Musculoskeletal Flashcards
A driver with an impairment of an arm, leg, hand, or foot who is otherwise medically qualified, may be certified if the driver applies for and is determined by the FMCSA to be qualified for spe certificate
True
To qualify for the spe certificate must meet requirements
Fixed stable impairment
Affect extremity
Can’t affect neck or torso
Spe certificate does not cover
Fingers or toes
Pretension testing
Going up and down steps
Grip strength
Dynamometer or syphgmanometer
Agility testing
Have them maneuver around objects
Strength testing
Lift objects with known weight
Dexterity testing
Rapidly place items in box
Repetitive testing
Repetitively grasp object
Balance
Balance on one leg at a time
Coordination
Require driver to place objects in particular order quickly
Flexibility and rom
Measure range of motion and compare
Fixed deficits waiting certification
Waiting none
Cert 2 years
Has to have up to date spe
Don’t certify
Impairment to torso
Non compliance with spe
Disqualifying limb impairment - progressive disease MS
Non fixed deficits
Waiting none
Max cert 2 years
Variety of conditions - carpal tunnel, tendinitis
Neuromuscular disorders
Disqualifying
Neuromuscular conditions
Congenital, Inflammatory, Motor neuron, Neuromuscular disorders Muscular dystrophy
Case by case consideration but is usually disqualified
Autonomic neuropathy
A spe certificate pursuant 49 CFR 391.49 granted for what
A driver has a medical evaluation summary completed by a board qualified or certified physiatrist or orthopedic surgeon
Adapting clinical evaluation of the musculoskeletal system include which of the following
Using resistance force of the dynamometer to have the driver demonstrate grip strength
The maximum certification for an individual with spe certification is
2 years
