Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:54:p30
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 54 (pt 30/36)
Character Range: 166271–169594

to 6 inclusive,  a rating will have been selected:

         from Table 3.2.2:

         20 impairment points; and

         two ratings will have been selected from Table 3.2.4:

         10 impairment points for the right knee replacement; and

         10 impairment points  for the left knee replacement.

The veteran receives all three impairment ratings. The three ratings are to be included in the final combining of all impairment ratings.

The following conditions, whether alone or in combination, are to be assessed by applying Table 3.2.5 if they have no effect on lower limb function. If these conditions have an effect on lower limb function they are to be assessed by applying Table 3.2.2.

Other Impairment Table 3.2.5
MINOR DISORDERS OF THE LOWER LIMBS
Impairment Ratings                  Criteria
NIL                                    Pes planus with no symptoms.
                                       Hammer toes with no symptoms.
                                       Claw toes with no symptoms.
                                       Hallux valgus with no symptoms.
                                       Calcaneal spurs with no symptoms.
                                       Genu varum with no symptoms.
                                     Genu valgum with no symptoms.
TWO                                    Pes planus with minor symptoms.
                                       Hammer toes with minor symptoms.
                                       Claw toes with minor symptoms.
                                       Hallux valgus with minor symptoms.
                                       Calcaneal spurs with minor symptoms.
                                       Genu varum with minor symptoms.
                                     Genu valgum with minor symptoms.
                                    Where applicable a rating is to be selected from this table for each condition.

No age adjustment permitted for this table

    A Lower Limbs Worksheet is provided on page 69.

A single Lower Limbs Worksheet is to be used for both lower limbs together. The Lower Limbs Worksheet is designed to facilitate calculation of the functional impairment of the lower limbs. That functional impairment is to be compared with any Other Impairment ratings in accordance with this Guide.

PART 3.3: SPINE

Part 3.3 of Chapter 3 is to be applied in assessing impairment of the spinal column, not of the spinal cord. Impairments of the spinal cord are to be assessed by applying Chapter 5 of this Guide.

For the purposes of assessment under Part 3.3 the spine consists of two parts — the cervical spine and the thoraco-lumbar spine — each of which is to be given a separate impairment rating if appropriate.

Determination of the impairment rating for conditions of the spine.

Follow the steps below to determine the impairment rating from accepted conditions affecting the function of the spine. Because the cervical spine and the thoraco-lumbar spine are each to be separately assessed, this set of steps is to be followed twice (if applicable): once for the cervical spine and once for the thoraco-lumbar spine.

(Each step is elaborated in the following pages.)

STEP 1  Calculate the functional impairment due to restriction of range of movement of the spine as