How many levels of limb muscle strength are considered as disabi
grade of instrial injury and occupational disease disability of workers in labor capacity appraisal
GB / t16180-2014
5.4 grade IV
5,4.1 grading principle
severe organ defect or deformity, serious dysfunction or complications, special medical dependence, or partial or no self-care disorder
5.4.2 class IV clause series
those who meet 5.4.1 or one of the following clauses are classified as class IV injury
4) the muscle strength of single limb paralysis was less than or equal to grade 2;
According to the practical evaluation standard for the disabled in China, the physical disability standard is divided as follows:
1. The first level of physical disability is unable to realize activities of daily living independently. The specific reference standards are as follows:
(1) quadriplegia: severe loss of motor function of limbs
(2) paraplegia: complete loss of motor function of both lower limbs (3) hemiplegia: complete loss of motor function of one limb (4) single upper limb and double lower leg were missing(5) absence of single lower limb and double forearm
(6) both upper arms and single thigh (or single leg) were missing
(7) loss of both upper and lower limbs
(8) limbs were absent in different parts
(9) severe dysfunction of both upper limbs or severe dysfunction of three limbs
(1) hemiplegia or paraplegia, with a little function retained (unable to walk independently) (2) absence of both upper arms or forearms(3) loss of both thighs
(4) absence of single upper limb and single thigh
(5) absence of single lower limb and single upper arm
(6) loss of three limbs in different parts (except in the first grade)
(7) severe dysfunction of two limbs or moderate dysfunction of three limbs The specific reference standards are as follows:(1) absence of both legs
(2) absence of single forearm or above(3) absence of single thigh or above
(4) the thumb of both hands or fingers other than the thumb of both hands were all missing
(5) absence of two limbs in different parts (except in the second level)
(6) severe dysfunction of one limb or moderate dysfunction of two limbs
extended data
classification of physical disability:
the ability of daily living activities of the disabled was evaluated and scored without the help of assistive devices. Activities of daily living are divided into eight items, namely: sitting, standing, walking, dressing, washing, eating, going to the toilet and writing. If one item can be achieved, one point will be calculated; if one item is difficult to achieve, one point will be calculated; if one item cannot be achieved, one point will be calculated; if one item is difficult to achieve, one point will be calculated; if one item cannot be achieved, one point will be calculated; if one item cannot be achieved, one point will be calculated; if
source of reference: the Central People's Government of the people's Republic of China - China practical assessment standards for the disabled
The criteria of physical disability include: 1. Deficiency, deformity or dysfunction of upper or lower limbs e to injury, disease or dysplasia; 2
Deformity or dysfunction of spine caused by injury, disease or dysplasia The trunk or limbs dysfunction was caused by injury, disease or abnormal development of central and peripheral nerves
classification of physical disability:
physical disability level 1: unable to achieve activities of daily living independently
Quadriplegia: severe loss of motor function of limbs Paraplegia: complete loss of motor function of both lower limbs Hemiplegia: complete loss of motor function of one limb All upper limbs and both legs were missing5
Both upper arms and single thigh (or single leg) were missing Both upper and lower limbs were missing The limbs were absent in different parts Both upper limbs had severe dysfunction or three limbs had severe dysfunction
physical disability level II: basically unable to achieve activities of daily living independently
In hemiplegia or paraplegia, the resial limb retains a little function (unable to walk independently) Both upper arms or forearms were absent3
4
5
Three limbs were missing in different parts (except in the first grade) Severe dysfunction of two limbs or moderate dysfunction of three limbs
physical disability level 3: able to partially achieve activities of daily living independently
1
2. Absence of single forearm or above
3. Absence of single thigh or above
The thumb of both hands or fingers other than the thumb of both hands were all missing The two limbs were missing in different parts (except in the second grade)6. Severe dysfunction of one limb or moderate dysfunction of two limbs
physical disability level 4: basically able to achieve activities of daily living independently
1
2. The length of lower limbs is not equal, and the difference is more than 5 cm (including 5 cm)
(3) the spinal column was stiff Spinal deformity, kyphosis greater than 70 degrees or scoliosis greater than 45 degrees All the other four fingers except one hand thumb were missing There was no significant difference between the two groups (P > 6)7
Both toes were completely lost or lost function Dwarfism (alts with height less than 130 cm)10. Moderate dysfunction of one limb or mild dysfunction of two limbs
Other limb dysfunction similar to the above1. To apply to the human resources and Social Security Bureau (the former Labor Bureau), the company needs to declare within one month of the accident. If the company does not apply, the injured employees or their close relatives will apply for recognition within one year. Materials to be submitted: instrial injury identification application form (generally downloaded from the website of the Labor Bureau), proof materials of labor relationship with the employer, medical diagnosis certificate, etc
2. If the injury is relatively stable after treatment and there is disability, which affects the labor ability, it should apply for labor ability appraisal and apply to the municipal labor ability appraisal committee divided into districts (generally set up in the human resources and Social Security Bureau at the same level)
3. According to different disability levels, the compensation is different. The main compensations are: medical expenses, one-time disability allowance, one-time employment allowance, one-time medical allowance, wages ring the period of work stoppage and salary retention, food allowance, nursing expenses, etc
4. If the laborer has no labor contract or other evidence to prove the existence of labor relations and can not apply for the identification of work-related injury, he can first apply for labor arbitration to confirm the existence of labor relations between you and the employer. After the labor arbitration confirmed the existence of labor relations, and then apply for instrial injury identification
5. Relevant legal basis: Regulations on instrial injury insurance, measures for determination of instrial injury, labor dispute mediation and Arbitration Law and regulations on instrial injury insurance of your province
Level 2 is more serious than level 3. You can't reach level 2 with other physical obstacles
the specific criteria of disability level identification
1. Injury of brain, spinal cord and peripheral nerve; a. Plant state; b. Extreme mental impairment (IQ below 20) or mental disorder, unable to take care of themselves in daily life, relying on others to help; c. Quadriplegia (more than three limbs and less than 3 muscle strength); d. Paraplegia (muscle strength below grade 2) with incontinence (1) bilateral eyeball loss caused by head and face injury; Or one eye was absent, the other eye was severely deformed with blindness grade 5 (1) severe malunion and respiratory dysfunction caused by thoracic spinal injury (1) severe respiratory and swallowing dysfunction caused by neck injury (1) chest injury: A. lobectomy or severe extensive adhesion of bilateral pleura or severe thoracic deformity, severe respiratory dysfunction; b. Heart function is not complete, heart function is w grade; Or cardiac insufficiency, cardiac function grade 5 with obvious organic arrhythmia (1) abdominal injury: A. partial resection of stomach, intestine and digestive gland. The digestive and absorptive functions were seriously impaired, and they were unable to take care of themselves in daily life; b. Bilateral nephrectomy or complete loss of function, daily life completely unable to take care of themselves1.7 limb injury results in loss of more than three limbs (upper limb above wrist joint, lower limb above ankle joint) or complete loss of function of more than three limbs
The scar formation of skin injury was more than 90% of the body surface area (2) brain, spinal cord and peripheral nerve injury: A. severe mental impairment (IQ below 34) or mental disorder, daily life can only be completed with help at any time; b. Complete aphasia; c. Bilateral facial paralysis is difficult to recover, the appearance is damaged, and the function of eating and language is completely lost; d. Blindness in both eyes was grade 5; e. Quadriplegia (more than two limbs and less than 2 muscle strength); f. Hemiplegia or paraplegia (muscle strength below grade 2) (2) head and face injury: A. loss of one eye and blindness of the other eye grade 4; Or one eye was absent, and the other eye was severely deformed with low vision above grade 3; b. Severe bilateral blepharoptosis (or severe deformity) with binocular low vision above grade 4; Or severe ptosis of one eyelid (or severe deformity), the blindness of this eye was above grade 4, and the blindness of the other eye was above grade 5; c. Blindness in both eyes was grade 5; d. Temporomandibular joint ankylosis, closed teeth, complete loss of eating and language function There were more than 20 teeth falling off or broken, unable to install denture or repair, damaged appearance, serious masticatory and language dysfunction; f. Severe hearing impairment with bilateral auricle loss (or severe deformity); Or extreme hearing impairment of both ears with one auricle missing and severe deformity of the other auricle; g. Scar formation, facial damage and organ dysfunction were observed (2) severe malunion and respiratory dysfunction were caused by thoracic spine injury2.4 respiratory and swallowing dysfunction caused by neck injury
(2) chest injury: A. lobectomy or extensive and severe pleural adhesion, resulting in thoracic deformity and respiratory dysfunction; b. Heart function insufficiency, heart function grade III; Or cardiac insufficiency, cardiac function grade II with obvious organic arrhythmia Abdominal injury resulted in one side nephrectomy or complete loss of function, and the other side renal function was severely impaired The scar contracture was caused by vulva and vagina injury, and the function of vaginal atresia was completely lost2.8 limb injury leads to the loss of two limbs (upper limb above elbow joint, lower limb above knee joint) or complete loss of function of two limbs
The scar formation caused by skin injury was more than 80% of the body surface area Injury of brain, spinal cord and peripheral nerve: A. severe mental defect or mental disorder, unable to live independently, requiring constant monitoring. b. Severe traumatic epilepsy, drug uncontrollable, major seizures more than once a month on average or localized seizures more than four times a month on average or minor seizures more than seven times a week on average or psychomotor seizures more than three times a month on average; c. Severe motor aphasia or sensory aphasia; d. Severe involuntary movement or ataxia; e. Quadriplegia (more than two limbs and less than 3 muscle strength); f. Hemiplegia or paraplegia (muscle strength below 3 g. incontinence is difficult to recover (3) head and face injury: A. loss of one eye and low vision of the other eye; Or one eye was absent, and the other eye was severely deformed with low vision grade 2; b. Severe bilateral blepharoptosis (or severe deformity) with binocular low vision above grade 3; Or severe ptosis of one eyelid (or severe deformity), the low vision of this eye is above grade 3, and the blindness of the other eye is above grade 4; c. Blindness of both eyes was above grade 4; d. The visual field of both eyes was nearly complete defect (diameter less than 5 ° e. Maxillary and mandibular defects, more than 16 teeth falling off or broken, unable to install dentures or repair, facial damage, chewing and language dysfunction Severe limitation of mouth opening, disfigurement of appearance, serious disturbance of eating and language function; g. Severe hearing impairment with unilateral auricle loss (or severe deformity); h. One ear had severe hearing impairment, the other had severe hearing impairment, with one ear missing (or severe deformity), and the other ear missing (or deformity) was more than 50%; i. Severe binaural hearing impairment with bilateral auricle loss (or severe deformity); Or severe hearing impairment with auricle loss on one side and severe auricle deformity on the other side; j. More than 75% of facial scar formation, facial damage and organ dysfunction (3) severe malunion caused by thoracic spine injury seriously affected respiratory function (3) neck injury: A. scar formation, contracture, complete loss of neck mobility, affecting breathing and swallowing function; b. It seriously affects the function of respiration and swallowing (3) chest injury: A. lobectomy or extensive pleural adhesion or chest gallery deformity, seriously affecting respiratory function; b. Cardiac insufficiency, positive cardiac function and organic arrhythmia; Or cardiac function grade 1 with obvious organic arrhythmia (3) abdominal injury: A. partial resection of stomach, intestine and digestive gland, resulting in digestive and absorption dysfunction; b. One case had nephrectomy or complete loss of function, and the other side had moderate dysfunction; Or severe impairment of bilateral renal function (3) pelvic injury: A. loss of bilateral ovaries, atrophy and complete loss of function; b. Incontinence is difficult to recover (3) perineal injury: A. complete penile loss, atrophy or severe deformity, complete loss of function; b. Bilateral testicular loss, atrophy, complete loss of function (3) trauma of vulva and vagina resulted in scar contracture, severe vaginal stenosis and dysfunction3.10 loss of two limbs caused by limb injury (upper limb above wrist joint, lower limb above ankle joint)
(3) skin injury caused the formation of scar, which was more than 70 IC of body surface area (4) injury of brain, spinal cord and peripheral nerve: A. moderate mental impairment (IQ below 49) or mental disorder, severe limitation of activities of daily living, and occasionally need help; b. Unilateral facial paralysis is difficult to recover, facial damage, eating and language dysfunction; c. Hemiplegia or paraplegia (muscle strength below grade 4); e. The erectile function of penis was completely lost (4) head and face injury: A. loss of one eye and low vision of the other eye grade 2; Or one eye was absent, and the other eye was severely deformed with low vision grade 1; b. Severe bilateral blepharoptosis (or severe deformity) with binocular low vision above grade 2; Or severe ptosis (or severe deformity) of the other eyelid, the low vision of this eye is more than grade 2, and the low vision of the other eye is more than grade 3; c. Low vision of both eyes was above grade 3; d. The visual field of both eyes was extremely deficient (diameter less than 10 mm) ° e. Maxillary and mandibular defects, more than 12 teeth falling off or broken, unable to install dentures or repair, seriously affect chewing and language function Both ears were extremely hearing impaired; g. One ear had severe hearing impairment, and the other had severe hearing impairment with loss (or deformity) of one ear corridor; h. Severe binaural hearing impairment with unilateral auricle loss (or severe deformity); i. Moderate to severe hearing impairment with bilateral auricle loss (or severe deformity); Or moderate or severe hearing impairment with one ear missing and the other severe auricle deformity; j. The formation of facial blood stasis was more than 50 Qo, and the appearance was damaged and organ dysfunction (4) severe malunion caused by thoracic spine injury affected respiratory function (4) neck injury: A. formation of film marks, contracture, loss of neck range of motion more than 75q0; b. Affect breathing and swallowing function (4) chest injury: A. lobectomy or pleural adhesions or thoracic Gallery deformity, affecting respiratory function; b. Obvious organic arrhythmia (4) abdominal injury caused severe renal dysfunction on one side and moderate renal dysfunction on the other (4) limb injury: A. loss of more than 90% of palms or complete loss of function of palms; c. Ten fingers of both hands were completely missing; d. Both feet were absent above the tarsometatarsal joint (4) the formation of epileptogenic scar caused by skin injury was more than 60% of the body surface area Injury of brain, spinal cord and peripheral nerve: A. moderate mental impairment or mental disorder, partial limitation of activities of daily living, occasional need for monitoring. b. Traumatic epilepsy, drug can not be completely controlled, major seizures are more than once every three months on average, local seizures are more than twice a month on average, minor seizures are more than four times a week on average, and psychomotor seizures are more than once a month on average; c. Severe apraxia or agnosia; d. Hemiplegia or paraplegia (muscle strength of more than one limb is below grade 2); e. Monoplegia (muscle strength below grade 2); f. Fecal or urinary incontinence is difficult to recover (2) head and face injury: A. loss of one eye with low vision grade 1 in the other eye; Or one eye loss with one eye deformity and near normal vision; b. Severe bilateral blepharoptosis (or severe deformity) with binocular low vision grade 1; Or one eye with severe drooping face (or severe deformity), the low vision of this eye is more than grade 1, and the low vision of the other eye is more than grade 2; c. Low vision of both eyes was above grade 2; d. Severe visual field defect in both eyes (diameter less than 20 ° e. More than 50% of the patients had complete paralysis of tongue muscle or loss of tongue body (or severe deformity), and their pronunciation and eating function were seriously impaired There were more than 8 teeth falling off or broken, unable to install denture or repair, and damaged appearance, which affected chewing and language function; g. One ear had severe hearing impairment, the other had severe hearing impairment; h. More than 50% of the patients had severe hearing impairment with unilateral auricle loss (or deformity); i. Moderate to severe hearing impairment in both ears with unilateral auricle loss (or severe deformity); j. Bilateral auricle loss (or severe deformity); k. Complete defect (or severe deformity) of external nose, appearance damage and loss of normal ventilation function of both nasal cavities; l. More than 25% of the patients had facial scar formation, facial damage and organ dysfunction5.3 thoracic spine injury caused malunion and affected respiratory function
(5) neck injury: A. scar formation, contracture, loss of neck mobility more than 50%; b. Affect respiratory function (5) chest injury: A. lobectomy or pleural adhesion, chest deformity, affecting respiratory function; b. Organic arrhythmia Abdominal injury: A. partial resection of stomach, intestines, digestive glands, etc1. Definition of physical disability
physical disability refers to the loss of human motor function in varying degrees and the limitation of activity or participation caused by the structure and function damage of human motor system, which results in limb deformity or paralysis (paralysis) or deformity of limbs and trunk
limb disability includes:
1. Deficiency, deformity or dysfunction of upper or lower limbs e to injury, disease or dysplasia
2. Deformity or dysfunction of spine caused by injury, disease or dysplasia
3. Trunk or limbs dysfunction caused by injury, disease or abnormal development of central and peripheral nerves
Second, the classification of physical disability
physical disability level 1: unable to achieve activities of daily living independently
1. Quadriplegia: severe loss of motor function of limbs< Paraplegia: complete loss of motor function of both lower limbs
3. Hemiplegia: complete loss of motor function of one limb
4
5
6. Absence of both upper arms and single thigh (or single leg)
7
8
9. Severe dysfunction of both upper limbs or severe dysfunction of three limbs
physical disability level 2: basically unable to achieve activities of daily living independently
1. Hemiplegia or paraplegia, the resial limb retains a little function (unable to walk independently)
2
3
4
5
6. Loss of three limbs in different parts (except in the first level)
7. Severe dysfunction of two limbs or moderate dysfunction of three limbs
physical disability level 3: able to partially achieve activities of daily living independently
1
2
3
4
5. The absence of two limbs in different parts (except in the second level)
6. Severe dysfunction of one limb or moderate dysfunction of two limbs
physical disability level 4: basically able to achieve activities of daily living independently
1
2. The length of lower limbs is unequal, and the difference is more than 5 cm (including 5 cm)
3
4. Spinal deformity, kyphosis greater than 70 degrees or scoliosis greater than 45 degrees
5
6
7
8
9. Dwarfism (alts less than 130 cm in height)
10. Moderate dysfunction of one limb and mild dysfunction of two limbs
11. Other limb dysfunction similar to the above.
2. After the injury is stable, you can apply for labor ability appraisal, identify the level of work injury, and then ask the employer for disability compensation according to the level of disability;
a. the patient can not live independently and needs to be supervised frequently
B. all kinds of activities are limited to indoor activities
C. obvious occupational limitation
D. social interaction difficulties< A. the ability of daily living is severely limited and sometimes needs help
B. all kinds of activities are limited, which are limited to the activities within the residential area
C. the type of occupation is limited
D. social interaction is severely restricted.