Document ID: chunk:federal_register_of_legislation:F2020L00482:reg:9
Version: federal_register_of_legislation:F2020L00482
Segment Type: reg
Provision Reference: reg 9
Character Range: 3450–5421

9               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting sprain or strain or death from sprain or strain 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.