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This worksheet has been designed to help the attending physician perform impairment rating on their patients with permanent partial. The other is called "Doctor's Worksheet for Rating Dorso-Lumbar and Lumbo-Sacral Impairment".Rating spinal impairment. ▫ Most everything you need to know is in the. Subpart B—Disability Ratings​​ 4. 40 Functional loss. 4. No information is available for this page. It goes on to include details about completing a physical exam for evaluation of spinal cord injury and the classification systems for both spinal column. Table S11. 5: Spinal Nerve Root Impairment Affecting the Upper Extremity .