AMA Guides 5th Edition - California Orthopaedic Association

Rating Strength• In a rare case, if the examiner believes theindividual’s loss of strength represents animpairing factor that has not beenconsidered adequately by other methodsin the Guides, the loss of strength may berated separately (16.8a Principles, page 508)• The physician determines what constitutesa “rare” case and when strength should beused!