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Related Experiment Videos

Impairment ratings for posttraumatic headache

R C Packard1, L P Ham

  • 1Headache Management and Neurology, Pensacola, FL 32503.

Headache
|July 1, 1993
PubMed
Summary
This summary is machine-generated.

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Standardized criteria are lacking for pain and posttraumatic headache impairment ratings. A new mnemonic, IMPAIRMENT, provides a reproducible method for assessing headache-related functional loss.

Area of Science:

  • Neurology
  • Pain Medicine
  • Disability Evaluation

Background:

  • Standardized criteria for evaluating pain and posttraumatic headache impairment are currently unavailable.
  • Existing methods for impairment ratings are inconsistent, relying on varied factors like frequency, severity, duration, and daily activity impact.
  • The AMA Guides define impairment as loss of use or derangement of a body part, system, or function.

Purpose of the Study:

  • To propose a standardized, reproducible, and easy-to-use criterion for assessing posttraumatic headache impairment.
  • To introduce a novel mnemonic-based system for impairment rating.

Main Methods:

  • A mnemonic, IMPAIRMENT, was developed to systematically score various aspects of headache impact.
  • The IMPAIRMENT mnemonic includes components such as Intensity, Medication use, Physical signs/symptoms, Adjustment, Incapacitation, Recreation, Activities of daily living, Employment, Number (frequency), and Time (duration).

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  • Physician modifiers (Motivation for treatment, Overexaggeration/overconcern, Degree of legal interest) are included for scoring adjustments.

    • Main Results:

    • Each component of the IMPAIRMENT mnemonic is scored from 0 to 2 points.
    • Physician modifiers are scored from 0 to -4 points.
    • Case examples demonstrate the application and scoring process of the proposed criteria.

    Conclusions:

    • The proposed IMPAIRMENT mnemonic offers a structured and understandable approach to posttraumatic headache impairment assessment.
    • The criteria are designed to be easily utilized and reproducible by physicians.
    • This system aims to standardize the evaluation of functional impairment due to posttraumatic headaches.