Search Results

You are looking at 1 - 10 of 226 items for :

  • "Lower Extremity" x
  • Refine by Access: All content x
Clear All
Christopher R. Brigham
,
Charles N. Brooks
, and
James B. Talmage

Introduction A correct permanent impairment rating (IR) requires a physician first to be conversant with the AMA Guides to the Evaluation of Permanent Impairment's (AMA Guides') philosophy and criteria for rating disorders. Second, he or she must conduct an appropriate evaluation and then apply valid and reliable data to the processes and criteria provided in the AMA Guides. This article reviews errors in lower extremity (LE) IR so that they can be avoided, and that generated IRs are consistent with the AMA Guides, Sixth Edition. One Diagnosis

in AMA Guides® Newsletter
William S. Shaw
and
Charles N. Brooks

The process of assessing lower extremity impairment described in the fourth edition of the Guides to the Evaluation of Permanent Impairment differs from prior editions. As with any new process, there are some uncertainties and areas of confusion. Definitive resolutions must await later editions of the Guides. This article addresses some of the more common questions that arise in knee and hip impairment rating. A tutorial on “Impairment of the Lower Extremity” discussing the use of section 3.2 (4th ed., 75-94) was provided in the January/February 1997

in AMA Guides® Newsletter
William S. Shaw

This article is designed to help the reader understand and gain familiarity with a new system of rating lower extremity impairments introduced in the fourth edition of the Guides . This system offers several unique features which the impairment rater must understand to determine an appropriate rating. The most important aspect of the lower extremity section of the Guides is that there is more than one method for arriving at a rating. There are guidelines suggesting which approach might be best, but there is significant leeway given to the rater to

in AMA Guides® Newsletter
Christopher R. Brigham

have been expanded to clarify when the different evaluation methods should be used, a new table, Guide to the Appropriate Combination of Evaluation Methods (Table 17-2), has been added to indicate which methods are appropriate to use in combination; the evaluation of causalgia and complex regional pain syndrome now follows the same principles used to evaluate central nervous system lesions; additional case examples are provided; and a lower extremity worksheet is provided as a template to simplify making the assessment and recording the evaluation. (5th ed

in AMA Guides® Newsletter
James B. Talmage
,
Jay Blaisdell
, and
Christopher R. Brigham

Introduction Peripheral nerve impairments of the lower extremity (LE) are rated using Section 16.4, Peripheral Nerve Impairment (6th ed, 531-538), and Table 16-12, Peripheral Nerve Impairment (6th ed, 534) in the sixth edition of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). Because complex regional pain syndrome, type II (CRPS II), formerly known as causalgia, involves an “unambiguous” lesion to a specific peripheral nerve, it is also rated using Section 16.4 and Table 16-12. Complex regional pain syndrome, type I (CRPS I

in AMA Guides® Newsletter

This handy checklist, developed by William Shaw, MD, outlines the conditions that should be considered when evaluating a lower extremity. Examinee: Date: Evaluation of the lower extremity reveals findings which might warrant impairment ratings in the following categories. Final impairment is calculated based on clinical diagnosis, and in a manner designed to avoid overlap or duplication amongst various individual impairment categories. Actual measurements and physical findings are detailed in the physical examination portion of the

in AMA Guides® Newsletter