Rating Hip Replacement Results
Table 3-66: Rating Knee Replacement Results
Table 3-67: Impairments for Skin Loss
Table 3-68: Impairments from Nerve Deficits
Table 3-69: Lower Extremity Impairment Due to Peripheral Vascular Disease
Tables - The Spine
Table 3-70: Spine Impairment Categories
Table 3-71: DRE Impairment Category Differentiators
Table 3-72: DRE Lumbosacral Spine Impairment Categories
Table 3-73: DRE Cervicothoracic Spine Impairment Categories
Table 3-74: DRE Thoracolumbar Spine Impairments
Table 3-75: Whole-person Impairment Percents Due to Specific Spine Disorders
Table 3-76: Cervical Region Impairment from Abnormal Flexion or Extension or Ankylosis
Table 3-77: Impairment Due to Abnormal Motion and Ankylosis of the Cervical Region: Lateral Flexion
Table 3-78: Impairment Due to Abnormal Motion and Ankylosis of the Cervical Region: Rotation
Table 3-79: Impairment Due to Abnormal Motion (Flexion) and Ankylosis of the Thoracic Region
Table 3-80: Impairment Due to Abnormal Motion and Ankylosis of the Thoracic Region: Rotation
Table 3-81: Impairment Due to Abnormal Motion of the Lumbosacral Region: Flexion and Extension
Table 3-82: Impairment Due to Abnormal Motion and Ankylosis of the Lumbosacral Region: Lateral Flexion
Table 3-83: Unilateral Spinal Nerve Root Impairment Affecting the Lower Extremity
Chapter 4: The Nervous System
Tables
Table 4-1: Impairments Related to Aphasia or Dysphasia
Table 4-2: Mental Status Impairments
Table 4-3: Emotional or Behavioral Impairments
Table 4-4: Impairment of Consciousness and Awareness
Table 4-5: Impairments Related to Epilepsy, Seizures, and Convulsive Disorders
Table 4-6: Impairment Criteria for Sleep and Arousal Disorders
Table 4-7: Selected Optic Nerve Impairment Criteria
Table 4-8: Visual Field Impairment
Table 4-9: Cranial Nerve V (Trigeminal) Impairment Criteria
Table 4-10: Impairment Criteria for Cranial Nerve VII (Facial) and Adjoining Region
Table 4-11: Impairment Criteria for Cranial Nerve VIII (Auditory Nerve)
Table 4-12: Impairment Criteria for Cranial Nerves IX and XII
Table 4-13: Station and Gait Impairment Criteria
Table 4-14: Criteria for One Impaired Upper Extremity
Table 4-15: Criteria for Two Impaired Upper Extremities
Table 4-16: Neurologic Impairment of Respiration
Table 4-17: Criteria for Neurologic Impairment of Bladder
Table 4-18: Criteria for Neurologic Anorectal Impairment
Table 4-19: Sexual Impairment Criteria
Table 4-20: Determining Impairment Due to Pain or Sensory Deficit Resulting from Peripheral Nerve Disorders
Table 4-21: Determining Nervous System Impairment Due to Loss of Muscle Power and Motor Function Resulting from Peripheral Nerve Disorders
Table 4-22: Impairments Related to Syncope or Transient Loss of Awareness
Table 4-23: Impairments of Spinal Nerves in the Head and Neck Region
Table 4-24: Impairments of Spinal Nerves Affecting the Inguinal and Perineal Regions
Chapter 5: The Respiratory System
Tables
Table 5-1: Classification of Dyspnea
Table 5-2: Predicted Normal FVC Values (Liters) for Men (BTPS)
Table 5-3: Predicted Normal FVC Values for Women (BTPS)
Table 5-4: Predicted Normal FEV1 Values for Men
Table 5-5: Predicted Normal FEV1 Values for Women
Table 5-6: Predicted Normal Single-Breath Dco Values for Men (STPD)
Table 5-7: Predicted Normal Single-Breath Dco Values for Women (STPD)
Table 5-8: Classes of Respiratory Impairment
Table 5-9: Classification of Prolonged Physical Work Intensity by Oxygen Consumption
Table 5-10: Impairments Not Directly Related to Lung Functions
Table 5-11: Scale for Judging Cancer Patients' Capabilities
Chapter 6: The Cardiovascular System
Tables
Table 6-1: Functional Classification of Cardiac Disease
Table 6-2: Relationship of METS and Functional Class According to Five Treadmill Protocols
Table 6-3: Energy Expenditure in METS During Bicycle Ergometry
Table 6-4: Severity of Valve Stenosis
Table 6-5: Impairment Classification for Valvular Heart Disease
Table 6-6: Impairment Classification for Coronary Heart Disease
Table 6-7: Maximal and 90% of Maximal Achievable Heart Rate, by Age and Sex
Table 6-8: Impairment Classification for Congenital Heart Disease
Table 6-9: Impairment Classification for Hypertensive Cardiovascular Disease
Table 6-10: Impairment Classification for Cardiomyopathies
Table 6-11: Impairment Classification for Pericardial Disease
Table 6-12: Impairment Classification for Cardiac Arrhythmias
Table 6-13: Impairment of the Upper Extremity Due to Peripheral Vascular Disease
Table 6-14: Impairment of the Lower Extremity Due to Peripheral Vascular Disease
Chapter 7: The Hematopoietic System
Tables
Table 7-1: Criteria for Evaluating Permanent Impairment Related to Anemia
Chapter 8: The Visual System
Tables
Table 8-1: Stimuli Equivalent to the Goldmann Kinetic Stimulus
Table 8-2: Visual Acuity Notations with Corresponding Percentages of Loss of Central Vision
Table 8-3: Loss (in %) of Central Vision* in a Single Eye
Table 8-4: Normal Visual Fields for Eight Principal Meridians
Table 8-5: Loss of Monocular Visual Field
Table 8-6: Impairment of the Visual System as It Relates to Impairment of the Whole Person
Table 8-7: Visual System Impairment for Both Eyes
Chapter 9: Ear, Nose, Throat and Related Structures
Tables
Table 9-1: Monaural Hearing Loss and Impairment
Table 9-2: Computation of Binaural Hearing Impairment
Table 9-3: Relationship of Binaural Hearing Impairment to Impairment of the Whole Person
Table 9-4: Facial Disfigurement and Impairments
Table 9-5: Classes of Air Passage Defects
Table 9-6: Relationship of Dietary Restrictions to Permanent Impairment
Table 9-7: Speech Impairment Criteria
Table 9-8: Test Oral Reading Paragraph
Table 9-9: Speech Impairment Related to Impairment of the Whole Person
Chapter 10: The Digestive System
Tables
Table 10-1: Desirable Weights by Sex, Height, and Body Build
Table 10-2: Classes of Impairment of the Upper Digestive Tract (Esophagus, Stomach and Duodenum, Small Intestine, and Pancreas)
Table 10-3: Classes of Colonic and Rectal Impairment
Table 10-4: Classes of Anal Impairment
Table 10-5: Impairments from Surgically Created Stomas
Table 10-6: Classes of Liver and Biliary Tract Impairment
Table 10-7: Classes of Hernia-related Impairment
Chapter 11: The Urinary and Reproductive Systems
Tables
Table 11-1: Upper Urinary Tract Impairments
Table 11-2: Impairment from Urinary Diversion
Chapter 12: The Endocrine System
Tables
Table 12-1: Impairments Related to Hyperparathyroidism
Table 12-2: Impairments Related to Hypoparathyroidism
Table 12-3: Impairments Related to Hypoadrenalism
Table 12-4: Impairments Related to Hyperadrenocorticism
Table 12-5: Permanent Impairment Related to Pheochromocytomas
Chapter 13: The Central and Peripheral Nervous System
Tables
Table 13-1: Structure and Functions of the Skin
Table 13-2: Whole Person Impairment Classes and Percents for Skin Disorders
Chapter 14: Mental and Behavioral Disorders
Tables
Table 14-1: Classification of Impairments Due to Mental and Behavioral Disorders
Chapter 15: Pain
No Tables.

Glossary

Table: Activities of Daily Living, with Examples