Hello all,
Was hoping someone else ran into the same situation and would be able to answer this for me, I don't have an electric copy so I'll just post the important parts in question.
My NARSUM just came back with one area of question with ROM on low back:
Initial ROM forward flexion: 0-45
observed ROM after repetitive use: 0-40
Factors: pain, weakness, lack of endurance
Does pain weakness, fatigability significantly limit functional ability with repeated use over a period of time? Yes
Factors: pain, weakness
Able to describe in terms of range of motion: Yes, 0-30
Would I be rated at 45 or 30? It's a pretty significant jump from 20% to 40% between the two. If this isn't enough info I can try to scan the documents later.