Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:60:p5
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 60 (pt 5/6)
Character Range: 107234–110382

digital dexterity causing handwriting changes, or difficulty in manipulation of small or fine objects, or
                    -          minor loss of grip strength causing difficulty in gripping moderately heavy to heavy objects.
                    * Can use limb efficiently for normal tasks without excessive fatigue for no more than ten minutes.

                 FIFTEEN Can use limb reasonably well in most circumstances, but frequent difficulties are manifested by:
                    -          minor loss of digital dexterity causing handwriting changes, or difficulty in manipulation of small or fine objects, and
                    -          minor loss of grip strength causing difficulty in gripping moderately heavy to heavy objects.

                 TWENTY Can use limb reasonably well in some circumstances, but with more noticeable difficulty manifested by either or both of:
                    -          minor loss of digital dexterity and reduced grip strength causing difficulty in manipulation of larger objects, or
                    -          major loss of digital dexterity causing marked difficulty in handwriting or manipulation of everyday domestic objects.

                 THIRTY           Can use limb reasonably well in a few circumstances only. Use of limb is otherwise inefficient, with increasing difficulty for self-care activities. Poor digital co-ordination and markedly reduced grip strength in, eg lifting light objects. Problems with dressing, feeding or writing.

                 FORTY            Uses limb inefficiently in all circumstances. Use of limb subject to major limitations, capable of light grip only. Aids, eg splints, required for everyday activities such as writing and eating.

                 FIFTY Has only some movement against gravity at elbow, shoulder or wrist.

        SIXTY  Unable to use upper limb at all.

               Only one rating is to be selected from this table for each upper limb, for any condition or combination of conditions.

Ratings from this table are age adjusted (see Table 3.6.1)

Step 7: Determine if any Other Impairment rating applies to the right upper limb.

 There are three Other Impairment tables relating to the upper limb. These are: Table 3.1.3 -               Amputations of Fingers and Thumb; and
Table 3.1.4 -       Amputations of Upper Limb; and
Table 3.1.5 -       Dislocation of Shoulder.

 Not more than one rating may be selected from either Table 3.1.3 or Table 3.1.4, if the veteran has an amputation affecting the right upper limb.

 An additional rating may be selected from Table 3.1.5 if it is applicable to the right shoulder.

 If no ratings from Tables 3.1.3 or 3.1.4 or 3.1.5 apply to the right upper limb, then the functional impairment rating obtained in Step 6 is the final functional impairment rating for the right upper limb.

 Step 8: Compare the final functional impairment rating for the right upper limb with any Other Impairment rating applicable to the right upper limb. Take the higher of these ratings.

 The final functional impairment rating obtained in Step 6 is to be compared with the impairment