AMA Guides 5th Edition - California Orthopaedic Association

Loss of Strength• Decreased strength cannot be rated in thepresence of decreased motion, painfulconditions, deformities, or absence of parts (eg,thumb amputation) that prevent effectiveapplication of maximal force in the region beingevaluated (16.8a Principles, page 508)• The physician could choose to alternatively rateby loss of strength if clinically there is applicationof maximal force