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Post by lreynolds » Sun Sep 07, 2014 11:17 am

A physician in our practice has been asked to evaluate a gentleman with quadriplegia for certification. He is young otherwise healthy, had a traumatic fracture of C7 which pt stated resulted in quadriplegia. He has no use of legs with no feeling from chest down. He has some movement/rotation at shoulder with some limited flex/ext at elbows/ wrists with mild flexion contractures. He has been safely driving his own vehicle with hand controls for a number of years without incident. He says he has contacted FMCSA who advised a DOT physical and then a SPE. We did not think SPE used for a spinal injury. Please give us thoughts, guidance--thanks.

Robert Swotinsky MD
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Re: quadriplegia

Post by Robert Swotinsky MD » Sun Sep 07, 2014 4:47 pm

Skill performance evaluations are for those who have significant limb impairment. The patient with quadriplegia falls in this category. He is also not going to be able to perform other tasks that may be required of a CMV operator, such as hitch/unhitch trailers, load/unload product. This will be clear to whoever hires him.

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