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Ann Indian Acad Neurol. 2019 Oct-Dec;22(4):373-376. doi: 10.4103/aian.AIAN_165_19. Epub 2019 Oct 25.

Critical Appraisal of Guidelines for Evaluation and Certification of Specified Neurological Disabilities.

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Department of Neurology, Dr Sampurnanand Medical College, Jodhpur, Rajasthan, India.
Department of Physical Medicine and Rehabilitation, Dr Sampurnanand Medical College, Jodhpur, Rajasthan, India.
Department of Psychiatry, Dr Sampurnanand Medical College, Jodhpur, Rajasthan, India.
School of Public Health, AIIMS, Jodhpur, Rajasthan, India.


New disability law called "Rights of Persons with Disabilities Act 2016" has been acted in 2016. The United Nations' Convention for Rights of Persons with Disabilities is the sole of this new act. Of the total 21 categories, three new neurological legal disability categories such as chronic neurological conditions, Parkinson disease (PD), and multiple sclerosis have been notified first time in the new act. The new guidelines have been notified in the year 2018 for evaluation and certification of specified disabilities. As a new addition in these guidelines, modified Rankin scale score has been added to measure locomotor disability of stroke. Certainly, newer guidelines have many lacunae also. There are no recommendations of any method of disability measurement associated with movement disorders such as PD, chronic neurological conditions such as migraine, epilepsy, and ataxia. The tables of older guidelines for disability calculation in conditions such as unconsciousness and epileptic fits have been removed in newer guidelines. Professional bodies should come into action immediately and do effort for rectifying these shortcomings and/or fallacies in new guidelines.


Disability; disability law; guidelines

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