Development of Korean Academy of Medical Sciences Guideline Rating the Physical Impairment: Lower Extremities
Identifieur interne : 003767 ( Pmc/Checkpoint ); précédent : 003766; suivant : 003768Development of Korean Academy of Medical Sciences Guideline Rating the Physical Impairment: Lower Extremities
Auteurs : Hee-Chun Kim [Corée du Sud] ; Joon-Sung Kim [Corée du Sud] ; Kee-Haeng Lee [Corée du Sud] ; Ho Seong Lee [Corée du Sud] ; Eun-Seok Choi [Corée du Sud] ; Jay-Young Yu [Corée du Sud]Source :
- Journal of Korean Medical Science [ 1011-8934 ] ; 2009.
Abstract
Lower Extremities Committee of Korean Academy of Medical Sciences Guideline for Impairment Rating develops new guidelines which are based on McBride method, American Medical Association Guides, Disability evaluation by The Korean Orthopaedic Association, The Korean Neurosurgery Society, and Korean Academy of Rehabilitation Medicine. The committee analyzed and discussed to create an ideal method practical in Korea. Our committee endeavors to develop new methods which are easy to use, but are suitable for professional use and also independent from the examinee's intentions. The lower extremities are evaluated on the basis of anatomic change, functional change, and diagnosis based evaluation. Nine methods are used to assess the lower extremities. Anatomic assessment includes leg length discrepancy, ankylosis, amputation, skin loss, peripheral nerve injury, and vascular disease. In functional assessment, range of motion and muscle strength are included. Diagnosis-based assessments are used to evaluate impairment caused by specific fractures, deformities, ligament instability, meniscectomies, post-traumatic arthritis, fusion of the foot, and lower extremity joint replacements.
Url:
DOI: 10.3346/jkms.2009.24.S2.S299
PubMed: 19503687
PubMed Central: 2690070
Affiliations:
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The Catholic University of Korea, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon</wicri:regionArea><wicri:noRegion>Suwon</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Kee Haeng" sort="Lee, Kee Haeng" uniqKey="Lee K" first="Kee-Haeng" last="Lee">Kee-Haeng Lee</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Orthopaedic Surgery, Holy Family Hospital, The Catholic University of Korea, Bucheon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthopaedic Surgery, Holy Family Hospital, The Catholic University of Korea, Bucheon</wicri:regionArea><wicri:noRegion>Bucheon</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Ho Seong" sort="Lee, Ho Seong" uniqKey="Lee H" first="Ho Seong" last="Lee">Ho Seong Lee</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Choi, Eun Seok" sort="Choi, Eun Seok" uniqKey="Choi E" first="Eun-Seok" last="Choi">Eun-Seok Choi</name><affiliation wicri:level="1"><nlm:aff id="A5">Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Daejeon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, 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Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Joon Sung" sort="Kim, Joon Sung" uniqKey="Kim J" first="Joon-Sung" last="Kim">Joon-Sung Kim</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon</wicri:regionArea><wicri:noRegion>Suwon</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Kee Haeng" sort="Lee, Kee Haeng" uniqKey="Lee K" first="Kee-Haeng" last="Lee">Kee-Haeng Lee</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Orthopaedic Surgery, Holy Family Hospital, The Catholic University of Korea, Bucheon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthopaedic Surgery, Holy Family Hospital, The Catholic University of Korea, Bucheon</wicri:regionArea><wicri:noRegion>Bucheon</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Ho Seong" sort="Lee, Ho Seong" uniqKey="Lee H" first="Ho Seong" last="Lee">Ho Seong Lee</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Choi, Eun Seok" sort="Choi, Eun Seok" uniqKey="Choi E" first="Eun-Seok" last="Choi">Eun-Seok Choi</name><affiliation wicri:level="1"><nlm:aff id="A5">Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Daejeon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Daejeon</wicri:regionArea><wicri:noRegion>Daejeon</wicri:noRegion></affiliation></author><author><name sortKey="Yu, Jay Young" sort="Yu, Jay Young" uniqKey="Yu J" first="Jay-Young" last="Yu">Jay-Young Yu</name><affiliation wicri:level="1"><nlm:aff id="A6">Department of Occupational and Environmental Medicine, Soonchunhyang University Hospital, Gumi, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Occupational and Environmental Medicine, Soonchunhyang University Hospital, Gumi</wicri:regionArea><wicri:noRegion>Gumi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Korean Medical Science</title><idno type="ISSN">1011-8934</idno><idno type="eISSN">1598-6357</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Lower Extremities Committee of Korean Academy of Medical Sciences Guideline for Impairment Rating develops new guidelines which are based on McBride method, American Medical Association Guides, Disability evaluation by The Korean Orthopaedic Association, The Korean Neurosurgery Society, and Korean Academy of Rehabilitation Medicine. The committee analyzed and discussed to create an ideal method practical in Korea. Our committee endeavors to develop new methods which are easy to use, but are suitable for professional use and also independent from the examinee's intentions. The lower extremities are evaluated on the basis of anatomic change, functional change, and diagnosis based evaluation. Nine methods are used to assess the lower extremities. Anatomic assessment includes leg length discrepancy, ankylosis, amputation, skin loss, peripheral nerve injury, and vascular disease. In functional assessment, range of motion and muscle strength are included. Diagnosis-based assessments are used to evaluate impairment caused by specific fractures, deformities, ligament instability, meniscectomies, post-traumatic arthritis, fusion of the foot, and lower extremity joint replacements.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cocch, L" uniqKey="Cocch L">L Cocch</name></author><author><name sortKey="Andersson, Gbj" uniqKey="Andersson G">GBJ Andersson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcbride, Ed" uniqKey="Mcbride E">ED McBride</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sabharwal, S" uniqKey="Sabharwal S">S Sabharwal</name></author><author><name sortKey="Zhao, C" uniqKey="Zhao C">C Zhao</name></author><author><name sortKey="Mckeon, Jj" uniqKey="Mckeon J">JJ McKeon</name></author><author><name sortKey="Mcclemens, E" uniqKey="Mcclemens E">E McClemens</name></author><author><name sortKey="Edgar, M" uniqKey="Edgar M">M Edgar</name></author><author><name sortKey="Behrens, F" uniqKey="Behrens F">F Behrens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Norkin, Cc" uniqKey="Norkin C">CC Norkin</name></author><author><name sortKey="White, Dj" uniqKey="White D">DJ White</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marshall, Jl" uniqKey="Marshall J">JL Marshall</name></author><author><name sortKey="Fetto, Jf" uniqKey="Fetto J">JF Fetto</name></author><author><name sortKey="Botero, Pm" uniqKey="Botero P">PM Botero</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gross, Ae" uniqKey="Gross A">AE Gross</name></author><author><name sortKey="Lavoie, Mv" uniqKey="Lavoie M">MV Lavoie</name></author><author><name sortKey="Mcdermott, P" uniqKey="Mcdermott P">P McDermott</name></author><author><name sortKey="Marks, P" uniqKey="Marks P">P Marks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Insall, Jn" uniqKey="Insall J">JN Insall</name></author><author><name sortKey="Dorr, Ld" uniqKey="Dorr L">LD Dorr</name></author><author><name sortKey="Scott, Rd" uniqKey="Scott R">RD Scott</name></author><author><name sortKey="Scott, Wn" uniqKey="Scott W">WN Scott</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Korean Med Sci</journal-id><journal-id journal-id-type="publisher-id">JKMS</journal-id><journal-title-group><journal-title>Journal of Korean Medical Science</journal-title></journal-title-group><issn pub-type="ppub">1011-8934</issn><issn pub-type="epub">1598-6357</issn><publisher><publisher-name>The Korean Academy of Medical Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">19503687</article-id><article-id pub-id-type="pmc">2690070</article-id><article-id pub-id-type="doi">10.3346/jkms.2009.24.S2.S299</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Development of Korean Academy of Medical Sciences Guideline Rating the Physical Impairment: Lower Extremities</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Hee-Chun</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Kim</surname><given-names>Joon-Sung</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Kee-Haeng</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Ho Seong</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Choi</surname><given-names>Eun-Seok</given-names></name><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Yu</surname><given-names>Jay-Young</given-names></name><xref ref-type="aff" rid="A6">6</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Orthopaedic Surgery, National Medical Center, Seoul, Korea.</aff><aff id="A2"><label>2</label>Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.</aff><aff id="A3"><label>3</label>Department of Orthopaedic Surgery, Holy Family Hospital, The Catholic University of Korea, Bucheon, Korea.</aff><aff id="A4"><label>4</label>Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.</aff><aff id="A5"><label>5</label>Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Daejeon, Korea.</aff><aff id="A6"><label>6</label>Department of Occupational and Environmental Medicine, Soonchunhyang University Hospital, Gumi, Korea.</aff><author-notes><corresp>Address for correspondence: Joon-Sung Kim, M.D. Department of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, 93-6 Ji-dong, Paldal-gu, Suwon 442-723, Korea. Tel: +82.31-249-7650, Fax: +82.31-251-4481, <email>svpmr@chol.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>5</month><year>2009</year></pub-date><pub-date pub-type="epub"><day>31</day><month>5</month><year>2009</year></pub-date><volume>24</volume><issue>Suppl 2</issue><fpage>S299</fpage><lpage>S306</lpage><history><date date-type="received"><day>05</day><month>4</month><year>2009</year></date><date date-type="accepted"><day>04</day><month>5</month><year>2009</year></date></history><permissions><copyright-statement>Copyright © 2009 The Korean Academy of Medical Sciences</copyright-statement><copyright-year>2009</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Lower Extremities Committee of Korean Academy of Medical Sciences Guideline for Impairment Rating develops new guidelines which are based on McBride method, American Medical Association Guides, Disability evaluation by The Korean Orthopaedic Association, The Korean Neurosurgery Society, and Korean Academy of Rehabilitation Medicine. The committee analyzed and discussed to create an ideal method practical in Korea. Our committee endeavors to develop new methods which are easy to use, but are suitable for professional use and also independent from the examinee's intentions. The lower extremities are evaluated on the basis of anatomic change, functional change, and diagnosis based evaluation. Nine methods are used to assess the lower extremities. Anatomic assessment includes leg length discrepancy, ankylosis, amputation, skin loss, peripheral nerve injury, and vascular disease. In functional assessment, range of motion and muscle strength are included. Diagnosis-based assessments are used to evaluate impairment caused by specific fractures, deformities, ligament instability, meniscectomies, post-traumatic arthritis, fusion of the foot, and lower extremity joint replacements.</p></abstract><kwd-group><kwd>Disability Evaluation</kwd><kwd>Lower Extremity</kwd><kwd>Impairment</kwd></kwd-group></article-meta></front><floats-group><table-wrap id="T1" position="float"><label>Table 1</label><caption><p>Methods used in evaluating impairments of the lower extremities</p></caption><graphic xlink:href="jkms-24-S299-i001"></graphic></table-wrap><table-wrap id="T2" position="float"><label>Table 1</label><caption><p>Impairment estimates for amputations</p></caption><graphic xlink:href="jkms-24-S299-i002"></graphic><table-wrap-foot><fn><p>MTP, metatarsophangeal.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T3" position="float"><label>Table 3</label><caption><p>Impairment due to leg length discrepancy</p></caption><graphic xlink:href="jkms-24-S299-i003"></graphic></table-wrap><table-wrap id="T4" position="float"><label>Table 4</label><caption><p>Impairment due to hip ankylosis</p></caption><graphic xlink:href="jkms-24-S299-i004"></graphic></table-wrap><table-wrap id="T5" position="float"><label>Table 5</label><caption><p>Impairment due to knee ankylosis</p></caption><graphic xlink:href="jkms-24-S299-i005"></graphic></table-wrap><table-wrap id="T6" position="float"><label>Table 6</label><caption><p>Impairment due to ankle ankylosis</p></caption><graphic xlink:href="jkms-24-S299-i006"></graphic></table-wrap><table-wrap id="T7" position="float"><label>Table 7</label><caption><p>Impairment due to toe ankylosis</p></caption><graphic xlink:href="jkms-24-S299-i007"></graphic></table-wrap><table-wrap id="T8" position="float"><label>Table 8</label><caption><p>Hip motion impairment</p></caption><graphic xlink:href="jkms-24-S299-i008"></graphic></table-wrap><table-wrap id="T9" position="float"><label>Table 9</label><caption><p>Knee impairment</p></caption><graphic xlink:href="jkms-24-S299-i009"></graphic></table-wrap><table-wrap id="T10" position="float"><label>Table 10</label><caption><p>Ankle motion impairment</p></caption><graphic xlink:href="jkms-24-S299-i010"></graphic></table-wrap><table-wrap id="T11" position="float"><label>Table 11</label><caption><p>Hindfoot impairment</p></caption><graphic xlink:href="jkms-24-S299-i011"></graphic></table-wrap><table-wrap id="T12" position="float"><label>Table 12</label><caption><p>Forefoot impairment</p></caption><graphic xlink:href="jkms-24-S299-i012"></graphic></table-wrap><table-wrap id="T13" position="float"><label>Table 13</label><caption><p>Toe impairment</p></caption><graphic xlink:href="jkms-24-S299-i013"></graphic></table-wrap><table-wrap id="T14" position="float"><label>Table 14</label><caption><p>Impairment due to lower extremity muscle weakness</p></caption><graphic xlink:href="jkms-24-S299-i014"></graphic></table-wrap><table-wrap id="T15" position="float"><label>Table 15</label><caption><p>Impairment estimate for the hip lesion</p></caption><graphic xlink:href="jkms-24-S299-i015"></graphic><table-wrap-foot><fn><p>ROM, range of motion.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T16" position="float"><label>Table 16</label><caption><p>Impairment estimate for the knee lesion</p></caption><graphic xlink:href="jkms-24-S299-i016"></graphic></table-wrap><table-wrap id="T17" position="float"><label>Table 17</label><caption><p>Impairment estimate for the ankle and foot lesion</p></caption><graphic xlink:href="jkms-24-S299-i017"></graphic><table-wrap-foot><fn><p>MRI, magnetic resonance imaging.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T18" position="float"><label>Table 18</label><caption><p>Impairment estimate for the hip and knee joint replacement</p></caption><graphic xlink:href="jkms-24-S299-i018"></graphic></table-wrap><table-wrap id="T19" position="float"><label>Table 19</label><caption><p>Rating hip replacement results<sup>*</sup></p></caption><graphic xlink:href="jkms-24-S299-i019"></graphic><table-wrap-foot><fn><p><sup>*</sup>Add the points from categories a, b, c, d, and e to determine the total scores which represent the result of replacement. Modified from Gross AE, Lavoie MV, McDermott P, Marks P. The use of allograft bone in revision of total hip arthroplasty. Clin Orthop Relat Res 1985; 115-22.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T20" position="float"><label>Table 20</label><caption><p>Rating knee replacement results<sup>*</sup></p></caption><graphic xlink:href="jkms-24-S299-i020"></graphic><table-wrap-foot><fn><p><sup>*</sup>The point total for estimating knee replacement results is the sum of the points in categories a, b, and c minus the sum of the points in categories d, e, and f. Modified from Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 1989; 13-4.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T21" position="float"><label>Table 21</label><caption><p>Impairment estimate for ankle joint replacement</p></caption><graphic xlink:href="jkms-24-S299-i021"></graphic></table-wrap><table-wrap id="T22" position="float"><label>Table 22</label><caption><p>Lower extremity impairment due to peripheral vascular disease</p></caption><graphic xlink:href="jkms-24-S299-i022"></graphic></table-wrap><table-wrap id="T23" position="float"><label>Table 23</label><caption><p>Impairment for skin loss</p></caption><graphic xlink:href="jkms-24-S299-i023"></graphic></table-wrap></floats-group></pmc><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Kim, Hee Chun" sort="Kim, Hee Chun" uniqKey="Kim H" first="Hee-Chun" last="Kim">Hee-Chun Kim</name></region><name sortKey="Choi, Eun Seok" sort="Choi, Eun Seok" uniqKey="Choi E" first="Eun-Seok" last="Choi">Eun-Seok Choi</name><name sortKey="Kim, Joon Sung" sort="Kim, Joon Sung" uniqKey="Kim J" first="Joon-Sung" last="Kim">Joon-Sung Kim</name><name sortKey="Lee, Ho Seong" sort="Lee, Ho Seong" uniqKey="Lee H" first="Ho Seong" last="Lee">Ho Seong Lee</name><name sortKey="Lee, Kee Haeng" sort="Lee, Kee Haeng" uniqKey="Lee K" first="Kee-Haeng" last="Lee">Kee-Haeng Lee</name><name sortKey="Yu, Jay Young" sort="Yu, Jay Young" uniqKey="Yu J" first="Jay-Young" last="Yu">Jay-Young Yu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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