AMA Guides 5th Edition - California Orthopaedic Association

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Combining• The <strong>AMA</strong> <strong>Guides</strong> does not allow combiningcertain impairments– i.e., you cannot use strength when there is arange of motion (ROM) loss or a compressionneuropathy• If this results in a WPI that is not the mostaccurate reflection of the impairment,consider combining
Combining versus Adding• Combining decreases the resultantimpairment: 30% + 30% = 51%• Consider adding (30% + 30% = 60%)rather than combining if this provides themost accurate reflection of the impairment
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 and 40: Chapter 6 The Digestive System• T
Page 41 and 42: DRE Method Problems• Can’t get
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 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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