Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:114:p3
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 114 (pt 3/8)
Character Range: 190814–193888

applied to rate neurological or neuromuscular conditions as well as local lesions involving the mechanisms of speech production. Communication may also be restricted by vision loss, hearing loss, or loss of hand function.  Ratings are then to be made from Chapter 8, Chapter 7, or Chapter
    3 respectively, instead of Tables 5.2 and 5.3.

    Comprehension

    Table 5.2 is to be applied to rate limitation of auditory or visual comprehension. Only one impairment rating is to be given from this table. If more than one criterion is applicable that which results in the higher rating is to be chosen.

    Expression

    Table 5.3 is to be applied to rate limitation of speech production, as well as written and unspoken methods of expression. Only one impairment rating is to be made from this table. If more than one criterion is applicable, that which results in the higher rating is to be chosen.

    Evaluation of speech production takes into account:
+ audibility: the ability to speak loudly enough to be heard;
+ intelligibility: the ability to articulate  and to link phonetic units of speech with sufficient accuracy to be understood;
+ functional efficiency: the ability to speak quickly enough, and to sustain the rate for a period;  and
    + retrieval and manipulation of language elements: expression of ideas.

Functional Loss
Table 5.2

       LOSS OF NEUROLOGICAL FUNCTION: COMPREHENSION
      Impairment
      Ratings Criteria

      NIL  Normal or nearly normal comprehension.

               FIVE           Can understand movies, radio programs or group discussions, but with some difficulty. Comprehension is good in most situations, but understanding is difficult in large groups, or when tired and upset. Has difficulty coping with rapid changes of topic.

                  * Can understand speech face-to-face, but confusion or fatigue occurs rapidly in any group. Is unable to cope with rapid change in topic, or with complex topics: is able to grasp the meaning of TV serials, but not more complex ideas.
                  * Mild dyslexia: is able to grasp the meaning of basic newspaper and magazine articles, but has difficulty understanding details. Is unable to follow the storyline in books.

                  * Can understand only simple sentences, and follow simple conversation when some points are repeated.
                  * Moderate dyslexia: reading comprehension is limited to sentences and short paragraphs.  Can follow simple two-to-three line instructions, and cope with shopping (and other) lists, but nothing more complex.

                  * Can understand only single words. Shows some understanding of slowly-spoken simple sentences from context and gesture, although frequent repetition is needed.
                  * Severe dyslexia:  is able to read single words, to match words to pictures and to read labels and signs, but is unable to read instructions.

                  * Unable to understand simple instructions or yes/no questions, even with gesture.
                  * Unable to read single words,