Log in

Relevant bibliographies by topics / Guides to the evaluation of permanent impairment / Journal articles

To see the other types of publications on this topic, follow the link: Guides to the evaluation of permanent impairment.

Journal articles on the topic 'Guides to the evaluation of permanent impairment'

Author: Grafiati

Published: 4 June 2021

Last updated: 28 July 2025

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 journal articles for your research on the topic 'Guides to the evaluation of permanent impairment.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.

1

Roth, Henry J., and Christopher R. Brigham. "Key Principles in Using the Guides (Part I)." Guides Newsletter 2, no. 1 (1997): 1–2. http://dx.doi.org/10.1001/amaguidesnewsletters.1997.janfeb01.

Full text

Abstract:

Abstract The AMA Guides to the Evaluation of Permanent Impairment, (AMA Guides) Fourth Edition, is based on fundamental principles, particularly Chapter 1, Impairment Evaluations, Chapter 2, Records and Reports, and the Glossary. This article (continued in the next issue) discusses and clarifies 21 key principles for using the AMA Guides. For example, the AMA Guides applies only to permanent impairments, and impairment percentages are estimates, not precise determinations. All impairment ratings should be combined to express an impairment of the whole person. The AMA Guides establishes an eval

APA, Harvard, Vancouver, ISO, and other styles

2

Mueller, Kathryn, and Christopher R. Brigham. "Impairment Tutorial: Impairment Evaluation of Ear, Nose, Throat, and Related Structures: Fifth Edition Revisions." Guides Newsletter 7, no. 2 (2002): 5–6. http://dx.doi.org/10.1001/amaguidesnewsletters.2002.marapr02.

Full text

Abstract:

Abstract Chapter 11, Ear, Nose, Throat, and Related Structures of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, includes a new section on voice impairment, a new table on vestibular disorders, and information regarding combined facial disorders and disfigurements. Impairments are based on anatomic, physiological, and functional approaches and involve the assessment of subjective information (eg, statements provided by the patient) and objective factors determined by clinical examination or functional tests. The rating of hearing loss is unchanged from th

APA, Harvard, Vancouver, ISO, and other styles

3

Blaisdell, Jay, and James B. Talmage. "Amputation Evaluation: Sixth Edition Approaches." Guides Newsletter 24, no. 2 (2019): 6–11. http://dx.doi.org/10.1001/amaguidesnewsletters.2019.marapr02.

Full text

Abstract:

Abstract Upper extremity amputations are rated in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, Section 15.6, Amputation Impairment, where text, tables, and figures guide evaluators in combining proximal diagnosis-based impairments (DBIs) and proximal range-of-motion impairments. The AMA Guides provides impairment grids for lower and upper extremity amputations, which are divided into five impairment classes (0 through 4), and each impairment class is further divided (except class 0) into five grades (A through E), each with its respective impairment rat

APA, Harvard, Vancouver, ISO, and other styles

4

Subin, Kenneth, and Christopher R. Brigham. "Impairment Tutorial: Headache Impairment." Guides Newsletter 13, no. 5 (2008): 11. http://dx.doi.org/10.1001/amaguidesnewsletters.2008.sepoct04.

Full text

Abstract:

Abstract The approach to assessing impairment for headaches differs among the fourth, fifth, and sixth editions of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). In summary, the fourth edition provides only a qualitative, nonnumeric rating. In the fifth edition, an examiner can give up to 3% whole person permanent impairment. Using the sixth edition of the AMA Guides, an examiner may determine up to 5% whole person permanent impairment for migraine headaches for Chapter 13 and up to 3% whole person impairment for other headaches according to Chapter 3. With respect to t

APA, Harvard, Vancouver, ISO, and other styles

5

Brigham, Christopher R., James B. Talmage, and Marjorie Eskay-Auerbach. "Spinal Impairment Evaluation: Process Improvement." Guides Newsletter 18, no. 6 (2013): 1–9. http://dx.doi.org/10.1001/amaguidesnewsletters.2013.novdec01.

Full text

Abstract:

Abstract Impairment evaluation of the spine has evolved notably since the 1958 publication by the American Medical Association of an article titled A Guide to the Evaluation of Permanent Impairment of the Extremities and Back. Significant differences exist among the editions of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) currently in use, including the third edition, revised (1988), fourth (1993), fifth (2000), and sixth (2008) editions. This article reviews exemplary cases according to the instructions and methods of each edition, beginning with a table that summariz

APA, Harvard, Vancouver, ISO, and other styles

6

Talmage, James B., and Jay Blaisdell. "Cardiovascular Impairment Evaluation: Sixth Edition." Guides Newsletter 20, no. 5 (2015): 12–14. http://dx.doi.org/10.1001/amaguidesnewsletters.2015.sepoct02.

Full text

Abstract:

Abstract To assess medical impairments, the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) divides cardiovascular diseases into the following eight groups, each of which has its own grid: valvular heart disease; coronary artery disease; cardiomyopathies, pericardial heart disease, dysrhythmias, hypertensive cardiovascular disease, vascular diseases affecting the extremities, and diseases of the pulmonary artery. An accompanying table shows the criteria for rating permanent impairment due to valvular heart disease. Within the grids, the rows are divided into three main impair

APA, Harvard, Vancouver, ISO, and other styles

7

Brown, Chris. "Impairment Tutorial: Permanent Impairment Evaluation of the Temporomandibular Joint." Guides Newsletter 8, no. 1 (2003): 6–11. http://dx.doi.org/10.1001/amaguidesnewsletters.2003.janfeb03.

Full text

Abstract:

Abstract Temporomandibular joint dysfunction (TJD) is a term applied to a group of problems that affect the muscles of mastication, the temporomandibular joint, and their supporting structures. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, deals only briefly with TMD in Section 11.4b, noting that this dysfunction may impede mastication, affect speech, cause lower facial deformity, and produce pain. Objective criteria (disk displacement and radiographic evidence of joint degeneration, range of motion [ROM], and surgical intervention) have been used to dia

APA, Harvard, Vancouver, ISO, and other styles

8

Brigham, Christopher R. "Combining Values Chart." Guides Newsletter 17, no. 2 (2012): 7–9. http://dx.doi.org/10.1001/amaguidesnewsletters.2012.marapr03.

Full text

Abstract:

Abstract Evaluating physicians may need to account for the effects of multiple impairments using a summary value. In the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, the Combined Values Chart provides a method to combine two or more impairment percentages based on the formula A + B(1 – A) = the combined value of A and B. Using the Combined Values Chart and this formula, physicians can combine multiple impairments so that the whole person impairment is equal to or less than the sum of all the individual impairment values. The AMA Guides, Sixth Edition, speci

APA, Harvard, Vancouver, ISO, and other styles

9

Keeney, Arthur H. "Guides to the Evaluation of Permanent Impairment." American Journal of Ophthalmology 107, no. 4 (1989): 444–45. http://dx.doi.org/10.1016/0002-9394(89)90689-2.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

Brown, Richard E. "Guides to the Evaluation of Permanent Impairment." Plastic and Reconstructive Surgery 93, no. 7 (1994): 1520. http://dx.doi.org/10.1097/00006534-199406000-00034.

Full text

APA, Harvard, Vancouver, ISO, and other styles

11

Battista, Mark E. "Guides to the Evaluation of Permanent Impairment." JAMA: The Journal of the American Medical Association 261, no. 17 (1989): 2558. http://dx.doi.org/10.1001/jama.1989.03420170104042.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Battista, Mark. "Guides to the Evaluation of Permanent Impairment." JAMA: The Journal of the American Medical Association 253, no. 21 (1985): 3173. http://dx.doi.org/10.1001/jama.1985.03350450149042.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Brigham, Christopher R., and Leon H. Ensalada. "Impairment Tutorial: Recurrent Radioculpathy: Recurrent Radioculpathy and Apportionment." Guides Newsletter 7, no. 4 (2002): 8–10. http://dx.doi.org/10.1001/amaguidesnewsletters.2002.julaug03.

Full text

Abstract:

Abstract Recurrent radiculopathy is evaluated by a different approach in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, compared to that in the Fourth Edition. The AMA Guides, Fifth Edition, specifies several occasions on which the range-of-motion (ROM), not the Diagnosis-related estimates (DRE) method, is used to rate spinal impairments. For example, the AMA Guides, Fifth Edition, clarifies that ROM is used only for radiculopathy caused by a recurrent injury, including when there is new (recurrent) disk herniation or a recurrent injury in the same spinal

APA, Harvard, Vancouver, ISO, and other styles

14

Demeter, Stephen L. "Heart Transplant Impairment Evaluation." Guides Newsletter 16, no. 3 (2011): 5–8. http://dx.doi.org/10.1001/amaguidesnewsletters.2011.mayjun02.

Full text

Abstract:

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) does not specifically address how to rate heart transplants, but by applying principles used in rating similar illnesses, the evaluator can assess permanent impairment. The fourth and fifth editions of the AMA Guides contained directions for rating impairment created by a heart transplantation. Since these editions appeared, more heart, kidney, lungs, hands, and even faces have been transplanted. The AMA Guides, Sixth Edition, provides guidance only on rating individuals who received a kidney transplant, but this ar

APA, Harvard, Vancouver, ISO, and other styles

15

Brigham, Christopher R., Kathryn Mueller, Douglas Van Zet, Debra J. Northrup, Edward B. Whitney, and Martha M. McReynolds. "Comparative Analysis: The State of Colorado Study, Part II." Guides Newsletter 9, no. 2 (2004): 1–16. http://dx.doi.org/10.1001/amaguidesnewsletters.2004.marapr01.

Full text

Abstract:

Abstract [Continued from the January/February 2004 issue of The Guides Newsletter.] To understand discrepancies in reviewers’ ratings of impairments based on different editions of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), users can usefully study the history of the revisions as successive editions attempted to provide a comprehensive, valid, reliable, unbiased, and evidence-based system. Some shortcomings of earlier editions have been addressed in the AMA Guides, Fifth Edition, but problems remain with each edition, largely because of the limited scientific evidenc

APA, Harvard, Vancouver, ISO, and other styles

16

Haley, Luann. "Impairment Rating for Non-Specific Back Pain Under the AMA Guides, Sixth Edition: The Legal Perspective." Guides Newsletter 19, no. 2 (2014): 6–7. http://dx.doi.org/10.1001/amaguidesnewsletters.2014.marapr02.

Full text

Abstract:

Abstract The method for rating impairments for lumbar spine injuries has evolved over time and has changed with each edition of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). The AMA Guides, Sixth Edition, uses a diagnosis-based impairment rating system as the template for evaluating impairment ratings for spinal conditions. A majority of US states use the AMA Guides to determine an impairment rating for injured workers and use this impairment rating to determine financial compensation, but no state system is the same as another's, and each state has a unique statutory

APA, Harvard, Vancouver, ISO, and other styles

17

Roth, Henry J., and Christopher R. Brigham. "Key Principles in Using the Guides (Part II)." Guides Newsletter 2, no. 2 (1997): 1–2. http://dx.doi.org/10.1001/amaguidesnewsletters.1997.marapr01.

Full text

Abstract:

Abstract This article (continued from the previous issue) discusses and clarifies 21 key principles for using the AMA Guides to the Evaluation of Permanent Impairment, (AMA Guides), Fourth Edition. Tests of inconsistency are good but imperfect indicators of patients’ efforts, and if observations or test results are insufficient, the physician should explain the modified impairment assessment in writing. The AMA Guides includes rules for interpolating, measuring and rounding, and evaluating, and physicians should be familiar with them. In general, impairment percentages allow for pain that may

APA, Harvard, Vancouver, ISO, and other styles

18

Brigham, Christopher R. "Erroneous Impairment Ratings." Guides Newsletter 11, no. 4 (2006): 1–3. http://dx.doi.org/10.1001/amaguidesnewsletters.2006.julaug01.

Full text

Abstract:

Abstract This article continues a discussion of the results of a nationwide study that reviewed 2100 impairment ratings and found a large number of errors (see the May/June issue of The Guides Newsletter). Spinal impairment ratings, for example, often are erroneous. Although the AMA Guides to the Evaluation of Permanent Impairment, (AMA Guides) clearly specifies use of the Diagnosis related estimates (DRE) method, evaluators sometimes incorrectly use the range-of-motion (ROM) method, which is fraught with potential error and typically results in higher impairment ratings. The most common probl

APA, Harvard, Vancouver, ISO, and other styles

19

Brigham, Christopher R., Dave Bellusci, and Terry Beuret. "Permanent Impairment—Disability Rating Study: Impact of the AMA Guides on Permanent Disability Ratings in the State of California." Guides Newsletter 10, no. 4 (2005): 1–5. http://dx.doi.org/10.1001/amaguidesnewsletters.2005.julaug01.

Full text

Abstract:

Abstract Following passage of California Senate Bill No. 899 (SB 899) in 2005, disability in California is rated using the AMA Guides to the Evaluation of Permanent Impairment, (AMA Guides), Fifth Edition. The authors compare the disability ratings under the new law to those under the pre-2005 California Permanent Disability Rating Schedule. The authors reviewed 267 cases, of which 250 were ratable, and the ratings of expert reviewers who used the AMA Guides were compared with the ratings of the pre-2005 evaluations (the reviewers who used the AMA Guides to examine the earlier evaluations were

APA, Harvard, Vancouver, ISO, and other styles

20

Talmage, James B. "Fundamentals of Maximum Medical Improvement." Guides Newsletter 25, no. 6 (2020): 13. http://dx.doi.org/10.1001/amaguidesnewsletters.2020.novdec04.

Full text

Abstract:

Abstract This is a brief introduction to maximum medical improvement (MMI), which is pertinent to permanent impairment assessment. The definition and explanation of MMI according to the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, is discussed.

APA, Harvard, Vancouver, ISO, and other styles

21

Brigham, Christopher R. "Body Member Impairments: Scheduled Awards and the Federal Employees' Compensation Act." Guides Newsletter 15, no. 5 (2010): 1–11. http://dx.doi.org/10.1001/amaguidesnewsletters.2010.sepoct01.

Full text

Abstract:

Abstract This article focuses on the use of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) in evaluating Office of Workers’ Compensation Programs (OWCP), Federal Employees’ Compensation Act (FECA) scheduled loss cases for an accepted work-related condition. Effective May 1, 2009, the Division of Federal Employees’ Compensation (DFEC), which administers FECA, adopted the AMA Guides, Sixth Edition, noting that DFEC has used the AMA Guides for more than fifty years, dating back to the first Guide for Extremities and Back (1958). The scheduled award provision of the OWCP FEC

APA, Harvard, Vancouver, ISO, and other styles

22

Schainholz, Daniel C. "Delving Into the Visual System in the AMA Guides, Fifth Edition." Guides Newsletter 26, no. 1 (2021): 9–17. http://dx.doi.org/10.1001/amaguidesnewsletters.2021.janfeb03.

Full text

Abstract:

Abstract The assessment of visual impairment using the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, requires a thoughtful ophthalmologic evaluation and careful application of the functional vision tests and arithmetic criteria provided in Chapter 12, The Visual System, and other chapters, as applicable. The interpolation of the multiple dimensions of the visual system into the enumeration of a single impairment percentage may involve complex mathematical manipulations. Properly enumerated, the value can be utilized rigorously in impairment evaluations, func

APA, Harvard, Vancouver, ISO, and other styles

23

Brigham, Christopher R., Charles N. Brooks, and James B. Talmage. "Observed Errors in Lower Extremity Impairment Rating: Recognition and Prevention." Guides Newsletter 27, no. 2 (2022): 8–11. http://dx.doi.org/10.1001/amaguidesnewsletters.2022.marapr02.

Full text

Abstract:

Abstract Impairment evaluations not performed following processes defined in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) usually result in erroneous ratings. Common lower extremity impairment rating (IR) errors include using the diagnosis-based approach for more than one diagnosis within a region, and incorrectly assessing gait abnormalities, motion loss, nerve injuries, and complex regional pain syndrome. Rigorous adherence to the AMA Guides methodology and recognition of common IR errors can prevent the promulgation of erroneous impairment ratings.

APA, Harvard, Vancouver, ISO, and other styles

24

Brigham, Christopher R., James Talmage, Marjorie Eskay-Auerbach, and Patty Stevens. "Case Example: Spinal Impairment: California Case." Guides Newsletter 16, no. 1 (2011): 1–6. http://dx.doi.org/10.1001/amaguidesnewsletters.2011.janfeb01.

Full text

Abstract:

Abstract Accurate, unbiased impairment ratings must follow the procedures and processes defined in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). This Case Example from California in 2010 illustrates some problems that result from rating a lumbar injury as if it were an inguinal hernia. At critical issue in this case is whether sufficient clinical findings were available to support a rating for lumbar radiculopathy; the evaluating (and also, treating) physician gave the patient the benefit of doubt with a rating of “nonverifiable radicular (nerve root) pain” but did not

APA, Harvard, Vancouver, ISO, and other styles

25

Melhorn, J. Mark, James B. Talmage, and Charles N. Brooks. "Peripheral Nerve Entrapment Impairments Revisited: Part I." Guides Newsletter 20, no. 1 (2015): 3–8. http://dx.doi.org/10.1001/amaguidesnewsletters.2015.janfeb01.

Full text

Abstract:

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, introduced the concept of diagnosis-based impairments (DBI), and a modified version of this method can be used in rating peripheral nerve injury in general (Section 5.4) and upper limb entrapment syndromes (Section 15.4f). The first portion of this article reviews the evaluation of upper extremity nerve impairment and summarizes inclusion criteria and causation correlation for carpal tunnel syndrome, Guyon's canal syndrome, cubital tunnel syndrome, anterior interosseous, Wartenberg's syndrome, and ra

APA, Harvard, Vancouver, ISO, and other styles

26

Brigham, Christopher R. "Performing Quality Impairment Evaluations." Guides Newsletter 3, no. 4 (1998): 1–3. http://dx.doi.org/10.1001/amaguidesnewsletters.1998.julaug01.

Full text

Abstract:

Abstract An impairment evaluation aims to produce a report that is clear and consistent with the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fourth Edition, which outlines the three-step process of medical evaluation, analysis of the findings, and comparison of the results with the impairment criteria. This article reviews common errors that can occur in each of these steps. Medical evaluation is the basis for the evaluation of impairment and relies on the patient's medical history; the latter must include adequate background information, specify data sources, document p

APA, Harvard, Vancouver, ISO, and other styles

27

Brigham, Christopher R. "Impairment and Disability: Using the Guides." Guides Newsletter 1, no. 1 (1996): 1–2. http://dx.doi.org/10.1001/amaguidesnewsletters.1996.sepoct01.

Full text

Abstract:

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) is a widely used and accepted reference for the evaluation of permanent impairment. Many individuals and entities incorrectly consider the concepts of impairment and disability to be interchangeable, but the AMA Guides defines impairment as the “loss, loss of use, or derangement of any body part, system or function.” In contrast, disability is “an alteration of an individual's capacity to meet personal, social or occupational demands, or statutory or regulatory requirements, because of an impairment.” Thus, impairme

APA, Harvard, Vancouver, ISO, and other styles

28

Mueller, Kathryn. "Quotables from the Guides on General Principles." Guides Newsletter 4, no. 4 (1999): 1–3. http://dx.doi.org/10.1001/amaguidesnewsletters.1999.julaug01.

Full text

Abstract:

Abstract This article reviews portions of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) that are useful to evaluators making individual case decisions in various legal systems. The first step is a determination of permanency, and evaluators should know that many state laws have unique definitions of “maximum medical improvement.” Next, the evaluator should establish a definitive diagnosis that identifies the existence of an abnormality and impairment of the activities of daily living. Based on his or her judgment and expertise, training, skill, and thoroughness, the eva

APA, Harvard, Vancouver, ISO, and other styles

29

Brigham, Christopher R., W. Frederick Uehlein, Craig Uejo, and Leslie Dilbeck. "Impairment Rating Insights." Guides Newsletter 13, no. 4 (2008): 1–5. http://dx.doi.org/10.1001/amaguidesnewsletters.2008.julaug01.

Full text

Abstract:

Abstract This article addresses a number of issues regarding impairment evaluation and the use of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). First, impairment is not synonymous with disability, and, as noted in the sixth and previous editions of the AMA Guides, no direct correlation exists between impairment and work restrictions or loss of earning capacity. An impairment rating does not directly equate to a permanent disability rating and does not solely determine compensation. The AMA Guides creates the opportunity for consistency of impairment ratings among physi

APA, Harvard, Vancouver, ISO, and other styles

30

Brigham, Christopher R., and Eric Richardson. "Longshore and Harbor Workers' Compensation Act: Use of the AMA Guides1." Guides Newsletter 23, no. 2 (2018): 3–8. http://dx.doi.org/10.1001/amaguidesnewsletters.2018.marapr01.

Full text

Abstract:

Abstract The US Congress passed the Longshore and Harbor Workers’ Compensation Act (LHWCA) in 1927; it is administered by the US Department of Labor, Division of Longshore and Harbor Workers’ Compensation (DLHWC), and provides medical benefits, compensation for lost wages, and rehabilitation services to longshoremen, harbor workers, and other maritime workers such as pier, wharf, dock, or terminal workers who are injured during employment or suffer diseases caused or worsened by employment conditions. The LHWCA and the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) similarly

APA, Harvard, Vancouver, ISO, and other styles

31

Talmage, James B. "Literature Review." Guides Newsletter 2, no. 1 (1997): 4–8. http://dx.doi.org/10.1001/amaguidesnewsletters.1997.janfeb03.

Full text

Abstract:

Abstract Evaluating physicians should understand how their impairment evaluations are used, and to these ends Section 1.5 of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fourth Edition, discusses impairment and workers’ compensation. Permanent disability rewards may be paid according to a schedule that associates impairments of certain body parts, functions, or systems (eg, amputation or loss of sight or hearing) with specific awards. Typically, a schedule in the workers’ compensation law equates disability and a maximum number of weeks of benefits, but what occurs wh

APA, Harvard, Vancouver, ISO, and other styles

32

Brigham, Christopher R., and Randolph Soo Hoo. "Impairment Assessment of Female Sexual Dysfunction." Guides Newsletter 21, no. 3 (2016): 8–9. http://dx.doi.org/10.1001/amaguidesnewsletters.2016.mayjun02.

Full text

Abstract:

Abstract Impairment assessment of female sexual dysfunction using the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth or Sixth Edition, must be performed using appropriate evaluation and objective findings to support ratable sexual dysfunction. In both editions, sexual dysfunction is discussed in Chapter 7, The Urinary and Reproductive Systems, and Chapter 13, The Central and Peripheral Nervous System. In the fifth edition, the maximum impairment rating for female sexual functioning is 35% whole person impairment; in the sixth edition, the maximum is 20%. In terms of r

APA, Harvard, Vancouver, ISO, and other styles

33

Brigham, Christopher R., Kathryn Mueller, Douglas Van Zet, Debra J. Northrup, Edward B. Whitney, and Martha M. McReynolds. "Comparative Analysis: The State of Colorado Study, Part III." Guides Newsletter 9, no. 3 (2004): 1–12. http://dx.doi.org/10.1001/amaguidesnewsletters.2004.mayjun01.

Full text

Abstract:

Abstract This article concludes the three-part discussion of differences among the editions of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides): Third Edition Revised, Fourth, and Fifth Editions. The discussion begins with a comparison of different editions of the AMA Guides for evaluating lower extremity impairment and spinal impairment. The AMA Guides, Fourth Edition, introduced the Diagnosis related estimates (DRE) model, and in this edition the range-of-motion (ROM) model has only a limited role (ie, primarily as a differentiator). A table summarizes the criteria of sp

APA, Harvard, Vancouver, ISO, and other styles

34

Brigham, Christopher R. "Impairment Tutorial: Lower Extremities Impairment Evaluation: Overview of Sixth Edition Approaches." Guides Newsletter 13, no. 5 (2008): 7–8. http://dx.doi.org/10.1001/amaguidesnewsletters.2008.sepoct02.

Full text

Abstract:

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, takes approaches to the lower extremities that are consistent with Chapter 15, Upper Extremities (reviewed in the March/April 2008 issue of The Guides Newsletter). Because there is a comparatively smaller spectrum of diagnoses in the lower extremities, Chapter 16 is less complex and is shorter than Chapter 15. The purposes of the lower extremity are transfer and mobility, and, in comparison to the upper extremity, the lower extremity provides greater stability than flexibility. This chapter's princip

APA, Harvard, Vancouver, ISO, and other styles

35

Ranavaya, Mohammed, and Christopher R. Brigham. "International Use of the AMA Guides to the Evaluation of Permanent Impairment." Guides Newsletter 16, no. 3 (2011): 1–5. http://dx.doi.org/10.1001/amaguidesnewsletters.2011.mayjun01.

Full text

Abstract:

Abstract In the United States, the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) is used in state and federal workers’ compensation systems and in automobile casualty and personal injury arenas. The AMA Guides is used in similar ways internationally. Most workers’ compensation jurisdictions in Canada use the AMA Guides formally by statute or regulation or accept its use informally as a standard tool to rate impairment. In Australia, the AMA Guides is used in both federal (Australian Commonwealth) and individual states’ (or territories’) compensation schemes; two tables show

APA, Harvard, Vancouver, ISO, and other styles

36

Brigham, Christopher R. "Combining Values." Guides Newsletter 7, no. 2 (2002): 1–4. http://dx.doi.org/10.1001/amaguidesnewsletters.2002.marapr01.

Full text

Abstract:

Abstract To account for the effects of multiple impairments, evaluating physicians must provide a summary value that combines multiple impairments so the whole person impairment is equal to or less than the sum of all the individual impairment values. A common error is to add values that should be combined and typically results in an inflated rating. The Combined Values Chart in the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, includes instructions that guide physicians about combining impairment ratings. For example, impairment values within a region generally are comb

APA, Harvard, Vancouver, ISO, and other styles

37

Talmage, James B., Charles N. Brooks, and Christopher R. Brigham. "Impairment Tutorial: Rating Permanent Impairment for Artificial Disc Replacements." Guides Newsletter 11, no. 3 (2006): 6–8. http://dx.doi.org/10.1001/amaguidesnewsletters.2006.mayjun02.

Full text

Abstract:

Abstract In 2005, the Food and Drug Administration (FDA) approved an artificial disc replacement (ADR), and physicians likely will be called on to evaluate permanent impairment in some patients who have been treated using an ADR. The AMA Guides to the Evaluation of Permanent Impairment, (AMA Guides), Fifth Edition, was published in 2000, before the approval of ADRs, and thus is silent about evaluating ADR-associated impairment. FDA based its approval on the results of a study in which the indications were tightly limited and for which the list of relative contraindications was quite long. One

APA, Harvard, Vancouver, ISO, and other styles

38

Brigham, Christopher R., and Randy Soo Hoo. "Impairment Assessment of Male Sexual Dysfunction." Guides Newsletter 21, no. 2 (2016): 9–10. http://dx.doi.org/10.1001/amaguidesnewsletters.2016.marapr02.

Full text

Abstract:

Abstract Impairment assessment of male sexual dysfunction using both the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth and Sixth Editions, must be done with appropriate evaluation and objective findings in order to support ratable sexual dysfunction. The fifth edition specified that the absence of sexual functioning results in a maximum rating of 20% whole person impairment (WPI); in the sixth edition, the maximum is 15%. In the AMA Guides, Fifth and Sixth Editions, sexual dysfunction is discussed in Chapter 7, The Urinary and Reproductive Systems, and in Chapter 13,

APA, Harvard, Vancouver, ISO, and other styles

39

Demeter, Stephen L. "Cardiopulmonary Exercise Stress Testing – an Update." Guides Newsletter 19, no. 4 (2014): 7–10. http://dx.doi.org/10.1001/amaguidesnewsletters.2014.julaug03.

Full text

Abstract:

Abstract This article updates one published in The Guides Newsletter in January/February 1998 and reflects changing legislation in the workers’ compensation area and also in motor accident compensation. In the various Australian state and federal jurisdictions, impairment rating has become an important component of independent medical examinations, and in many areas, impairment guides have been adopted as a mandatory tool for assessing permanent impairment. For example, in the mid-1990s the state of Victoria established use of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guide

APA, Harvard, Vancouver, ISO, and other styles

40

Brigham, Christopher R. "Tools and Resources: Cautions in Using the Guides." Guides Newsletter 4, no. 2 (1999): 4–7. http://dx.doi.org/10.1001/amaguidesnewsletters.1999.marapr03.

Full text

Abstract:

Abstract The approach to evaluation of lower extremity impairments in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) differs from that given in previous editions. This article uses case studies to illustrate practical applications of current approaches to ankle impairment and to foot and toe impairment. Anatomic methods for rating ankle impairments include evaluations of muscle atrophy and limb length discrepancy. The Diagnosis-related estimates section provides ratings for ligamentous laxity and displaced fractures of the ankle. The arthritis section contains ratings fo

APA, Harvard, Vancouver, ISO, and other styles

41

Talmage, James B. "Rating Opioid Use Disorder for Permanent Impairment." Guides Newsletter 25, no. 1 (2020): 3–11. http://dx.doi.org/10.1001/amaguidesnewsletters.2020.janfeb01.

Full text

Abstract:

Abstract The duration of opioid therapy after surgery is the strongest known predictor of ultimate misuse, and researchers have reported that the number of days for which medication was prescribed and the total number of postoperative prescriptions each predicts long-term use. This article addresses the question of rating the impairment for an individual with no history of substance use disorder before a work injury, who is prescribed opioids for this injury, and who subsequently develops opioid use disorder (OUD). The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, shoul

APA, Harvard, Vancouver, ISO, and other styles

42

Brigham, Christopher R. "Impairment Tutorial: Consistency in Measurement." Guides Newsletter 9, no. 4 (2004): 6–12. http://dx.doi.org/10.1001/amaguidesnewsletters.2004.julaug04.

Full text

Abstract:

Abstract The International Association of Industrial Accident Boards and Commissions (IAIABC) is an organization of medical directors, administrators, and administrative law judges for workers’ compensation systems. It was founded in 1914, and current membership represents 41 US states, the District of Columbia, Puerto Rico, 9 Canadian provinces, and 3 other governments in a forum for education and discussion regarding the various medical, legal, and administrative issues in workers’ compensation systems. In 2001, the IAIABC formed an Occupational Impairment Rating Guide Committee to study the

APA, Harvard, Vancouver, ISO, and other styles

43

Talmage, James B. "Impairment Tutorial: Impairment From Coronary Artery Disease." Guides Newsletter 2, no. 3 (1997): 5. http://dx.doi.org/10.1001/amaguidesnewsletters.1997.mayjun02.

Full text

Abstract:

Abstract Coronary artery disease is quite common, and physicians often are asked about the work capacity of patients with coronary disease; less commonly are physicians asked to rate the patient's permanent impairment. In such cases, Chapter 6, Cardiovascular System, of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) is used to rate impairment. The AMA Guides directs the physician who is rating impairment to place the individual in one of four classes of impairment. Class 1 impairment is rarely used because patients often have neither significant lesions nor a history of

APA, Harvard, Vancouver, ISO, and other styles

44

Zeppieri, Joseph P. "Guides to the Evaluation of Permanent Impairment. 5th ed." Journal of Bone and Joint Surgery-American Volume 83, no. 9 (2001): 1456–57. http://dx.doi.org/10.2106/00004623-200109000-00050.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Uejo, Craig, Marjorie Eskay-Auerbach, and Christopher R. Brigham. "Spine Impairment Evaluation: Sixth Edition Approaches." Guides Newsletter 14, no. 1 (2009): 1–5. http://dx.doi.org/10.1001/amaguidesnewsletters.2009.janfeb01.

Full text

Abstract:

Abstract Evaluators who use the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, should understand the significant changes that have occurred (as well as the Clarifications and Corrections) in impairment ratings for disorders of the cervical spine, thoracic spine, lumbar spine, and pelvis. The new methodology is an expansion of the Diagnosis-related estimates (DRE) method used in the fifth edition, but the criteria for defining impairment are revised, and the impairment value within a class is refined by information related to functional status, physical examin

APA, Harvard, Vancouver, ISO, and other styles

46

Robinson, James, Dennis C. Turk, and John D. Loeser. "Pain Evaluation: Fifth Edition Approaches." Guides Newsletter 7, no. 1 (2002): 1–5. http://dx.doi.org/10.1001/amaguidesnewsletters.2002.janfeb01.

Full text

Abstract:

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, stresses that impairment assessment should be based on objective evidence of organ dysfunction. Using this model, pain-related impairment (PRI) such as migraine headache not associated with definable organ dysfunction is difficult to reconcile with patients’ reports of limitations in their activities of daily living (ADL). Chapter 18 of the AMA Guides, Fifth Edition, systematically addresses PRI and differs from previous editions by allowing examiners to award both quantitative and qualitative impair

APA, Harvard, Vancouver, ISO, and other styles

47

Brigham, Christopher R., and Kathryn Mueller. "Impairment Tutorial: Impairment Classes and Ranges." Guides Newsletter 8, no. 3 (2003): 4–10. http://dx.doi.org/10.1001/amaguidesnewsletters.2003.mayjun02.

Full text

Abstract:

Abstract Many chapters in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) provide a range of numbers within four or five impairment classes, and evaluating physicians are required to justify the choice of a class and the impairment rating within the range specified for that class. The process of assigning a class is accomplished by an assessment of the patient's disease process, objective findings, activities of daily living (ADLs), and required continuing medical treatment. A table in the article provides hyperlinks to different scales for measurement of instrumental act

APA, Harvard, Vancouver, ISO, and other styles

48

Eskay-Auerbach, Marjorie. "Spine Ratings: Guides, Sixth Edition vs Guides, Fifth Edition." Guides Newsletter 15, no. 4 (2010): 1–4. http://dx.doi.org/10.1001/amaguidesnewsletters.2010.julaug01.

Full text

Abstract:

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, caused controversy with respect to changes in rating percentages. Impairment ratings in this edition are more specific than in previous editions and are intended to reflect lesser impairment in cases when symptomatology has improved with appropriate treatment. Grids in the AMA Guides, Sixth Edition, include impairment ratings for multiple-level conditions, so an alternative rating system (such as the range-of-motion method in the fifth edition) are not needed. The Diagnosis-related estimate (DRE) cat

APA, Harvard, Vancouver, ISO, and other styles

49

Brooks, Charles N. "Rating Repeat Partial Meniscectomies, Unoperated Meniscal Tears, and Meniscal Repairs." Guides Newsletter 26, no. 1 (2021): 3–6. http://dx.doi.org/10.1001/amaguidesnewsletters.2021.janfeb01.

Full text

Abstract:

Abstract Rating repeat partial meniscectomies, unoperated meniscal tears, and meniscal repairs requires thoughtful clinical assessment and application of directives provided in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). Although the AMA Guides provide a specific impairment value for a partial meniscectomy, repeat meniscectomies may result in further impairment not to exceed the maximum value assigned for a total meniscectomy.

APA, Harvard, Vancouver, ISO, and other styles

50

Feinberg, Steven D., Christopher R. Brigham, and Charles N. Brooks. "The Conundrum of Impairment and Disability Related to Chronic Pain." Guides Newsletter 26, no. 1 (2021): 7–8. http://dx.doi.org/10.1001/amaguidesnewsletters.2021.janfeb02.

Full text

Abstract:

Abstract Assessment of impairment and disability experienced by patients with chronic pain is challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) assesses impairment primarily based on objective findings, but pain is subjective. The sixth edition of the AMA Guides provides a pain-related impairment (PRI) of up to 3% in rare situations. Otherwise, pain is considered to be reflected in the conventional impairment rating system. There are still many unanswered questions.

APA, Harvard, Vancouver, ISO, and other styles

We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!