|Guidelines for evaluation of various disabilities and procedure for certification - LOCOMOTOR DISABILITY|
|Tuesday, 23 August 2011 16:09|
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ANNEXURE-A: LOCOMOTOR DISABILITY
REVISED GUIDELINES FOR EVALUATION OF THE PERMANENT PHYSICAL IMPAIRMENT
1.1 Guidelines for Evaluation of Permanent Physical Impairment of Upper Limb
Total value of arm component is 90%
1.2.1 Principles of evaluation of range of motion (ROM) of joints
The intra articular fractures of the bones of right shoulder joint may affect range of motion even after healing. The loss of ROM should be calculated in each arc of motion as. envisaged in the Assessment Form A (Assessment Proforma for Upper Extremity).
Hence the mean loss of ROM of shoulder will be 50+50+50/3 =150/3 = 50%
Shoulder movements constitute 30% of the motion of the arm component, therefore the loss of motion for arm component will be 50 X 0.3d = 15% If more than one joint of the arm is involved the loss of percentage in each joint is calculated separately as above and then added together.
1.2.2. Principles of evaluation of strength of muscles:
1 The total value for coordinated activities is 90% Ten different coordinated activities should be tested as given in Form A. (Appendix.I of Annexure-A)
2. Each activity has a value of 9%
1.2.4 Combining values for the Arm Component:
The total value of loss of function of arm component is obtained by combining the value of loss of ROM, muscle strength and coordinated activities, using the combing formula.
where a = higher value
b = lower value
Let us assume that an individual with an intra articular fracture of bones of shoulder joint in addition to 16.5% loss of motion in arm has 8.3% loss of strength of muscles and 5% loss of coordination. These values should be combined as follows:
Loss of ROM - 16.5% 16.5+8.3(90-16.5)
Loss of strength of muscles - 8.3% =23.33%
Loss of coordination - 5% 23.3+5(90-23.3)=27 0%
So the total value of loss of function in Arm component will be 27.0%
|Last Updated on Thursday, 19 January 2012 15:24|