Range of Joint Motion Evaluation Chart NAME OF PATIENT SOCIAL SECURITY NUMBER INSTRUCTIONS: For each affected joint, please indicate the existing limitation of motion by drawing a line(s) on the . During a C&P exam, a doctor or medical professional will measure your range of motion and express the extension in degrees for rating purposes. Importantly, the minimum rating for any total shoulder replacement is 30 percent for the dominant arm and 20 percent for the non-dominant arm. These cookies collect information about how you use our website. With the help of an attorney, you can present additional evidence to the VA that can influence the VAs decision regarding your claim. What if you went to your C&P examination on a great day with minimal symptoms? So I got my ratings back relatively fast. Many. The glenohumeral joint is where the ball at the top of the upper arm bone or humerus fits into the glenoid joint socket. This is medial rotation also referred to as internal rotation and the normal range of motion for a healthy shoulder is 70 to 90 degrees. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. A favorable opinion will endorse the view that the shoulder or arm condition was caused by service. The amount that the severity of an injury can vary sometimes makes it difficult for the VA to accurately assess and rate a disabled Veteran with a musculoskeletal condition. 229 0 obj
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Specifically, veterans will be assigned a 100 percent rating until intensive treatment is over. Neck muscle injuries. (2013). Shoulder (Abduction - Adduction) 12. As anyone with musculoskeletal problems will know, your range of motion may vary from day-to-day. The technical storage or access that is used exclusively for statistical purposes. If you injured your shoulder during your military service, you might be eligible for disability benefits. These cookies are essential so that you can move around the website and use its features. Function: Upward rotation of scapula; elevation of the arm above shoulder level. The latter considers medical probability of additional functional loss as a global view. Once processed, you will start receiving payments in 1-3 months. Veterans who have a disability resulting from a shoulder injury during service may be entitled to VA benefits. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Lawyers 6940 O St, Suite 400 Lincoln, NE 68510. xbbb`b``3
Because of this complexity, the VA simplified the rating system for musculoskeletal conditions to focus on the resulting disability from a condition or group of conditions existing in the same body part. For example, a veteran can be entitled to multipledisability ratings for a knee conditionif they experience instability in addition to limitation of motion. Estimate range of motion in degrees for this joint immediately after repeated use over time based on information procured from relevant sources including the lay statements of the Veteran. Show details How it works Open the range of motion chart and follow the instructions Easily sign the shoulder range of motion with your finger Send filled & signed knee range of motion chart or save (Must be specific to the case and based on all procurable evidence). C&P examiners are instructed to ask about both repetitive motion and flare-ups for musculoskeletal conditions. Condition. You MAY be entitled to a separate evaluation for any muscle injuries as a result of the shoulder impairment if they are not based on the same symptoms as the shoulder itself. If you are rated 30% or more, you will receive full retirement benefits. Under 38 CFR 4.73, injuries to neck muscles are compensated differently depending on the severity of the impairment and the muscles affected. Veterans should be sure to attend a Compensation and Pension exam once it has been scheduled, as failure to attend can stand as the basis for a denial of the veterans claim. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. Your range of motion may be better than normal on the day you take your C&P exam if so, communicate with your VA physician about the fact that your symptoms can get better and worse unpredictably. The strain of military service can lead to wear and tear on the spine, not to mention the risk of traumatic injuries in training or combat. You must log in or register to reply here. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veteran's level of disability. Injuries in combat, such as a blow from an accident, a forceful impact, or a fall, could also result in shoulder or arm injury. Function: Stabilization of shoulder against injury in strong movements, holding the head of the humerus in the socket; abduction; outward rotation and inward rotation of the arm. Under each category is a list of. . Treatment for Pagets disease depends on the type. The Schedule of Ratings expresses range of motion in degrees, making it easy for disabilities to be rated and categorized. Apply passive range of motion techniques to the upper extremity. The explanation should not be based on an examiners shortcomings or a general aversion to offering an estimate on issues not directly observed. They can help you find a treatment plan or recommend you to an orthopedist. By using this information, you understand that there is no attorney-client relationship created by you reading or using the information contained on this website or in this newsletter, article, or blog. They use the rules of the VASRD to determine that rating. If youre trying to increase your VA disability for knee pain, you need to prove to the VA that your symptoms are now worse and warrant the higher rating criteria by law. For example, you may not be able to safely drive, lift objects, care for children, or maintain your home. But if you have other symptoms, you may have an underlying condition. In addition to testing for initial range of motion, your VA physician should also check your repetitive motion to see if there is a higher degree of functional loss afterward. The VA uses the rules of the VASRD to rate shoulder conditions based on how they affect the ability to use the shoulder and arm. Payment amounts vary depending on factors like the number of dependents. The information you obtain on this website is not, nor is it intended to be, legal advice. 12 Stretches to Help Relieve Tight Shoulders, Everything You Need to Know About Muscle Stiffness, What You Should Know About Primary Lateral Sclerosis. Each movement has a different range of motion. After the exam, the examiner will use the findings to issue an opinion, which will either be favorable or unfavorable. VA pays disability compensation based on the CURRENT residuals of that injury or disease. To honor the Pyramiding Principle, only a single rating can be given for conditions of the Shoulder and Upper Arm with a few exceptions. Whether your shoulder issues started immediately after leaving the military or decades later, you may be eligible for disability compensation. Your doctor will diagnose a potential issue through a series of tests, which may include: If youre worried about the range of motion of your shoulder, you should mention the issue to your doctor. Learn more about the causes and what you can do about it. Knee painis a very common condition that affects veterans of all ages. They stretch and contract during movement. Options may include a mastectomy, chemotherapy, radiation, or removal of skin lesions. Imagine your body is a cabinet, your arms are the cabinet doors and youre shutting the doors. What is the VA Knee Rating Chart? Yes or no. It is often referred to as wear and tear arthritis. What Veterans Need to Know About Osteoarthritis? VA Disability Ratings for Shoulder and Arm Conditions, Learn About CCK's Partnership with DAV and Harvard Law School, - Learn About CCK's Partnership with DAV and Harvard Law School, 38 CFR 4.71a Schedule of Ratings Musculoskeletal System, 4.73, Schedule of Ratings Muscle Injuries, total disability based on individual unemployability (TDIU), Common Shoulder and Arm Conditions Among Veterans, Compensation and Pension Exams (C&P) for Shoulder and Arm Conditions, Obtaining TDIU with a Shoulder or Arm Condition, 10 Most Common Disabilities for Veterans and How Theyre Rated, Recurrent dislocation of scapulohumeral joint. figures below, showing the maximum possible range of motion or by notating the chart in degrees. 5B. Specifically, the VA examines ranges of motion for the cervical spine, or the neck and upper back, and the thoracolumbar spine or lower back. Can I get VA Disability for shoulder pain? HWn}W4f rS2o& f0}q\,+_jJyM6{vw~f_~pdCsn3vni:l3|=;3%&v3a_N7/v>fv>m;^m ~_5YYY0m=:bd0n[m#h[d#. The VA Compensation & Pension Physical Examination County of Ventura Veteran Services Office Human Services Agency 855 Partridge Drive, Ventura, CA 93003 www.vchsa.org To make an appointment, call: 805-477-5155 Functional Loss - Disability of the musculoskeletal system is primarily the inability, due to damage or Thanks. Range of motion (ROM) means the extent or limit to which a part of the body can be moved around a joint or a fixed point; the totality of movement a joint is capable of doing. Flexion is a movement that decreases the angle between the two parts that the joint is connecting. 0000000844 00000 n
Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. Is range of motion the only thing VA considers or do they actually look at what you can and cannot do for daily living purposes? This storage is often necessary for basic functionality of the web site or the storage may be used for the purposes of marketing, analytics, and personalization of the web site such as storing your preferences. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. If a veterans shoulder or arm condition results in an amputation, then it will be rated differently. If yes, document the Veterans description of functional loss or functional impairment in his/her own words. Circumference of atrophied side: _____ cm. Medical diagnosis of Knee Pain, in a medical record (Service Treatment Records, VA medical records, or private medical records). For example, Knee Pain (DC 5257) only has VA ratings of 10%, 20%, or 30% while Unfavorable Ankylosis of the Knee (5256) has VA ratings of 30%, 40%, 50%, or 60%. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Function: Postural support of body; extension and lateral movements of spine. Shoulder (Abduction - Adduction) 12. Separate ratings occur when there is another distinct manifestation of a disability that is not currently rated. The VA rates shoulder conditions based on how they affect the use of shoulders and arms. Pro Tip: Ankylosis is the immobilization of a joint due to disease, injury, or surgical procedure. If your knees are significantly inhibited in their range of motion to the point that they can only extend to more than 45 degrees of being completely straight, your disability score is likely to be as high as possible. The rating number correlates with the monthly payment amount veterans are entitled to receive. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. %%EOF
For flare-ups, the examiner should ask whether a Veteran deals with flare-ups and ask them to describe their functional loss as a result. :#5$o 9j g`,,8QGD?1g`4K10/a ;"iD&` Om
Also, discover how uneven hips can affect other parts of your body, common treatments, and more. Shoulder replacements are evaluated under Diagnostic Code 5051. xref
If a condition is not directly listed on the Shoulder and Upper Arm Condition Ratings page, it is rated under the code that best describes it or its dominant symptom (hint: the majority will be rated as limitation of motion). Over time, the joint disease results in decreased mobility of the joints. 0000006040 00000 n
The VASRD offers ratings for the following musculoskeletal conditions of the Shoulder and Upper Arm: In reality, the majority ofShoulder and Upper Armconditions will be rated on limitation of motion since that is the most common symptom of these conditions that results in a measurable disability, but other rating options exist to rate theShoulder and Upper Armconditions that cause other forms of disability. Range of Motion We should then test the range of motion (ROM) of the shoulder in different directions. Certain disabilities can correspond with a specific disability score from the VA. . DOI: Werner BC, et al. These cookies dont collect information that identifies you. Select factors that cause this functional loss. If the veteran is unable to obtain substantially gainful employment as the result of a shoulder or arm condition, they may be eligible for total disability based on individual unemployability (TDIU). Have you been affected by Camp Lejeune water contamination? c. VASRD DC 5201. Veterans can only be compensated once for each manifestation of a disability. The second subset provides a more global picture of functional loss associated with repetitive use over time. Joint Range of Motion Chart Form Use a shoulder range of motion chart template to make your document workflow more streamlined. There are two types: Active ROM (AROM) Passive ROM (PROM) Figure 2. It will be rated the minimum 10% unless there is limited motion that qualifies for a higher rating. Active: This type is used when patients can exercise without assistance; patients must move their limbs themselves. There are six different ratings, from 0% to 50%, listed as follows: As the chart above shows, extending the knee straight out with extension less than 5 degrees of being completely straight, a Veteran will be given a 0% rating. Function: Elevation and abduction of arm to the level of the shoulder; act with 1 and 2 of Group II in forward and backward swing of the arm. Veterans who are granted TDIU are paid at the one hundred percent rate, which is the highest form of compensation VA awards. See VASRD Plate I. d. VASRD DC 5252, limitation of thigh flexion. This means you do NOT currently have the VA disability rating and compensation YOU deserve, and you could be missing out on thousands of dollars of tax-free compensation and benefits each month. Primary lateral sclerosis is a rare neurological disorder. Copyright 2023 Chisholm Chisholm & Kilpatrick LTD. All Rights Reserved. The Schedule of Ratings for the musculoskeletal system is found at, , and it contains numerous subcategories. Yes or no. If abnormal, does the range of motion itself contribute to a functional loss? Do You Qualify for Long Term Disability Benefits? By using our website, you agree to the use of certain cookies. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veterans level of disability. Hip flexion averages 110-120 degrees, extension 10-15 degrees, abduction 30-50 degrees, and adduction 25-30 degrees. 5C. We use cookies to optimize our website and our service. figures below, showing the maximum possible range of motion or by notating the chart in degrees. If yes, the examiner must complete the Muscle Injuries questionnaire. Many veterans leave the service with shoulder problems. Favorable angle in full extension or in slight flexion between 0 and 10 degrees. If you hold your arms straight and palms against your sides and raise your arms in front of your body to point your hands at something in front of you, youre practicing flexion. Flexor muscles of elbow: (1) Biceps; (2) brachialis; (3) brachioradialis. Intrinsic muscles of shoulder girdle: (1) Pectoralis major I (clavicular); (2) deltoid, 5304 Group IV. When you raise your arm out from the sides of your body, its an abduction of your shoulder. If the entire shoulder joint has been replaced by a prosthetic device, the condition is rated at 100 percent for one month after being discharged from the hospital following the replacement. Describe the history (including onset and course) of the Veterans knee and/or lower leg condition (brief summary). Veterans should provide copies of medical records detailing symptoms, treatment, and results. Is range of motion the only thing VA considers or do they actually look at what you can and cannot do for daily living purposes? If you have a disability claim with the VA that you would like to appeal, please contact our team at (888) 682-0786 to schedule a free case evaluation. Ensure the security of your data and transactions USLegal fulfills industry-leading security and compliance standards. The VA Schedule of Rating Disabilities provides a basis for service connection and rating each disability. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veterans level of disability. Shoulder popping, also known as crepitus, has several possible causes. Range of Motion (ROM) test: Perform active and/or passive range of motion and provide the ROM values. In late 2017, VA began a multi-year effort to revise and update the VASRD, or VA Schedule for Rating Disabilities. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! With your arms at your sides, turn your palms towards your body and bend your elbows 90 degrees so your hands are pointing in front of you. Your VA benefits will be tax-free, and they can help you support yourself and your loved ones if your disability has made it difficult for you to work and live normally. VA Rating for Unfavorable Ankylosis of the Knee: What Are Some Common VA Secondary Conditions to Knee Pain? This website adheres to the W3Cs AA Accessibility guidelines. #3: Unfavorable Ankylosis of the Knee with a rating of 30%, 40%, 50%, or 60%. Intrinsic muscles of shoulder girdle: (1) Pectoralis major I (clavicular); (2) deltoid: Severe: 40: 30 Moderately Severe: 30: 20 Moderate: 20: 20 Slight: 0: 0 5304 Group IV. He is aformer active duty Air Force officerwith extensive experience leading hundreds of individuals and multi-functional teams in challenging international environments, including a combat tour to Afghanistan in 2011 supporting Operation ENDURING FREEDOM. A normal range of movement for shoulder adduction is 30 to 50 degrees depending on flexibility and body composition. Joint pain can also be a factor that can increase the severity of a Veterans disability. You are using an out of date browser. There are several separate parameters requested for describing function of a joint. The VA appeals process starts at your regional Department Of Veterans Affairs Office. 0000001936 00000 n
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During the appeals process, you can present medical records, testimonials from fellow soldiers, and any other evidence that may play a role in changing the outcome of your claim. Hip external rotation averages 40-60 degrees and internal rotation averages 30-40 degrees. A normal range of motion for your shoulder depends on your flexibility and the overall health of your shoulder. In that case, the VA would have the impression that your range of motion was much higher than it might be. Pro Tip: The examiner should provide the estimated range of motion based on a review of all procurable information to include the Veterans statement on examination, case-specific evidence (to include medical treatment records when applicable and lay evidence), and the examiners medical expertise. When taking your C&P exam, tell your VA physician everything you can about your condition, including how your symptoms may vary from day-to-day. Specifically, VA proposes to assign a 40 percent rating for a major joint, or 30 percent for a minor joint, where flexion and/or abduction is limited to 25 degrees from the side. These cookies allow the website to remember choices you make to give you better functionality and personal features. Estimate your 2023 VA Rating & Compensation for FREE! Spinal muscles: Sacrospinalis (erector spinae and its prolongations in thoracic and cervical regions). The acromioclavicular joint is where the shoulder blade or scapula meets the collar bone or clavicle. Okay, lets jump into this Insiders Guide for getting a service connected disability rating for Knee Pain. 0000002402 00000 n
Measuring ROM. These cookies may be set through our website by our advertising partners. Function: Extension of the elbow (long head of triceps is the stabilizer of shoulder joint). Minor knee pain usually responds well to self-care measures. Do you have less strength in your shoulder and/or arm than you did before your injury; Certain shoulder impairments have specific defined ratings under the AMA Guides. Specifically, if the entire arm is amputated from the shoulder joint down, including the scapula, clavicle, and/or ribs, it is rated 100 percent regardless of whether it is the dominant or non-dominant arm (Diagnostic Code 5120). They may also be used to keep track of what [products, video, links, etc.] These cookies are also used to let affiliates know if you came to one of our websites from an affiliate and if your visit resulted in the use or purchase of a product or service from us, including details of the product or service purchased. If there are occasional periods of weakness, pain, or limited motion then the condition should be rated analogously either under Diagnostic Code 5002 (i.e., rheumatoid arthritis) or 5203 (i.e., impairment of the clavicle or scapula), whichever most closely describes the veterans symptoms. Is the Veteran able to perform repetitive-use testing with at least three repetitions? Below are some common examples of shoulder and arm conditions: Generally speaking, VA rates shoulder and arm conditions under both 38 CFR 4.71a Schedule of Ratings Musculoskeletal System and 4.73, Schedule of Ratings Muscle Injuries. The normal shoulder range of motion is 157 -162 for Forward Flexion Is an upgoing movement from the front side or the sagittal plane facilitated by the pectorals, anter More, 148-152 for Abduction Is a sideways upgoing movement in the frontal plane brought about by the supraspinatus and the mid, and 53 - 59 for External Rotation The range of shoulder external rotation is one of . Copy this embed code to share the infographic on your own site. The VA assigns a percentage rating for disabilities stemming from limited use of shoulder muscles according to severity. How to File a Claim on VA.gov (step-by-step)! Learn about its causes and home exercises that can help. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. An unfavorable opinion will not. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. The shoulder joints are surrounded by muscles that keep the bones fitted tightly together. Perform a range of motion examination using a goniometer. 0000001300 00000 n
This is Military service can lead to many types of bone and ligament damage. Shoulder (Abduction - Adduction) 12. Shoulder (Flexion - Extension) Left Left Abduction 150O . Expand Table The Shoulder and Arm Expand Table The Elbow and Forearm Expand Table The Wrist Expand Table Evaluation of Ankylosis or Limitation of Motion of Single or Multiple Digits of the Hand Expand Table The Spine Expand Table The Hip and Thigh It may not display this or other websites correctly. If yes, indicate the severity of ankylosis. They are not intended as a guarantee that we will obtain the same or similar results in every case we undertake. Does the Veteran report or have a history of instability or recurrent subluxation of the knee? The examiner may ask questions about the condition or time in service, as well as physically examine the veteran. #34938Washington, D.C. 20090-6503, Phone: (888) 878-9350
The Schedule also provides charts to help assist with understanding what these degrees mean. 5A. Like I had thought, they only gave me 20% for my shoulder. Indeed good sir, ROM is all that matterssupposedly. 2B. Degenerative disc disease PO Box 96503Dept. If range of motion was normal for all joints, please comment in . Not being able to use your shoulder can affect your ability to work and limit daily life. Veterans may be eligible to receive as much as 50% disability compensation.