the 6th edition The Average Impairment Rating for the other cases (IR less than 15%) increased by 1.3 from the 4th to the 5th edition but decreased by 1.7 from the 5th to the 6th edition Impairment Rating inconsistencies among the reviewers were exacerbated under the 6th Edition Key results consistent with AMA results from similar study AMA Guides Newsletter provides updates, authoritative guidance and interpretations of rationales for those using the fourth, fifth and sixth editions of AMA Guides®. It also features peer-reviewed articles on overarching topics and issues regarding disability evaluation. Price: $279.00. See Details. 8 Step #2: Your next task is to combine the most severe impairment from categories 1 through 4 from the Criteria for Rating Cerebral Impairments Form that you just completed with any or multiple distinct neurologic impairments listed in Table 13-1 (5th ed., 308, using the Combined Values Chart, p. 604. What a Tangled Web We Reap: The AMA Guides Sixth Edition 3 Severe 26% - 49% UEI 16% - 29% WPI 2 Moderate 14% - 25% UEI 8% - 15% WPI Table 15-3 Wrist Regional Grid (6th ed, 396) If non-optimal positioning assess per Section 15.7, Range of Motion Assessment 26 28 30 32 34 Sixth Edition Radical paradigm shift 16 17 Case #1: Low Back Strain, Resolved • Mr. A is a 35 year old with no prior history of low back pain. • He works as a manual material handler in a warehouse. • He strained his back lifting a box and twisting. • Strict AMA Guides: table 16-15, page 492 maximum upper extremity impairment = 36% for each side, modified by the severity of the sensory loss, per table 16-10, page 482; in this case grade 4 = 1 to 25% sensory deficit. 25% of 36% = 9% UE impairment for each side. Per table 16-3, 9% UE impairment = 5% WPI. Fifth Edition 16 Table 15-3 Wrist Regional Grid(6thed, 396) Diagnostic AMA Guides Sixth Edition SCWCEA Annual Meeting 2018 4 10/16/18 Chris Brigham, MD cbrigham@cbrigham.com 19 Sixth Edition Adjustments 21 Table 15-3 Wrist Regional Grid (6thed, 396) Diagnostic Criteria AMA Guides 6thEdition Upper Extremity Impairments AMA Guides, 6thEdition Questions ? James B. Talmage MD, Cookeville, TN 38501 Phone (931) 510-7920 olddrt@charter.net 2 WARNING • The Surgeon General had determined that teaching this chapter may be hazardous to your health. • There is a tremendous amount of material in the Upper Extremity Chapter. AMA Guides, Sixth edition: Skin impairment, An overview. Guides Newsletter. May-June 2018, 3-4. 7. • Table 16-10 on page 530 for lower extremities. • Combine ratings of multiple body parts or organ systems using Appendix A. "Combined values chart" p. 604. 1. Determine the correct diagnosis. impairment was modified in the Sixth Edition for consistency with the change in methodology. In the Fifth Edition the rating of upper extremity peripheral nerve inju-ries involved the use of 3 tables. Maximum losses are obtained by using Table 16-15, Maximum Upper Extremity Impairment Due to Unilateral Sensory or Motor Deficits The Fifth Edition, published in 2000, was nearly twice the size of its predecessor, provided more-detailed directives in all chapters, and modified the approaches used for spinal impairment evaluation by providing guidance on choice of the rating method and providing ranges for Diagnosis-Related Estimates (DRE) categories. The Fifth Edition is According to AMA, this new AMA Guides 6th edition has been adopted by 22 States, 7 coun