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18 Mar 2013 The AMA Guides use Range of Motion rating to calculate impairment in joints which move. There are a few simple steps to ensure that a Range of Motion rating is correct. Sadly, many doctors are The steps are based on the fundamental principle in the Guides that flexion or extension in the shoulder). Since this is range of motion of a single joint, the numbers are added. 7% + 2% = 9% UE The final upper extremity rating, in this case, is 9% UE Page 23 The normal range of motion of the shoulder in abduction is 180 degrees. The normal range of motion of the shoulder in extension is 50 degrees. AMA Guides to the Evaluation of Permanent Impairment as the latest available edition, . in every example contained in Chapter 15 of the Guides, the range of motion method .. For shoulders, the overall range of motion impairment rating is.The AMA Guides state that the regional impairments resulting from the hand, wrist, elbow and shoulder regions are added or combined to provide the upper. There are 6 different types of ratings which appear in The AMA. Guides: 1. The Simplest (Hearing Loss, Lower Extremity, Pain). 2. Range of Motion (Shoulder, motion. • Values are determined by multiplying maximum by shoulder ROM unit by strength deficit. • Values for each unit of motion are added. ( AMA Guides 18 May 2016 Senior Contributing Editor, AMA Guides to the Evaluation of Permanent . Explain why methods used in previous editions (such as spinal range of motion . upper extremity injuries (with the exception of the shoulder), lower extremity injuries, THE AMA GUIDES: IMPAIRMENT IN THE UPPER LIMB LOSS OF RANGE OF MOTION . 5% R. HAND + 5% SHOULDER = 10% UPPER EXTREMITY. 15 Mar 2016 (AMA) Guideswhole person impairment, as provided AMA Guides – Fifth Edition u Section the evaluation of range of motion impairment for the same part of the body (for example, right ankle motion, left shoulder motion