J Korean Med Sci.  2009 May;24(Suppl 2):S247-S251. 10.3346/jkms.2009.24.S2.S247.

Development of the Korean Academy of Medical Sciences Guideline for Rating the Impairment in the Brain Injured and Brain Diseased Persons with Motor Dysfunction

• Rah UW
• Baik JS
• Jang SH
• Park DS

• KMID: 1713809
• DOI: http://doi.org/10.3346/jkms.2009.24.S2.S247

Abstract

To develop an objective and scientific method to evaluate the brain injured and brain diseased persons with motor dysfunction, American Medical Association's Guides to the Evaluation of Permanent Impairment was used as an exemplar. After the motor dysfunction due to brain injury or brain disease was confirmed, active range of motion and muscle strength of affected extremities were measured. Also, the total function of extremities was evaluated through the assessment of activities of daily living, fine coordination of hand, balance and gait. Then, the total score of manual muscle test and functional assessment of impaired upper and lower extremity were added, respectively. Spasticity of upper and lower extremity was used as minus factors. Patients with movement disorder such as Parkinson's disease were assessed based on the degree of dysfunction in response to medication. We develop a new rating system based on the concept of total score.

Keyword

Disability Evaluation; Brain Diseased; Brain Injury; Motor Dysfunction

MeSH Terms

Brain Diseases/classification/*diagnosis/physiopathology
Brain Injuries/classification/*diagnosis/physiopathology
*Disability Evaluation
Hand/physiopathology
Humans
Korea
Lower Extremity/physiopathology
Motor Skills
Program Development
Severity of Illness Index
Upper Extremity/physiopathology

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