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disabled appraisal| Summary of disability identification standards for limbs (arms, hands, legs, feet)

51 Prosthetics State has summarized the identification standards for limb disability based on the "Labor Capacity Appraisal - Levels of Disability Levels of Workers' Work-related Injuries and Occupational Diseases" (GB/T16180-2014) for the inquiry and application of workers injured at work.

First degree work injury:

1) Muscle strength of four limbs ≤ grade 3 or muscle strength of triplimb paralysis ≤ grade 2;

2) Loss of both elbow joints or complete loss of function;

3) Both lower limbs are missing above the knees and one upper limb is missing above the elbow;

4) Scar deformity of both lower limbs and one upper limb, complete loss of function;

Second degree work injury:

1) Trilimb paralysis, muscle strength level 3;

2) Total muscle paralysis of both hands and muscle strength ≤ level 2;

3) Bilateral forearm loss or complete loss of hands function;

4) Scar deformity of both lower limbs and complete loss of function;

5) Both knees are missing;

6) Complete loss of function of both knees and ankle joints;

7) The upper and lower limbs on the same side are missing or their functions are completely lost;

8) Complete loss of function of four or more joints in the major joints of the limbs (shoulders, hips, knees, elbows);

Third degree work injury:

1) Total muscle paralysis of both feet, muscle strength ≤ grade 2;

2) One hand is missing and the thumb of the other hand is missing;

3) The thumbs and index fingers of both hands are missing or their functions are completely lost;

4) Complete loss of function of one hand and loss of thumb function of the other hand;

5) Among the two hip and two knee joints, one joint is missing or has complete loss of function and the other joint is severely dysfunctional;

6) Missing or complete loss of function below both knees;

7) Deformity of hip and knee joints on one side, complete loss of function;

8) Deletion on the non-ipsilateral wrist or ankle;

9) Scar deformity of non-ipsilateral upper and lower limbs, complete loss of function;

Fourth degree work injury:

1) Muscle strength of single limb paralysis ≤ level 2

2) Partial muscle paralysis in both hands and muscle strength ≤ grade 2;

3) Both thumbs are completely missing or their functions are completely lost;

4) Complete loss of function of one hand and partial loss of function of the other hand;

5) One side of the elbow is missing;

6) One side is missing below the knee and the other side is missing the forefoot;

7) One side is missing above the knee;

8) One foot is missing below the ankle, and the other foot is deformed and difficult to walk;

Level five work-related injury:

1) Quadriplegia muscle strength level 4;

2) Single limb paralysis with muscle strength level 3;

3) Partial muscle paralysis in both hands and muscle strength level 3;

4) Total muscle paralysis in one hand and muscle strength ≤ level 2;

5) Total muscle paralysis of both feet, muscle strength level 3;

6) Complete apraxia, agraphia, alexia, agnosia, etc.;

7) Those with multiple symptoms including incomplete apraxia, agraphia, alexia, agnosia, etc.;

8) One side of the forearm is missing;

9) The function of one hand is completely lost;

10) Complete loss of function of one of the shoulder or elbow joints;

11) The thumb of one hand is missing, and three fingers of the other hand except the thumb are missing;

12) Complete loss of function of the thumb on one hand and complete loss of function of three fingers except the thumb on the other hand;

13) Loss of both front feet or scar deformity of both front feet, complete loss of function;

14) Soft tissue defects and scarring of the soles of both calcaneus bones result in repeated ulceration;

15) Complete loss of function of one hip (or one knee);

16) Severe functional disability remains after surgery for one of the major joints of the limbs: artificial joint;

17) One side is missing below the knee;

18) Severe arm vibration disease.

Level six work-related injury:

1) Trilimb paralysis, muscle strength level 4;

2) Paraplegia with muscle strength level 4 in both lower limbs and mild urination disorder;

3) Total muscle paralysis of both hands, muscle strength level 4;

4) Total muscle paralysis in one hand, muscle strength level 3;

5) Partial muscle paralysis of both feet and muscle strength ≤ grade 2;

6) Total muscle paralysis of one foot, muscle strength ≤ grade 2;

7) One thumb of one hand is completely missing, along with two non-thumb fingers of the other hand;

8) Complete loss of function of one thumb and complete loss of function of two fingers of the other hand except the thumb;

9) Three fingers on one hand (including thumb) are missing;

10) The remaining four fingers except the thumb are missing or have complete loss of function;

11) One side below the ankle is missing or the joint is deformed, with complete loss of function;

12) Lower limb fractures with angular deformity >15° and limb shortening of more than 4 cm;

13) One forefoot is missing, and only the big toe remains on the other foot;

14) One forefoot is missing, and the other foot, except for the big toe, has deformity of 2 to 5 toes and complete loss of function;

15) Complete loss of function of one foot and partial loss of function of the other foot;

16) Severe dysfunction of one hip or one knee joint;

17) Unilateral calcaneal soft tissue defect scar formation, repeated ulceration;

18) Moderate arm vibration syndrome;

Level 7 work-related injury:

1) Partial muscle paralysis in one hand, muscle strength level 3;

2) Partial muscle paralysis of both feet and muscle strength level 3;

3) Total muscle paralysis of one foot, muscle strength level 3;

4) Incomplete apraxia, agraphia, alexia and dereliction of duty;

5) Except for the thumb, the proximal interphalangeal joints of the other 2 to 3 fingers (including the index finger) of one hand are severed;

6) Loss of function of the proximal interphalangeal joints of 2 to 3 fingers (including the index finger) of one hand except the thumb; deformity of the interphalangeal joint of one thumb and complete loss of function;

7) Severe joint dysfunction remains after injury to one of the shoulder, elbow, or wrist joints;

8) Complete loss of function of one wrist joint;

9) 1 to 5 toes on one foot are missing;

10) One front foot is missing;

11) After artificial joint surgery, one of the major joints of the limbs, you can basically take care of yourself;

12) Intra-articular fracture of one of the major joints of the limbs leads to traumatic arthritis, leaving moderate to severe functional disability;

13) Post-injury shortening of lower limbs >2 cm, but ≤4 cm;

14) Those whose joints are unstable after knee ligament injury and whose extension and flexion functions are normal;

Grade 8 work-related injury:

1) Single limb paralysis, muscle strength level 4;

2) Total muscle paralysis in one hand, muscle strength level 4;

3) Partial muscle paralysis in both hands and muscle strength level 4;

4) Partial muscle paralysis of both feet, muscle strength level 4;

5) Partial muscle paralysis of one foot and muscle strength ≤ grade 3;

6) In addition to the thumb and index finger, the proximal interphalangeal joints of two fingers on one hand are severed;

7) In addition to the thumb and index finger, the proximal interphalangeal joint function of two fingers on one hand is completely lost;

8) Disconnection of the interphalangeal joint of one thumb;

9) The interphalangeal joint of one thumb is deformed and its function is completely lost;

10) The big toe of one foot is missing, and the non-big toe of the other foot is missing;

11) One foot has deformity of the big toe and complete loss of function, and the other foot has deformity of one toe other than the big toe;

12) Except for the big toe, the other three toes of one foot are missing;

13) Except for the big toe, the other four toes on one foot are scarred and deformed, and their functions are completely lost;

14) Intra-articular fracture of one of the major joints of the limbs leads to traumatic arthritis, leaving mild functional disability;

Grade 9 work-related injury:

1) 1/2 of the distal part of one thumb is missing;

2) 2 to 3 sections of the index finger of one hand are missing;

3) The interphalangeal joint of one thumb is stiff in the functional position;

4) Except for the thumb, the last 3 to 4 fingers are missing;

5) The distal segment of the big toe of one foot is missing;

6) Except for the big toe, the other two toes are missing or scarred and deformed, and their functions are incomplete;

7) Metatarsal or tarsal bone fractures affecting the arch of the foot;

8) No functional disability after knee meniscectomy, patella resection, and knee cruciate ligament repair after trauma;

9) After internal fixation or external fixation of long tubular bone fractures of limbs;

Level 10 work injury:

1) Disconnection or loss of function of the distal interphalangeal joint of any finger except the thumb;

2) After fingertip skin grafting (hypertrophic scar more than 1 cm2 (note: 2 is square));

3) The skin graft area on the back of the hand is >50 cm2 (note: 2 is square), and there are obvious scars;

4) Those with skin grafting area of palms and soles >30%;

5) The distal segment of any toe is missing except the big toe;

6) The area of skin grafting on the dorsum of the foot is >l00 cm2 (note: 2 is square);

7) People with knee meniscal injuries or knee cruciate ligament injuries who have not undergone surgery;

8) Mild functional disability remains after the tendon and ligament tear of large joints of the limbs;

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