GUIDELINES FOR OTHER DISABILITIES

Ministry of Social Justice and Empowerment

New Delhi, the 1st June, 2001

Subject - Guidelines for evaluation of various disabilities and procedure for certification.

No. 16-18/97-NI.

ANNEXURE

Reports of the Committee set UP to review the guidelines for evaluation of various disabilities and procedure for certification and to recommend appropriate modifications/alternations keeping in view the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act 1995.

In order to review the definitions of various types of disability, the guidelines for evaluation of various disabilities and procedure for certification as given in the Ministry of Welfare's O.M.No.4-2/83-HW.III, dated the 6th August, 1986 and to recommend appropriate modifications/alterations keeping in view the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995, five Sub-Committees were constituted in the areas of Mental Retardation, Orthopedic/Locomotor Disability, Visual Disability, Speech & Hearing and Multiple Disabilities, under the Chairmanship of Dr S.P.Agarwal, Director General of Health Services, vide the Ministry of Social Justice & Empowerment's Order No.16-18/97-NI.I, dated 28.8.1998 and 21.7.1999. A copy each of the Order is at Appendix.I.

These Sub-Committees, after detailed deliberations, have submitted their reports. List of- participants of the meetings taken by the Committee is at Appendix.ll. The reports of the Committees set up to review the guidelines for evaluation of various disabilities and procedure for certification on each of the area of the disabilities are given in Appendix.lll.

APPENDIX.I

No 16-18/97-NI.I

Government of India

Ministry of Social Justice & Empowerment

New Delhi Dated 28lh August 1998.

ORDER

In order to review the definitions of various types of disability, the guidelines for evaluation of various disabilities and procedure for certification as given in the Ministry of Welfare's O.M.No.4-2/83-HW.III, dated the 6th August. 1986 and to recommend appropriate modifications/alterations keeping in view the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995, the following. Sub-Committees are hereby constituted in the areas of Mental Retardation, Orthopedic/Locomotor Disability, Visual Disability and Speech & Hearing disability:

I Sub-Committee on Mental Retardation:

II. Sub-Committee on Locomotor / Orthopaedic Disability:

III. Sub - Committee on visual Disability.

IV. Sub- Committee on Speech & Hearing Disability:

1 The terms of reference for the Committees are as follows:

TA/DA to the members of the Committee will be borne by the concerned

Institute whose Director is included as Member-Secretary of the Sub- Committee.

(Gauri Chatterjee) Joint Secretary to Govt. of India

Tele No. 3381641

To.

All Members of the Committees.

Copy for information to :

PSs to Secretary (SJ&E)/AS(SJ&E),JS(DD)

ShastriBhavan, New Delhi. Dated 21st July1999

ORDER

It has been decided to constitute a Sub-Committee in the sector of Multiple Disability, in order to have standard definitions and guidelines for evaluation and procedure for certification, arid to make appropriate recommendations. keeping in view the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995. Accordingly, a Sub-Committee is hereby constituted in the sector of multiple disability, with the following Members:

3. The terms of reference for the Committee are as follows:-

4. TA/DA to the members of the Committee will be borne by the National Institute for the Mentlally Handicapped, Secunderabad.

(Gauri Chatterji)

Joint Secretary to the Government of India.

Tele No.338 1641

To:

All Members of the Committees

Copy for information to-:

PSs to Secretary (SJ&E)/ AS (SJ&E)/ JS(DD).

APPENDIX.II

List of participants of the meeting held on 29.2.2000 under the Chairmanship of Dr. S.P.Agarwal. Director General of Health Services with the Members of Subcommittee constituted vide Order No.16-18/96-NI.I (PWD). dated 28.8.1998 of Ministry of Social Justice & Empowerment

List of participants of the meeting held on 17.8.2000 under the Chairmanship of Dr. S.P.Agarwal. Director General of Health Services with the Members of Sub-Committee constituted vide Order No.16-18/96-NI.I (PWD). dated 21.7.1999 of Ministry of Social Justice & Empowerment.

APPENDIX.III

A. MENTAL RETARDATION

B. VISUAL DISABILITY

C. SPEECH & HEARING DISABILITY

D. LOCOMOTOR DISABILITY

ANNEXURE-A LOCOMOTOR DISABILITY

REVISED GUIDELINES FOR EVALUATION OF THE PERMANENT PHYSICAL IMPAIRMENT

1.1 Guidelines for Evaluation of Permanent Physical Impairment of Upper Limb

ARM COMPONENT

Total value of arm component is 90%

1.2.1 Principles of evaluation of range of motion (ROM) of joints

Example:

The intra articular fractures of the bones of right shoulder joint may affect range of motion even after healing. The loss of ROM should be calculated in each arc of motion as. envisaged in the Assessment Form A (Assessment Proforma for Upper Extremity).

Arc of ROMNormal valueActive ROMLoss of ROM
Shoulder Flexion0-22011050%
Rotation0-180 9050%
Abduction-Adduction0-1809050%

Hence the mean loss of ROM of shoulder will be 50+50+50/3 =150/3 = 50%

Shoulder movements constitute 30% of the motion of the arm component, therefore the loss of motion for arm component will be 50 X 0.3d = 15% If more than one joint of the arm is involved the loss of percentage in each joint is calculated separately as above and then added together.

1.2.2. Principles of evaluation of strength of muscles: