The Range of Motion (ROM) method can be used to evaluate a patient with permanent impairment of the spine when certain features are present. In the absence of the these findings, the diagnosis-related estimates (DRE) method should be used.
Requirement: The patient is at the maximal medical improvement (MMI) level.
The ROM method can be used if:
(1) there are fractures at more than 1 level in the spine
(2) bilateral radiculopathy
(3) radiculopathy at more than 1 level in the same spinal region
(4) multi-level motion segment alteration in the same spinal region
(5) recurrent disk herniation or stenosis with radiculopathy at the same or a different level in the same spinal region
(6) the spinal disorder is related to illness rather than injury
(7) recurrent injury at the same level
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