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At least 199 records · Page 11Linked to original sources
PubMed2001

Disability evaluation of extremity fractures.

Most fractures heal with restoration of bone and joint function. Disability is generally temporary in these instances, and there is no permanent impairment to be rated in the majority of cases. However, multiple complications can occur that can lead to loss of skeletal function, restricted range of motion, and associated soft tissue injuries, and neurovascular damage can dramatically and severely compromise function and performance. Clearly, not all fractures heal within the timeframes as outlined in Table 2, and determination of the point of maximum medical improvement, which must be achieved in order to declare an impairment as permanent, can be challenging in these cases. Some individuals with fractures that demonstrate bone union radiologically may develop long-term disability; nearly 30% of individuals with a unilateral lower extremity fracture will not return to work within 12 months of injury. In the absence of a complicating soft tissue injury, the explanation for this discrepancy between impairment and disability can be elusive. During the past 10 years, improved systems of trauma care have reduced mortality rates in the United States. As greater numbers of persons survive motor vehicle accidents and other major trauma, the possibility exists that increasing numbers of fractures leading to impairment or disability may be seen. Recognition of how and when fractures heal, possible complications that may arise, risk factors for long-term disability, and the correlation of vocational and avocational physical demands with the resultant outcome will enable the clinician to appropriately and accurately assess disability status, design a rehabilitation program, and assign an impairment rating.

Adult↗
PubMed1975

Permanent disability evaluation in terms of dynamic function.

This article reviews the concepts of impairment and disability. It is argued that traditional methods of disability assessment based on passive function do not adequately reflect actual loss of function and that it is possible to arrive at a much fairer assessment of residual abilities. The techniques suggested are derived from those already established in the rehabilitation field by the proponents of the GULHEMP System. It is suggested that raditional methods are falling into disrepute because of thier inadequacy and that this reflects on the profession as a whole.

Disability Evaluation↗
PubMed1991

[Rating tables for disability evaluation].

The indices of average duration of one case of morbidity associated with temporary disability taking into account their informative capacity can, to a considerable degree, be regarded as a quality criterion of the curative and diagnostic process. However, despite the relative simplicity, the determination of the validity degree of difference between the indices of the average duration of disability is rather a labour-consuming task. An assessment table is proposed which permits to determine the validity degree of difference between dimensions compared. Algorithms of table design and the examples of its use are provided.

Disability Evaluation↗
PubMed1990

[Occupational disability evaluation: comparison of subjective assessment with an objective point system].

Our assessments of working disability in 83 expertize on silicosis suffers were subsequently compared with a computer-aided scoring system. In 57% of the cases, full agreement was found; in 14% our estimates were higher and in 20% lower than the computer-aided scores. We investigated the reasons for the discrepancies, and attempted an assessment of computer-aided establishment of medical expertize.

Austria↗
PubMed2002

[Limited control of information for work disability evaluation].

OBJECTIVE: To investigate the information insurance physicians have at their disposal to assess employment disability and how they verify this information. DESIGN: Descriptive. METHOD: In the period January 1999-April 2000, data were collected by means of semi-structured interviews with 19 insurance physicians from the 5 social insurance companies and from observations of 73 consultations conducted by 6 experienced insurance physicians. RESULTS: The average duration of the consultations between the insurance physicians and the clients was 30 minutes. Within these consultations, several issues were briefly discussed. The information obtained by the insurance physicians was limited to the first day of illness, a general description of the complaints and a code for the diagnoses. In 23 cases (32%) the insurance physicians requested information from the attending physician, and in 2 cases (3%) an expert opinion was requested. CONCLUSION: For the insurance physicians, the client was often the most important or indeed sole source of information. Often there was no other information against which the patient's data could be verified and such information was mostly not requested.

Adult↗