![]() ![]() ![]() The assessment of motor function depends on the degree of interference with standing up balancing while standing or walking or using the upper extremities (including fingers, hands, arms, and shoulders). Extreme limitation means the inability to stand up from a seated position, maintain balance in a standing position and while walking, or use your upper extremities to independently initiate, sustain, and complete work-related activities.Use the upper extremities (including fingers, wrists, hands, arms, and shoulders). By two extremities we mean both lower extremities, or both upper extremities, or one upper extremity and one lower extremity.Īll listings in this body system, except for 11.02 (Epilepsy), 11.10 (Amyotrophic lateral sclerosis),Īnd 11.20 (Coma and persistent vegetative state), include criteria for disorganization of motor function that results in an extreme limitation in your ability to: (including fingers, wrists, hands, arms, and shoulders). Disorganization of motor function means interference, due to your neurological disorder, with movement of two extremities i.e., the lower extremities, or upper extremities.What do we mean by disorganization of motor function? You may receive your treatment at a health care facility that you visit regularly, even if you do not see the same physician on each visit.ĭ. “Despite adherence to prescribed treatment” means that you have taken medication(s) or followed other treatment procedures for your neurological disorder(s)Īs prescribed by a physician for three consecutive months but your impairment continues to meet the other listing requirements despite this treatment. In 11.02 (Epilepsy), 11.06 (Parkinsonian syndrome),Īnd 11.12 (Myasthenia gravis), we require that limitations from these neurological disorders exist despite adherence to prescribed treatment. How do we consider adherence to prescribed treatment in neurological disorders? We will not routinely purchase tests that are expensive or not readily available.Ĭ. We will not purchase imaging, or other diagnostic tests, or laboratory tests that are complex, may involve significant risk, or that are invasive. When the results of any of these tests are part of the existing evidence in your case record, we will evaluate the test results and all other relevant evidence. We will make every reasonable effort to obtain the results of your laboratory and imaging evidence. We consider non-medical evidence such as statements you or others make about your impairments, your restrictions, your daily activities, or your efforts to work. In addition, the medical evidence may include descriptions of any prescribed treatment and your response to it. The imaging must be consistent with the prevailing state of medical knowledge and clinical practice as the proper technique to support the evaluation of the disorder. Imaging refers to medical imaging techniques, such as x-ray, computerized tomography (CT), magnetic resonance imaging (MRI), and electroencephalography (EEG). Medical evidence should include your medical history, examination findings, relevant laboratory tests, and the results of imaging. We need both medical and non-medical evidence (signs, symptoms, and laboratory findings) to assess the effects of your neurological disorder.What evidence do we need to document your neurological disorder? We will evaluate your mental impairment under the mental disorders body system, 12.00.ī. If your neurological disorder results in only mental impairment or if you have a co-occurring mental condition that is not caused by your neurological disorder (for example, dementia), We evaluate the limitations resulting from the impact of the neurological disease process itself. We evaluate your limitations using the functional criteria under these listings (see 11.00G). Such as Huntington’s disease, which may limit executive functioning (e.g., regulating attention, planning, inhibiting responses, decision-making), For example, if you have a neurological disorder that causes mental limitations, We evaluate neurological disorders that may manifest in a combination of limitations in physical and mental functioning. We evaluate epilepsy, amyotrophic lateral sclerosis, coma or persistent vegetative state (PVS), and neurological disorders that cause disorganization of motor function, bulbar and neuromuscular dysfunction,Ĭommunication impairment, or a combination of limitations in physical and mental functioning such as early-onset Alzheimer’s disease. Which neurological disorders do we evaluate under these listings? ![]() Neurodegenerative disorders of the central nervous system, such as Huntington’s disease, Friedreich’s ataxia, and spinocerebellar degenerationĪ. Category of Impairments, Neurological Disorders
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