• Ueon Woo Rah, Jong Sam Baik, Seong Ho Jang, Dong Sik Park, and Korean Academy of Medical Sciences.
• Department of Physical Medicine and Rehabilitation, Ajou Unversity School of Medicine, Suwon, Korea. uwrah@hanmail.net
• J. Korean Med. Sci. 2009 May 1; 24 Suppl 2 (Suppl 2): S247S251S247-51.

AbstractTo develop an objective and scientific method to evaluate the brain injured and brain diseased persons with motor dysfunction, American Medical Association's Guides to the Evaluation of Permanent Impairment was used as an exemplar. After the motor dysfunction due to brain injury or brain disease was confirmed, active range of motion and muscle strength of affected extremities were measured. Also, the total function of extremities was evaluated through the assessment of activities of daily living, fine coordination of hand, balance and gait. Then, the total score of manual muscle test and functional assessment of impaired upper and lower extremity were added, respectively. Spasticity of upper and lower extremity was used as minus factors. Patients with movement disorder such as Parkinson's disease were assessed based on the degree of dysfunction in response to medication. We develop a new rating system based on the concept of total score.

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