Can Somebody Tell Me What This Mean

[Charleese]

Hi Everyone,

Can somebody tell me what this means: RoM with rotation,

flexion and extension.

What is RoM.

Thanks

[huskerfanfl]

I believe that it is range of motion

[SLEDGE]

RoM means Range of Motion.

They usually list your range of motion in degrees, 10%, 45% etc.

A special protractor is supposed to be used to measure the range of motion, called a goinometer, I think.

I saw one once in my private sector surgeon's office, never saw one in any VA doctor's office though.

The regulations tell the raters to deny unless the doctor notes what kind of scale was used to measure the range of motion.

Only the goinometer is accepted as an accurate measuring device by the VA.

Any doctor checking your range of motion will tell you that the protractor stuff is for medical students and the experienced doc will feel insulted if you ask that a device be used.

sledge

[Vike17]

"The regulations tell the raters to deny unless the doctor notes what kind of scale was used to measure the range of motion"

Not true, the regulations state if there isn't any noted measurements of ROM to the joint in question, in particular based on the Deluca criteria, the rater is to send the exam back to the examiner as insufficient for rating purposes.

See M21-1MR, Part III, subpart iv, Chapter 3, Section D.

Vike 17

Edited May 17, 2007 by Vike17 (see edit history)

[jbasser]

Flexion is a term used int he Neck exam as forward flexion and extension is backward extension.

Chin to chest is flexion, Chin away from chest is extension.

Edited May 17, 2007 by jbasser (see edit history)

[SLEDGE]

"Not true, the regulations state if there isn't any noted measurements of ROM to the joint in question, in particular based on the Deluca criteria, the rater is to send the exam back to the examiner as insufficient for rating purposes."

Please excuse my feable attempt at using plain English.

Instead of instructed to deny, or whatever, I shoulda said something like;

'This examination is not sufficient for rating purposes.'

That is, in effect, not granting the claim because the overworked, underpaid, highly patriotic VA doctor who has no soul has done his job according to how his boss told him to, again.

Which means the veteran is essensially back to square one.

The proper nomenclature may not be, Denial, in which case may I be flogged to death. But, the end result is pretty much the same.

If the veteran does not know ahead of time that the examination criteria is so specifically exact, the veteran can't tell the VA slime-ball how to conduct the same exam that the idiot has screwed-up many times before.

In which case, the veteran does not get an examination that the RO will accept and nobody instructs the doctor on how to properly conduct a VA examination, even though it is spelled out in black and white, does a doctor know how to read?

A VA doctor makes the same calculated, preprogrammed error again and another veteran gets to eat outa the dumpster for another year.

"if there isn't any noted measurements of ROM to the joint in question,"

Don't change my subject, this ain't the rating board.

I believe I was talking about the goinometer, not the fact that 'no measurements of ROM were noted'.

Whether or not the only measuring device that the RO will accept was used or not. Not whether measurements were noted 'at all'.

Citing the wrong precedent is worse than saying nothing.

Have a nice day,

sledge

[betrayed]

"The regulations tell the raters to deny unless the doctor notes what kind of scale was used to measure the range of motion"

Not true, the regulations state if there isn't any noted measurements of ROM to the joint in question, in particular based on the Deluca criteria, the rater is to send the exam back to the examiner as insufficient for rating purposes.

See M21-1MR, Part III, subpart iv, Chapter 3, Section D.

Vike 17

I got a new C&P because the doc didnt use one, but it wasnt sent back by a rater it was due to my nod telling them one was not used. When the ortho doc did the 2nd C&P he used one