How much disability is muscle strength level 4

1. Which part of the muscle strength level 4, hemiplegia, paraplegia or muscle paralysis, different parts, the level is not the same. For example: the muscle strength of both hands is grade 4, which constitutes grade 6 injury. The muscle strength of single limb paralysis was grade 4, which constituted grade 8 injury
according to the discharge record, the specific grade was compared with the reference & lt; The level of work injury and disability caused by occupational disease & gt; GB/T 16180-2014

2.

The criteria of grade 4 disability are:

1, brain, spinal cord and peripheral nerve injury: moderate mental impairment (IQ below 49) or mental disorder, severely restricted activities of daily living, occasionally need help

2. Head and face injury: one eye was absent, the other eye had low vision grade 2; Or one eye was absent, the other eye was severely deformed with low vision grade 1

3. Neck injury: affect respiratory and swallowing function

Chest injury: obvious organic arrhythmia

5, abdominal injury: one side of renal function was severely impaired, the other side of renal function was moderately impaired

6. Limb injury: complete loss of ten fingers in both hands; Both feet were absent above the tarsometatarsal joint

7, skin damage: epilepsy marks formed more than 60% of the body surface area

extended data

related treatment of level 4 disability

1. One time disability allowance: 24 months' salary for level 1 disability, 22 months' salary for Level 2 disability, 20 months' salary for Level 3 disability and 18 months' salary for level 4 disability

2. Monthly disability allowance: 90% of my salary for level 1 disability, 85% of my salary for Level 2 disability, 80% of my salary for Level 3 disability, and 75% of my salary for level 4 disability (if the actual amount of disability allowance is lower than the local minimum wage standard, the difference shall be made up)

3. Other requirements: keep labor relations and quit work. When the injured workers reach the retirement age and go through the retirement proceres, they will stop paying disability allowance and enjoy the basic pension insurance benefits. If the basic endowment insurance benefits are lower than the disability allowance, the difference shall be made up. Employers and employees pay basic medical insurance premium based on disability allowance

3. If the injury you said is true and the muscle strength test is correct, according to the road traffic accident, the disability is grade 7; If it's a work-related injury or accident, it's another matter<

supplement:
specific criteria for disability grade identification

grade I disability
L.L. 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 themselves
1.7 limb injury results in loss of more than three limbs (upper limb is above wrist joint, lower limb is above ankle joint) or complete loss of function of more than three limbs< (1) scar formation caused by skin injury is more than 90% of 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; e. Maxilla and mandible defect, more than 20 teeth falling off or broken, unable to install denture or repair, appearance damage, 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 caused by thoracic spine injury< 2. 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< (2) abdominal injury resulted in unilateral nephrectomy or complete loss of renal function, and severe renal dysfunction on the other side< 2. Scar contracture and complete loss of function of vaginal atresia caused by vulva and vagina injury< (2) limb injury results in loss of two limbs (upper limb is above elbow joint, lower limb is above knee joint) or complete loss of function of two limbs< (2) scar formation caused by skin injury accounts for more than 80% of body surface area.

grade III disability
3.1 brain, spinal cord and peripheral nerve injury: A. severe mental impairment 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 eyeball and low vision grade 3 in 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; f. 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 spinal thoracic injury, seriously affecting respiratory function.
3) neck injury: A. scar formation, contracture, complete loss of neck mobility, affecting respiratory 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, which seriously affects the 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, intestines and digestive glands, resulting in dysfunction of digestion and absorption; b. One case had nephrectomy or complete loss of function, and the other side had moderate dysfunction; Or severe impairment of bilateral renal function
3.7 pelvic injury: A. loss of bilateral ovaries, atrophy and complete loss of function in women; b. Incontinence is difficult to recover
3.8 perineal injury: A. complete penile loss, atrophy or severe deformity, complete loss of function; b. Bilateral testicular loss, atrophy, complete loss of function< (3) scar contracture, severe vaginal stricture and dysfunction caused by vulva and vagina injury
3.10 limb injury leads to loss of two limbs (upper limb is above wrist joint, lower limb is above ankle joint)< (4) brain, spinal cord and peripheral nerve injury: A. moderate mental impairment (IQ below 49) or mental disorder, severely restricted 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; f. Extreme hearing loss in both ears; 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 spinal injury affects respiratory function< (4) neck injury: A. formation and contracture of photographic marks, loss of neck mobility over 75q0; b. Affect breathing and swallowing function< (4) chest injury: A. lobectomy or pleural adhesion or thoracic Gallery deformity, affecting respiratory function; b. Obvious organic arrhythmia< (4) abdominal injury resulted in severe renal dysfunction on one side and moderate renal dysfunction on the other< (4) limb injury: A. more than 90% of the palms of both hands are missing or the palms of both hands are completely disabled; c. Ten fingers of both hands were completely missing; d. Both feet were absent above the tarsometatarsal joint< (4) epileptic scar formation caused by skin injury is more than 60% of the body surface area.

grade V disability
5.1 brain, spinal cord and peripheral nerve injury: A. moderate mental impairment or mental disorder, partial limitation of activities of daily living, occasionally requiring 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
5.2 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; f. Maxillary and mandibular defects, more than 8 teeth falling off or broken, unable to install dentures or repair, facial damage, affecting 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 dysfunction< (5) thoracic spine injury leads to malunion and affects respiratory function
5.4 neck injury: A. scar formation, contracture, loss of neck range of motion more than 50%; b. Affect respiratory function
5. Chest injury: A. lobectomy or pleural adhesion, chest deformity, affecting respiratory function; b. Organic arrhythmia< 5. Abdominal injury: a

4. The right muscle strength is grade 2 and the left muscle strength is grade 4, which can be rated as grade 4 disability< National standard of the people's Republic of China
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;

5. I only know that the strength of a single limb can only reach level 8

6. The muscle strength of one hand is grade 4, and that of both hands is grade 8. It's a pity that you're single handed, and you're not totally paralyzed. There's no standard for muscle paralysis in level 9 and level 10, so you're not classified.

7. This should be judged comprehensively. It is impossible for an upper limb muscle strength grade 4 to be grade 4. It is suggested to consult the forensic appraisal institution< (1) power of attorney
(2) medical history: ① original and of outpatient medical records; ② Hospitalization history: admission records (major medical records), operation records, discharge summary, etc. shall be sealed by the hospital, and those who have been hospitalized for many times shall be copied and sealed; ③ X-ray film, CT film, MRI film, other main auxiliary examination and laboratory examination report sheet and recent review data of the injured part; ④ Original list of medical expenses (medical expenses rationality review case); ⑤ Provide a complete history of hospitalization if necessary
(3) confirmation of traffic accident
(4) of ID card of the identified person
(5) copies of previous appraisal reports
(6) a of the indictment and an application for identification or re identification (cases entrusted by the court)
(7) the list of materials submitted for inspection is in plicate
compensation for traffic accidents generally includes the following items:
if the victim is disabled e to injury, medical expenses, work delay expenses, nursing expenses, transportation expenses, accommodation expenses, in-hospital food subsidies, necessary nutrition expenses, disability compensation, disability assistive devices expenses, living expenses of the dependant, mental damage compensation and necessary rehabilitation expenses actually incurred e to rehabilitation nursing and continuing treatment Nursing fee, follow-up treatment fee, etc.

8. The possibility of Grade 8 disability is high< National standard of the people's Republic of China
grade of occupational injury and disability of workers in labor capacity appraisal
GB / t16180-2014
5.8 grade 8
5.8.1 grading principle
partial organ defect, morphological abnormality, mild dysfunction, general medical dependence and no self-care disorder
5.8.2 grade 8 clause series
those who meet 5.8.1 or one of the following clauses are classified as grade 8 injury
1) the muscle strength of single limb paralysis was grade 4;

9. Disease analysis:
middle aged male, suffering from cerebral infarction, can't get up, sit and get out of bed.
Guidance:
if the patient can lift his leg, it is about level 4 muscle strength if it is higher than 45 degrees, it is about Level 3 muscle strength if it is lower than 45 degrees but can be lifted, it is about level 2 muscle strength if it can't be lifted but can be translated, If you can only move your toes, it's level one muscle strength

10.

Those who meet one of the following conditions should be identified as grade 4 disability (partial list):

1) moderate intellectual impairment

2) psychotic symptoms lead to lack of social skills

3) the muscle strength of single limb paralysis was less than or equal to grade 2

4) muscle strength of partial paralysis of both hands is less than grade 2,

5) muscle strength of total paralysis of one hand is less than grade 2

Cerebrospinal fluid leakage with skull base bone defect can not be repaired or repeated operation failure

7) moderate facial disfigurement

The scar area of the whole body was more than or equal to 60%, and the movement function of one joint was limited

There were more than 1 / 2 facial scars or skin grafts with mild disfigurement

Both thumbs were completely absent or had no function

The function of one hand was completely lost, and that of the other hand was partially lost

12) one side was missing below the knee and the other side was missing the forefoot

(P > 13) loss above the knee on one side

The other foot was deformed and difficult to walk

15) loss or no function below the knees

The corrected visual acuity of the other eye was & lt; 2 or field of vision ≤ 32% (or radius ≤ 20%) °) ;

17) one eye corrected visual acuity & lt; 1

18); 1 or field of vision ≤ 32% (or radius ≤ 20%) °)

19) binaural hearing loss ≥ 91dB

(P < 0.05)

< H2 > extended data

the role of disability certificate

enjoy subsidies

1. The disabled with disability certificate can enjoy the minimum living allowance or the first-class limb, vision, intelligence, spirit, multiple and the first-class hearing and language above 60 years old, and the severe disabled with poverty certificate can enjoy the living allowance for the severe disabled

2. In terms of the care (Security) of the disabled, the first grade severe disabled (excluding hearing, language and visual disabilities) or the second grade severe disabled (excluding hearing, language and visual disabilities) aged 18 to 60 years old are centralized care: the objects of the low-income families and poor families are subsidized, and the annual subsidy cash is issued according to the amount stipulated by local policies

tax preference

1. Services provided by indivials with disabilities are exempt from business tax

2. The income of the disabled shall be applied by the taxpayer and submitted to the Municipal Local Taxation Bureau for examination and approval

3. For welfare factories run by civil affairs departments and non midway social welfare proction units run by sub district offices, income tax will be temporarily exempted for those who resettle more than 35% (including 35%) of the total number of proction personnel. Income tax will be reced by half for those who resettle more than 10% but less than 35% of the total number of proction personnel

4. Land use tax will be temporarily exempted for the welfare factory land set up by civil affairs department, where the disabled people account for more than 35% (including 35%) of the total number of proction personnel