Lodaer Img

Impairment Indexes 

Key Points:

  • The 2 primary medically accepted ADL impairment indexes
    • Loss of Enjoyment of Lifetime Activities
    • Duties Under Duress
  • Impairment indexes are the 2nd most important documentation category after impairment relative to the injury award.
  • The patient must have reached MMI based on the science of the 3 phases of healing according to the AMA Guides.
  • The patient must have a diagnosed permanent impairment.
  • Impairment indexes document permanent pain and restrictions with activities of daily living.

Loss of Enjoyment of Lifetime Activities

This form is to determine whether the patient lost the enjoyment of certain activities in life, or lost status or skills in these activities as a result of the injuries from this collision.

  • Work
  • Domestic Activities
  • Studies/Educational Activities
  • Household Activities
  • Hobbies

Duties Under Duress

Has the patient continued to do any of the following activities despite the pain caused by your collision?

  • Work
  • Domestic Activities
  • Household Activities
  • Studies/Educational Activities

Additional Objective Diagnostic Procedures that Support the Soft Tissue Spinal Injury

We offer objective diagnostic testing to support the soft tissue spinal injury diagnosis and permanent impairment injury award.

Computerized Mensuration Radiographic Analysis

Objectively documents permanent pathological spinal ligament lesions

DynaROM

Objectively documents permanent pathological muscle spasms

J-Tech

Objectively documents permanent pathological muscle weakness

Mild Concussion Blood Test

Objectively documents permanent pathological mild concussion

C-Reactive Protein Blood Test

Blood test that objectively documents inflammation in the body

Sedimentation Rate Blood Test

Blood test that objectively documents inflammation in the body

Impairment Ratings

AMA Guides to Permanent Impairment Ratings

Impairment Indexes: Loss of Enjoyment of Lifetime Activities

Documents permanent pain and restrictions with activities of daily living

Impairment Indexes: Duties Under Duress

Documents permanent pain and restrictions with activities of daily living

MRI Variable:

MRI imaging slicing at 2mm without a gap and no bone for higher quality

The 7 Minimum Documentation Categories 

The 7 minimum documentation categories that determine the strength of the case.