AMA Guides 5th Edition - California Orthopaedic Association

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Spine (Chapter 15)• Diagnosis-Related Estimates – DRE• Range of Motion Method – ROM• There is enough ambiguity between DREand ROM to do it both ways and take thehigher impairment rating (assuming thephysician believes it to be the mostaccurate)
DRE Method Problems• Can’t get past a DRE III without loss ofmotion segment integrity• Consider DRE IV or V if– there is radiculopathy even without alteration ofmotion segment integrity when there issignificant lower extremity impairment ispresent as indicated by atrophy or loss ofreflex(es), pain, and/or sensory changes withinan anatomic distribution (dermatomal), orelectromyographic findings
Page 1 and 2: AMA Guides 5 th EditionAlmaraz-Guzm
Page 3 and 4: WCAB Conclusions• When determinin
Page 5 and 6: WCAB Caveats• The WCAB emphasizes
Page 7 and 8: When Almaraz-Guzman II?• Almaraz-
Page 11 and 12: Addressing Almaraz-Guzman II• In
Page 13 and 14: Objective Findings• Apply A-G II
Page 15 and 16: Controversial Issues• The questio
Page 17 and 18: Applicant will argue for Work ADLs(
Page 19 and 20: Functional Capacity Evaluation• F
Page 21 and 22: The AMA Guides State:• “After a
Page 23 and 24: Support for Rating by Analogy• On
Page 25 and 26: Support for Rating by Analogy• In
Page 27 and 28: Nerve Entrapment Syndrome• For ca
Page 29 and 30: Alternate Approaches• Another app
Page 31 and 32: Neuropathic Pain• Chronic pain in
Page 33 and 34: Rating by Analogy• The following
Page 35 and 36: Station & Gait Disorders
Page 37 and 38: The ADL Method
Page 39: Chapter 6 The Digestive System• T
Page 43 and 44: Page 396
Page 45 and 46: Spine Percentages• The AMA Guides
Page 47 and 48: Hip & Knee Disability• Tables 17-
Page 50 and 51: Combining for the Lower Extremities
Page 52 and 53: Combining• The AMA Guides does no
Page 54 and 55: Combining versus Adding• The AMA
Page 56 and 57: Rating Strength• In a rare case,
Page 58 and 59: Grip Strength• Grip strength can

AMA Guides 5th Edition - California Orthopaedic Association

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