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The M21-1 Adjudication Procedures Manual does not constitute law, in contrast to statutes, federal regulations, and federal case law.The Department of Veterans Affairs has stated, “[t]he M21-1 is an internal manual used to convey guidance to VA adjudicators.
Benign paroxysmal positional vertigo (BPPV) is a disorder arising from a problem in the inner ear. [3] Symptoms are repeated, brief periods of vertigo with movement, characterized by a spinning sensation upon changes in the position of the head. [1] This can occur with turning in bed or changing position. [3]
The DizzyFIX is a home medical device designed to assist in the treatment of benign paroxysmal positional vertigo (BPPV) and its associated vertigo. [1] The device is a head-worn representation of semi-circular canals. The device is filled with fluid and a particle representing the otoconia (loose hard particles) associated with BPPV.
An impairment rating is a percentage intended to represent the degree of person's permanent physical or mental impairment. For people who have had an accident or an illness that has resulted in long term or permanent reduction in the use of a part of their body or bodily function, the impairment rating can be used to measure the loss.
Epley maneuver. The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal positional vertigo (BPPV) [1] [needs update] of the posterior or anterior canals of the ear. [2]
Insomnia: Insomnia is defined as the subjective perception of difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate opportunity for sleep, and that results in some form of daytime impairment. [4] Adjustment sleep disorder (acute insomnia) 307.41 F 51.02 Psychophysiological insomnia 307.42 F 51.04
Insomnia and wake-time sleepiness are related to misalignment between the timing of a non-standard wake–sleep schedule and the endogenous circadian propensity for sleep and wake. In addition to circadian misalignment, attempted sleep at unusual times can be interrupted by noise, social obligations, and other factors.
The assessor requires little training for accurate completion and approximately fifteen minutes to score. The patient can perform the assessment retrospectively or it can be done using medical history. Secondly, the scale allows effective tracking of progress. [4] The scale is strongest and most sensitive in scaling general behavioral disability.