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Question
Quaymar
I finally got a copy of my C&P exam and I am trying to interpret the results. I'm hoping to get some help understanding what I'm looking at so any and all feedback is appreciated. The ROM results are as follows;
Cervical Spine ROM
Flexion: 0 to 30 degrees.
Extension: 0 to 39 degrees.
Left Lateral Flexion: 0 to 30 degrees.
Left Lateral Rotation: 0 to 60 degrees.
Right Lateral Flexion: 0 to 30 degrees.
Right Lateral Rotation: 0 to 60 degrees.
Is there objective evidence of pain on active ROM? No.
Additional limitation with repetitive motion; Is there objective evidence of pain following repetitive motion? No. Are there additional limitations after three repetitions of range of motion? No.
Thoracolumbar Spine ROM
Flexion: 0 to 60 degrees.
Extension: 0 to 20 degrees.
Left Lateral Flexion: 0 to 20 degrees.
Left Lateral Rotation: 0 to 20 degrees.
Right Lateral Flexion: 0 to 25 degrees.
Right Lateral Rotation: 0 to 20 degrees.
Is there objective evidence of pain on active ROM? Yes.
Additional limitation with repetitive motion; Is there objective evidence of pain following repetitive motion? Yes. Are there additional limitations after three repetitions of range of motion? Yes.
What is the most important factor? Pain.
ROM After Repetitive Motion
Flexion: 0 to 55 degrees.
Extension: 0 to 25 degrees.
Left Lateral Flexion: 0 to 15 degrees.
Left Lateral Rotation: 0 to 5 degrees.
Right Lateral Flexion: 0 to 20 degrees.
Right Lateral Rotation: 0 to 5 degrees.
Time lost from work during last 12-month period: 8 weeks.
Cause: Con leave from back surgery.
I didn't type every last word, I just wrote what I think matters. If I missed something or you have a question, please ask.
The information regarding my cervical spine seems correct as I haven't had any issues with that part of my back until just recently. I'm getting epidural shots now and may need another surgery but that occurred after the C&P exam.
If I'm reading the Thoracolumbar part correct, it seems that I should get a rating of 20% based on the Flexion ROM of 55 degrees or would it be; "Unfavorable ankylosis of the entire thoracolumbar spine......50?" But, since I had spinal fusion of T7-T8, I should get 60% because I missed 8 weeks of work and the VASRD states; "With incapacitating episodes having a total duration of at least 6 weeks during the past 12 months ..... 60"
It seems quite confusing to me, I hope someone can clear things up for me...thanks.
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