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    11 TH Class Disability Evaluation - Neurological & Cardiopulmonary Conditions

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    Rashmi Sheelvant
    The document provides guidelines for evaluating disability from various medical conditions including upper and lower limb disabilities, trunk conditions, neurological conditions, and cardiorepulmonary conditions. It outlines how to assess impairments in areas like range of motion, muscle strength, sensation, motor function, bladder function, seizures, and ataxia. It also provides percentage point index (PPI) scales for quantifying the level of disability associated with different types and severities of functional limitations.

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    11 TH Class Disability Evaluation - Neurological & Cardiopulmonary Conditions

    Uploaded by

    Rashmi Sheelvant
    21 views23 pages
    The document provides guidelines for evaluating disability from various medical conditions including upper and lower limb disabilities, trunk conditions, neurological conditions, and cardiorepulmonary conditions. It outlines how to assess impairments in areas like range of motion, muscle strength, sensation, motor function, bladder function, seizures, and ataxia. It also provides percentage point index (PPI) scales for quantifying the level of disability associated with different types and severities of functional limitations.

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    11 Th Class Disability Evaluation- Neurological & Cardiopulmonary Conditions

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    The document provides guidelines for evaluating disability from various medical conditions including upper and lower limb disabilities, trunk conditions, neurological conditions, and cardiorepulmonary conditions. It outlines how to assess impairments in areas like range of motion, muscle strength, sensation, motor function, bladder function, seizures, and ataxia. It also provides percentage point index (PPI) scales for quantifying the level of disability associated with different types and severities of functional limitations.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    21 views23 pages

    11 TH Class Disability Evaluation - Neurological & Cardiopulmonary Conditions

    Uploaded by

    Rashmi Sheelvant
    The document provides guidelines for evaluating disability from various medical conditions including upper and lower limb disabilities, trunk conditions, neurological conditions, and cardiorepulmonary conditions. It outlines how to assess impairments in areas like range of motion, muscle strength, sensation, motor function, bladder function, seizures, and ataxia. It also provides percentage point index (PPI) scales for quantifying the level of disability associated with different types and severities of functional limitations.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 23

    GOOD MORNING…

    LOCOMOTOR DISABILITY
    EVALUATION

    Disability evaluation of:


    • Upper limb
    • Lower limb
    • Trunk
    • Dwarfism
    • Amputation
    • Neurological conditions
    • Cardiopulmonary conditions
    DISABILITY EVALUATION FOR
    NEUROLOGICAL CONDITIONS
    DISABILITY EVALUATION FOR
    NEUROLOGICAL CONDITIONS
    • Assessment of neurological conditions is not the assessment of the
    disease/ pathology but the assessment of its clinical manifestations

    • Has to be done after six months after the onset of disease


    DISABILITY EVALUATION FOR
    NEUROLOGICAL CONDITIONS
    • Altered sensorium
    • Cranial nerve disability
    • Sensory system disability
    • Motor system disability
    • Bladder disability
    • Fits & epilepsy
    • Ataxia
    DISABILITY EVALUATION FOR
    NEUROLOGICAL CONDITIONS

    • Altered sensorium – 100 %


    Type of cranial nerve PPI
    involvement

    Motor cranial nerve 20 % for each nerve

    Sensory cranial nerve 10 % for each nerve


    • Sensory system

    Type of sensory involvement PPI

    Anaesthesia 10% for each limb


    Hypoaesthesia
    Paraesthesia
    For involvement of 25%
    hand/hands
    Foot/feet
    • Motor system disability

    Neurological PPI
    involvement
    Mild 25 %
    Moderate 50 %
    Severe 75 %
    Bladder involvement PPI

    Mild ( Hesitancy/ frequency) 25 %

    Moderate (Precipitancy) 50 %

    Severe (occasional but recurrent 75 %


    incontinence)
    Very severe (Retention/ total incontinence) 100 %
    Frequency/ severity of convulsion PPI

    Mild occurrence of 1 convulsion Nil

    Moderate 1 -5 convulsions/ month 25 %


    On medication

    Severe 6 – 10 convulsions/ month 50 %

    Very severe more than 10 fits/ month 75 %


    Frequency/ severity of ataxia PPI

    Mild – detected on examination 25 %

    Moderate 50 %

    Severe 75 %

    Very severe 100 %


    DISABILITY EVALUATION OF THE
    CARDIOPULMONARY SYSTEM
    DISABILITY EVALUATION OF THE
    CARDIOPULMONARY SYSTEM

    • Modified New York Heart Association subjective


    classification should be used to assess the functional
    disability

    • Should be done after full medical, surgical &


    rehabilitative treatment available because most of the
    diseases are potentially treatable
    Group 0 A patient with cardiopulmonary disease who is asymptomatic Nil

    Group 1 A patient with cardio-pulmonary disease who has mild restriction 20%
    (25%) of his ordinary physical activities

    Group 2 A patient with cardiopulmonary disease who has 25-50% restriction 40 %


    of his ordinary physical activity

    Group 3 A patient with cardiopulmonary disease who becomes symptomatic 60 %


    during less than ordinary physical activity so that his ordinary
    physical activities are 50-75% restricted

    Group 4 A patient with cardiopulmonary disease who is symptomatic on 80 %


    mildest exertion so that his ordinary physical activities are severely
    or completely restricted (75-100%)

    Group 5 A patient with cardiopulmonary disease who gets intermittent 100%


    symptoms at rest
    DISABILITY EVALUATION

    • Mental retardation

    • Visual disability

    • Speech & hearing disability

    • Locomotor disability

    • Multiple disabilities
    SHORTCOMINGS

    • It evaluates impairment

    • Assesses only physical dimension

    • Complex calculation

    • Evaluation of TMJ is not there


    SHORTCOMINGS

    • Evaluation of ROM & strength of MTP & IP joints are


    totally omitted

    • Only scoliosis in non-traumatic trunk condition

    • Disability evaluation of neurological conditions are


    more of subjective
    ?..
    ??
    REFERENCE

    • Ministry of Social Justice and Empowerment


    https://enabled.in/wp/guidelines-for-various-disabilities-and-procedure-
    for-certification/
    DISABILITY
    EVALUATION
    Assignment
    • A 25 year old right dominant male patient sustained fracture of right
    humerus 2 months ago. Patients current status is described below.

    • Calculate the disability % and mention whether he is eligible for


    disability certificate.
    Right left
    ROM Shoulder Flex-Extn 140* Full
    IR- ER Full Full
    Add-Abd 90* Full
    Elbow Flex-Extn 100* Full
    Pron-Supn Full Full
    Wrist Flex-Extn Full Full
    Rad-Ulnar Full Full
    Dev
    Muscle Normal in the available range
    strength
    Coordinated Overhead activities Affected Normal
    activities Combing & plaiting Affected Normal
    Remaining all activities are
    not affected

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