Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:81:p5
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 81 (pt 5/6)
Character Range: 151528–154979

to medication or to therapeutic measures and which regularly interferes with sleep.

   No age adjustment permitted for this table

Only one selection is to be made from this table for pain in any joint or combination of joints.

  PART 3.5: RANGES OF JOINT MOVEMENT

 Table 3.5.1 is a table of "average" or "normal" values. It is to be used to assist in the estimation of loss of range of joint movement.  Range of movement is usually measured by simple visual assessment, and is based on active joint movement. Because estimates of range of movement are required only to the nearest quarter of normal full range of movement, the use of a goniometer is not essential.

 A global assessment is based on the measurement and averaging of movements in all planes. Functionally more important planes of movement (Table 3.5.1) are given more emphasis in this assessment. The total loss of range of movement should be estimated to the nearest quarter of the normal range of movement.

 Estimates of range of movement may be made using the joint on the opposite side for comparison, provided that the opposite side is not affected by injury or disease. If both sides are affected the accepted normal range of movement given in Table
 3.5.1 can be used as a reference.

 The angles in brackets represent the position of function. This information is required when considering whether an ankylosis is in a favourable position or not.

  Procedural
  Table 3.5.1

AVERAGE RANGES OF JOINT MOVEMENTS

     Joint  Average Range of Joint Movement (degrees)
Shoulder Abduction (45°) *            150°   Adduction                30° Forward elevation  (30°) *  150°   Backward                40° External Rotation  (20°) *    90°   Internal                      40°
Elbow      Flexion (100°) *             150°   Extension               0°
           Supination (0°)               80°   Pronation              80°
Wrist      Dorsiflexion (30°) *          60°   Palmar Flexion *       70°
           Ulnar Deviation (0°)          30°   Radial                 20°
Hip        Flexion  (25°)               100°   Extension              30°
           Abduction (0°) *              40°   Adduction              20°
           Internal Rotation (0°) *      40°   External               50°
Knee       Flexion  (10°) *             150°   Extension               0°
Ankle      Dorsiflexion (0°) *           20°   Plantar Flexion *      40°
           Inversion (0°)                30°   Eversion               20°
Cervical   Flexion (0°) *                45°   Extension *            45°
Spine      Right Lateral Flexion (0°)    45°   Left Lateral Flexion   45°
           Right Rotation (0°) *         80°   Left Rotation *        80°
Thoraco-   Flexion (0°) *                90°   Extension              30°
Lumbar     Right Lateral Flexion (0°)    30°   Left Lateral Flexion   30°
Spine      Right Rotation (0°)           30°   Left Rotation          30°

 No age adjustment permitted for this table

*Functionally most important movements

Table 3.6.1 converts the impairment rating for the measured loss of musculoskeletal function to an age adjusted impairment rating.

     SCALE
3.6.1

SPINE AND LIMBS AGE ADJUSTMENT
Rating  Less than                   Age                      Greater than
          36                                                 85
                                    56-65
                    36-45   46-55           66-75   76-85