ALBERTA PERMANENT CLINICAL IMPAIRMENT GUIDE

ALBERTA PERMANENT CLINICAL

IMPAIRMENT GUIDE

Effective June 1, 1996

BoD Resolution 96/05/33

Copyright 2018 All Rights Reserved

April 3, 2018

Table of Contents

Introduction

The PCI charts and schedules which follow are designed to provide in percentage form, a clinical impairment rating for all compensable injuries. Impairments which fail to match a rating category must be rated on a judgemental basis clearly proportionate to listed ratings.

The charts and schedules are accessed via the listed sections, each of which describes the procedures to be followed in determining the rating for the anatomical or physiological impairment in question.

Determining Permanent I. Clinical Impairment and Permanent Disability

Introduction

Page i

II. Impairment and Disability

ii

- Figure 1 ? Determining Permanent iii Disability Compensation

III. Determining Permanent Clinical

iv

Impairment (PCI)

- Figure 2 ? The Permanent Clinical v Impairment Process

IV. Timing of the PCI Assessment

vi

V. Rating Permanent Clinical Impairment vi

- Figure 3 ? Procedure: PCI Rating x

1 Fingers/Hands

I. Introduction

1

II. Rating Procedure

1-3

III. Specific Rules in Rating

3

A. Amputations

3

B. Restricted Range of Movement

4, 5

C. Loss of Digital Sensation

5

D. Disfigurement

5

Schedules and Charts

Chart 1

6, 7

Chart 2

8, 9

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April 3, 2018

Table of Contents

Fingers/Hands (continued)

Chart 3

Chart 4 - Examples

Page 10, 11

12, 13 14-21

2 Upper Extremities I. Introduction II. Rating Procedure III. Specific Rules in Rating A. Amputations B. Restricted Range of Movement C. Denervation D. Repetitive Strain Injury (RSI) E. Reflex Sympathetic Dystrophy (RSD) Rating Schedule

22 22 23 23 23 24 24 24

25, 26

3 Lower Extremities I. Introduction II. Rating Procedure III. Specific Rules in Rating A. Amputations B. Restricted Range of Movement C. Denervation D. Reflex Sympathetic Dystrophy (RSD) Rating Schedule

27 27 28 28 28 29 29

30, 31

4 The Spine

I. Introduction II. Rating Procedure III. Specific Rules in Rating

A. Surgical Cases B. Non-Surgical Cases

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32 32 32 32, 33 33

April 3, 2018

Table of Contents

The Spine (continued) 5 Hearing Loss

6 Vision

7 Skin

Rating Schedule

A. Cervical Spine B. Thoracic and Lumbar Spine

I. Introduction II. Rating Procedure III. Specific Rules in Rating

Examples - Table 1

I. Introduction II. Rating Procedure III. Specific Rules in Rating

Examples - Rating Schedule I - Rating Schedule II - Rating Table 1

I. Introduction II. Rating Procedure

A. Functional Impairment B. Disfigurement - Table 1 - Table 2

Page 34

34 35

36 36, 37 37 38 39

40 40, 41 41, 42 43 44 45 46

47 47 47, 48 48 49 50

Copyright 2018 All Rights Reserved

April 3, 2018

Table of Contents

8 Cardiovascular System

I. Introduction

II. Rating Procedure A. Classes 1. Class I 2. Class II 3. Class III 4. Class IV - Table 1

9 Respiratory System I. Introduction

II. Rating Procedure

III. Specific Rules in Rating

- Schedule I, Upper Respiratory System

- Schedule II, Lower Respiratory System

10 The Brain

I. Introduction

II. Rating Procedure

III. Specific Rules in Rating

11 Mental Impairment I. Introduction

II. Rating Procedure III. Specific Rules in Rating

- Classification

12 Miscellaneous Conditions

I. Introduction

II. Rating Procedure - Schedule

Page 51

51 51 51 51, 52 52 52, 53 54

55 55 56, 57 58

59-62

63, 64 64, 65 65 66 66 66-67 68-72

73

73 74

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April 3, 2018

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