Document ID: chunk:federal_register_of_legislation:F2020L00483:reg:9
Version: federal_register_of_legislation:F2020L00483
Segment Type: reg
Provision Reference: reg 9
Character Range: 3443–5397

9               Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, sprain or strain or death from sprain or strain is connected with the circumstances of a person's relevant service:
(1)          experiencing a significant physical force applied to or through the affected joint, at the time of the clinical onset of a sprain to that joint ligament;
            Note: Examples of activities and circumstances involving significant physical force applied to or through the affected joint include falls, collisions, lifting weights, running, jumping or stepping down from a height, throwing objects and climbing.
(2)          forceful stretching or high intensity use of a muscle or tendon at the time of the clinical onset of a strain to that muscle or tendon;
Note:  Examples of activities and circumstances involving forceful stretching or high intensity use of a muscle or tendon include lifting weights, push ups, pull ups, throwing objects, running, kicking, jumping and climbing.
(3)          experiencing a significant physical force applied to or through the affected joint, at the time of the clinical worsening of a sprain to that joint ligament;
Note:  Examples of activities and circumstances involving significant physical force applied to or through the affected joint include falls, collisions, lifting weights, running, jumping or stepping down from a height, throwing objects and climbing.
(4)          forceful stretching or high intensity use of a muscle or tendon at the time of the clinical worsening of a strain to that muscle or tendon;
Note:  Examples of activities and circumstances involving forceful stretching or high intensity use of a muscle or tendon include lifting weights, push ups, pull ups, throwing objects, running, kicking, jumping and climbing.
(5)          inability to obtain appropriate clinical management for sprain or strain.