Repetitive or forceful activities

Definitions

Note that there are different definitions for repetitive activities depending on whether you are considering a reasonable hypothesis case (operational service) or a balance of probabilities case (eligible service).  The definition of forceful activities is the same for both standards of proof.

·    Repetitive activities for reasonable hypothesis cases

·    Repetitive activities for balance of probabilities cases

·    Forceful activities

The SOP factor allows for any combination of repetitive activities or forceful activities with the hand affected by carpal tunnel syndrome.

Physical requirements, duties, and workplace hazards of specific military occupations

LAST REVIEWED FOR CCPS 21 FEBRUARY 2014.

INVESTIGATIVE DOCUMENTS

PRELIMINARY QUESTIONS [17092]

17107  the veteran has established the causal connection between the repetitive or forceful activities and VEA service for carpal tunnel syndrome.

17108   the veteran has established the causal connection between the repetitive or forceful activities and VEA service for the clinical onset of carpal tunnel syndrome.

17114  the veteran has established the causal connection between the repetitive or forceful activities and operational service for the clinical onset of carpal tunnel syndrome.

or

17115  the veteran has established the causal connection between the repetitive or forceful activities and eligible service for the clinical onset of carpal tunnel syndrome.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

17109   the veteran has established the causal connection between the repetitive or forceful activities and VEA service for the clinical worsening of carpal tunnel syndrome.

17116  the veteran has established the causal connection between the repetitive or forceful activities and operational service for the clinical worsening of carpal tunnel syndrome.

or

17117  the veteran has established the causal connection between the repetitive or forceful activities and eligible service for the clinical worsening of carpal tunnel syndrome.

CLINICAL ONSET AND OPERATIONAL SERVICE [17114]

24035 the veteran has performed repetitive or forceful activities with other relevant side and site of the body for at least 130 hours within a period of 120 consecutive days at some time.

24036 the veteran has performed repetitive or forceful activities with other relevant side and site of the body for at least 130 hours within a period of 120 consecutive days before the clinical onset of the condition under consideration.

34305 operational service made a material contribution to the requirements of the Statement of Principles for repetitive or forceful activities before the clinical onset of the condition under consideration.

25119 where operational service made a material contribution to the requirements of the Statement of Principles for repetitive or forceful activities before the clinical onset of the condition under consideration, those service-related activities ceased more than 30 days before the onset.þ

or

34311 the veteran performed repetitive or forceful activities with other relevant side and site of the body as a consequence of an illness or injury which is identifiable.

34312 the identified illness or injury made a material contribution to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body for at least 130 hours within a period of 120 consecutive days before the clinical onset of the condition under consideration.

34316 where the identified illness or injury made a material contribution to the requirements of the RH Statement of Principles for repetitive or forceful activities, those activities ceased more than 30 days before the clinical onset of the carpal tunnel syndrome.

34320  the identified illness or injury which materially contributed to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body is causally related to operational service.

CLINICAL ONSET AND ELIGIBLE SERVICE [17115]

24038 the veteran has performed repetitive or forceful activities with other relevant side and site of the body for at least 260 hours within a period of 210 consecutive days at some time.

24040 the veteran has performed repetitive or forceful activities with other relevant side and site of the body for at least 260 hours within a period of 210 consecutive days before the clinical onset of the condition under consideration.

34306 eligible service made a material contribution to the requirements of the Statement of Principles for repetitive or forceful activities before the clinical onset of the condition under consideration.

25121 where eligible service made a material contribution to the requirements of the Statement of Principles for repetitive or forceful activities before the clinical onset of the condition under consideration, those service-related activities ceased more than 30 days before the onset.

or

34311 the veteran performed repetitive or forceful activities with other relevant side and site of the body as a consequence of an illness or injury which is identifiable.

34313 the identified illness or injury made a material contribution to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body for at least 260 hours within a period of 210 consecutive days before the clinical onset of the condition under consideration.

34317 where the identified illness or injury made a material contribution to the requirements of the BOP Statement of Principles for repetitive or forceful activities, those activities ceased more than 30 days before the clinical onset of the carpal tunnel syndrome.

34321  the identified illness or injury which materially contributed to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body is causally related to eligible service.

CLINICAL WORSENING AND OPERATIONAL SERVICE [17116]

24035 the veteran has performed repetitive or forceful activities with other relevant side and site of the body for at least 130 hours within a period of 120 consecutive days at some time.

24043 the veteran has performed repetitive or forceful activities with other relevant side and site of the body for at least 130 hours within a period of 120 consecutive days before the clinical worsening of the condition under consideration.

24042 the clinical onset of the condition under consideration occurred before the veteran performed repetitive or forceful activities with other relevant side and site of the body for at least 130 hours within 120 consecutive days.

34307 operational service made a material contribution to the requirements of the Statement of Principles for repetitive or forceful activities before the clinical worsening of the condition under consideration.

25120 where operational service made a material contribution to the requirements of the Statement of Principles for repetitive or forceful activities before the clinical worsening of the condition under consideration, those service-related activities ceased more than 30 days before the worsening.

or

34311 the veteran performed repetitive or forceful activities with other relevant side and site of the body as a consequence of an illness or injury which is identifiable.

34314 the identified illness or injury made a material contribution to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body for at least 130 hours within a period of 120 consecutive days before the clinical worsening of the condition under consideration.

34318 where the identified illness or injury made a material contribution to the requirements of the RH Statement of Principles for repetitive or forceful activities, those activities ceased more than 30 days before the clinical worsening of the carpal tunnel syndrome.

34320  the identified illness or injury which materially contributed to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body is causally related to operational service.

34322 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that materially contributed to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body is causally related.

CLINICAL WORSENING AND ELIGIBLE SERVICE [17117]

24038 the veteran has performed repetitive or forceful activities with other relevant side and site of the body for at least 260 hours within a period of 210 consecutive days at some time.

25415 the veteran has performed repetitive or forceful activities with other relevant side and site of the body for at least 260 hours within a period of 210 consecutive days before the clinical worsening of the condition under consideration.

24045 the clinical onset of the condition under consideration occurred before the veteran performed repetitive or forceful activities with other relevant side and site of the body for at least 260 hours within 210 consecutive days.

34308 eligible service made a material contribution to the requirements of the Statement of Principles for repetitive or forceful activities before the clinical worsening of the condition under consideration.

25122 where eligible service made a material contribution to the requirements of the Statement of Principles for repetitive or forceful activities before the clinical worsening of the condition under consideration, those service-related activities ceased more than 30 days before the worsening.

or

34311 the veteran performed repetitive or forceful activities with other relevant side and site of the body as a consequence of an illness or injury which is identifiable.

34315 the identified illness or injury made a material contribution to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body for at least 260 hours within a period of 210 consecutive days before the clinical worsening of the condition under consideration.

34319 where the identified illness or injury made a material contribution to the requirements of the BOP Statement of Principles for repetitive or forceful activities, those activities ceased more than 30 days before the clinical worsening of the carpal tunnel syndrome.

34321  the identified illness or injury which materially contributed to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body is causally related to eligible service.

34323 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that materially contributed to the veteran's performance of repetitive or forceful activities with other relevant side and site of the body is causally related.