And the most common injury diagnosis for the minor impact soft tissue spinal injury is Alteration of Motion Segment Integrity or AOMSI. AOMSI is the pathological restrictive movement of spinal vertebra or the anatomical failure of the ligamentous connective tissue. The diagnosis is make by ordering a computerized mensuration analysis which measures altered spinal movement. The second financial driver is the impairment ratings. Impairment ratings are based on the American Medical Association Guides to Impairment. The diagnosis of AOMSI can give up to a 25% impairment rating. The third financial driver is the loss of enjoyment of lifetime activities. These are restricted and painful movements of activities of daily living. The fourth financial driver is the restrictions of duties under duress. The duties under duress are limited or restricted activities relative to the work environment.
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