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 Release 22.0, Sept. 2008
 
Chapter : ch37. Occupational Medicine & Disability Assessment Section : Assessing Psychosocial Resources for Rehabilitation Potential
  Brief Disability Computation Chart

  Online Excel Reference
Copyright (c) 2008-2010, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

The Disability Computation Chart is a scaled-down version of the Rehabilitation Index for rapid assessment of a patient's resources for rehabilitation.

 

Factors:

(1) general health

(2) previous work record

(3) intelligence

(4) personality

(5) emotional stability

(6) socioeconomic status

(7) rehabilitation potential

 

Scoring: 1 to 4 points, with 1 indicating very poor and 4 good

 

disability score =

= SUM(points for the 7 factors)

 

Interpretation:

• minimum score: 7

• maximum score: 28

• The higher the score, the better the rehabilitation potential.

 

Use in Estimating Disability

 

percentage of modifying factors =

= (1 - ((disability score) / 28)) * 100

 

Robinson averaged the percent impairment due to severe skin disease with the percent modifying factors to give a percent disability.

 

percent disability =

= ((percent impairment from 0 to 100) + (percent modifying factors)) / 2

 

Comments:

• As the disability score improves, the percentage of modifying factors decreases. This is the opposite of what it probably should be. I have simple used the disability score as a percent of optimum score in the implementation.

• Since the minimum score is 7, there is a lower limit of 25% for the percent of optimum. Scoring from 0 to 3 (or expanding the range to 0 to 4) might give a better measure.

 

  References:

Robinson HM. Measurement of impairment and disability in dermatology. Arch Dermatol. 1973; 108: 207-209.

 

 

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