Sometimes, the VA does not accurately assess a Veterans condition, which can lead to a wrongful denial of a claim. This is a relatively common condition that can be caused by the tasks required of military members, including physical training, transporting supplies, or lifting heavy objects on a regular basis. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veteran's level of disability. If you hold your arms straight and palms against your sides and raise your arms in front of your body to point your hands at something in front of you, youre practicing flexion. 367 0 obj <>stream It will be rated the minimum 10% unless there is limited motion that qualifies for a higher rating. Injuries in combat, such as a blow from an accident, a forceful impact, or a fall, could also result in shoulder or arm injury. Forward flexion of the shoulder is defined as elevation of the humerus in front of the body in the sagittal plane (Fig. The VA rates shoulder conditions based on how they affect the use of shoulders and arms. The technical storage or access that is used exclusively for statistical purposes. Range of motion measurements for any body part should be clearly measured with a goniometer. Last medically reviewed on September 13, 2018. Appeals to the Board of Veterans Appeals, Appeal to the Court of Appeals for Veterans Claims, Increase Veterans Affairs Disability Rating, Total Disability Based on Individual Unemployability (TDIU), VA Mental Health: Legal Help for Veterans, Veterans Affairs Compensation for Sleep Apnea, VA Rating for Traumatic Brain Injury (TBI), Camp Lejeune Water Contamination Symptoms, 2023 Veterans Affairs Disability Rate Increase. This involves moving your arms from palms against the side of your body to the highest point you can raise your arms over your head. A normal range of motion for shoulder extension to the highest point you can lift your arm behind your back starting with your palms next to your body is between 45 and 60 degrees. VA disability ratings can range from 0% up to 100% total disability depending on the severity of one's range of motion injury. Extension is a movement that increases the angle between the two parts that the joint is connecting. The Soldier may be rated with reference to shoulder abduction or shoulder forward elevation (flexion) - whichever provides the higher rating. #34938Washington, D.C. 20090-6503, Phone: (888) 878-9350 Veterans should provide copies of medical records detailing symptoms, treatment, and results. The Schedule of Ratings for the musculoskeletal system is found at, , and it contains numerous subcategories. VA does not send copies of the report unless specifically requested, so in order to receive a copy, the veteran must request one. trailer The VA Schedule of Rating Disabilities provides a basis for service connection and rating each disability. If you hug yourself, your shoulders are adducting. Many musculoskeletal conditions are rated based on the range of motion, a mostly testable measure of how much loss of function the disability causes. VeriSign secured VA Ratings for Shoulder Replacements Shoulder replacements are evaluated under Diagnostic Code 5051. These cookies collect information about how you use our website. 0000000844 00000 n Without service connection, you will not be able to qualify for compensation the VA can only provide financial support to Veterans with verifiable, service-connected disabilities. For instance, which pages you go to most. In addition to testing for initial range of motion, your VA physician should also check your repetitive motion to see if there is a higher degree of functional loss afterward. The normal shoulder range of motion is 157 -162 for Forward Flexion Is an upgoing movement from the front side or the sagittal plane facilitated by the pectorals, anter More, 148-152 for Abduction Is a sideways upgoing movement in the frontal plane brought about by the supraspinatus and the mid, and 53 - 59 for External Rotation The range of shoulder external rotation is one of . Learn about the Normal Joint Range of Motion Study | CDC People with bleeding disorders, such as hemophilia and Von Willebrand Disease, may develop chronic joint disease from repeated bleeding into their joints. You must log in or register to reply here. The courts further likened the reasonable doubt rule as akin to the principle in baseball that the tie goes to the runner.. For instance, under the subcategory for The Knee and Leg, there are eight diagnostic codes: Several of these disabilities are rated based on the degree of motion, but we will look specifically at limitation of extension for an example. He is aformer active duty Air Force officerwith extensive experience leading hundreds of individuals and multi-functional teams in challenging international environments, including a combat tour to Afghanistan in 2011 supporting Operation ENDURING FREEDOM. Rotator cuffs, dislocations, and poorly healed bones all contribute to long-term disabilities in veterans. Function: Upward rotation of scapula; elevation of the arm above shoulder level. Estimate your 2023 VA Rating & Compensation for FREE! When taking your C&P exam, tell your VA physician everything you can about your condition, including how your symptoms may vary from day-to-day. Ensure the security of your data and transactions USLegal fulfills industry-leading security and compliance standards. Veterans may be eligible to receive as much as 50% disability compensation. Clinical descriptive measures of shoulder range of motion for a healthy, young and physically active cohort. The rotator cuff is a network of four tendons that connect the humerus to the scapula. 0000000596 00000 n Yes or no. Extrinsic muscles of the shoulder girdle: (1) Pectoralis major II (costosternal); (2) latissimus dorsi and teres major (teres major, although technically an intrinsic muscle, is included with latissimus dorsi); (3) pectoralis minor; (4) rhomboid, 5303 Group III. The Schedule of Ratings expresses range of motion in degrees, making it easy for disabilities to be rated and categorized. The following Diagnostic Codes are included under the former and evaluated based on the range of motion of a major/minor joint group: Diagnostic Code 5200 Scapulohumeral articulation, ankylosis (abnormal stiffening and immobility) of: Diagnostic Code 5201 Arm, limitation of motion of: Diagnostic Code 5202 Humerus, other impairment of: Diagnostic Code 5203 Clavicle or scapula, impairment of: The Diagnostic Codes under 38 CFR 4.73 for shoulder and arm conditions are split into six groups based on the limitation of motion of the different affected muscles. Hip range of motion is variable. The VA wants to . Your Knee Pain was caused or made worse by your active-duty military service. VA Disability Ratings for Shoulder and Arm Conditions, Learn About CCK's Partnership with DAV and Harvard Law School, - Learn About CCK's Partnership with DAV and Harvard Law School, 38 CFR 4.71a Schedule of Ratings Musculoskeletal System, 4.73, Schedule of Ratings Muscle Injuries, total disability based on individual unemployability (TDIU), Common Shoulder and Arm Conditions Among Veterans, Compensation and Pension Exams (C&P) for Shoulder and Arm Conditions, Obtaining TDIU with a Shoulder or Arm Condition, 10 Most Common Disabilities for Veterans and How Theyre Rated, Recurrent dislocation of scapulohumeral joint. If you have a disability claim with the VA that you would like to appeal, please contact our team at (888) 682-0786 to schedule a free case evaluation. Function: Elevation and abduction of arm to the level of the shoulder; act with 1 and 2 of Group II in forward and backward swing of the arm. You can struggle with aches and pains of varying severity throughout any given week, and your condition can even improve or worsen throughout the day. The Schedule of Ratings lists disabilities under different categories based on the part of the body affected. Range of motion refers to the directions and limits of movement in each joint of the body. Information regarding joint function on repetitive use is broken up into two subsets. Learn about its causes and home exercises that can help. The ability of your shoulders to move in a normal range depends on the health of your: Your shoulders have the ability to move more than most joints. The experienced VA disability attorneys on our team understand how VA claims work and are dedicated to helping Veterans get the compensation they are entitled to. The following are a list of five sections and common questions asked at a VA C&P exam for Knee Pain, based on the DBQ for Knee and Lower Leg conditions. %%EOF There are several types of range-of-motion exercises. These cookies may be set through our website by our advertising partners. For example, I cannot lift any weight, carry bags on my shoulder or in my hands, use it to support myself, etc. Does procured evidence (statements from the Veteran) suggest pain, fatigability, weakness, lack of endurance, or incoordination which significantly limits functional ability with flare-ups? The DoD will also rate service-connected conditions as long as they also make the service memberUnfit for Duty. All Rights Reserved. Injuries to the shoulder and arm commonly occur while performing both combat and non-combat duties during service. Range of Motion on VA C & P ExamWe are retired #VA raters and we educate veterans on the VA claims process.You have VA claim questions? His victories for veterans are often featured in mainstream news, including the Miami Herald, Dallas Morning News, Sacramento Bee, and others, as well as in many military publications. Alternatively, they might suffer from more stiffness and loss of range of motion throughout the day. In the exam report, the examiner is requested to provide an estimate of decreased range of motion (in degrees) that reflect frequency, duration, and during flare- -ups even if not directly observed during a flare-up and/or after repeated use over time. Many veterans leave the service with shoulder problems. 5301 Group I. Pro Tip: For any joint condition, examiners should address pain on both passive and active motion, and on both weight-bearing and nonweight-bearing. You MAY be entitled to a separate evaluation for any muscle injuries as a result of the shoulder impairment if they are not based on the same symptoms as the shoulder itself. xref If yes, was it Flexion, Extension, or both? VA proposes to clarify the terminology used in these criteria by adding ranges of motion of the shoulder. Many veterans experience chronic or worsening pain after they leave active duty. Degenerative disc disease PO Box 96503Dept. Optimally, a description of any additional loss of function should be provided such as what the degrees of range of motion would be opined to look like after repetitive use over time. Active motions are those that can be . Get the free normal range of motion chart form Get Form Show details Fill range of motion chart pdf: Try Risk Free Form Popularity range of motion assessment pdf form Get, Create, Make and Sign va range of motion chart for knee Get Form eSign Fax Email Add Annotation Share Normal Joint Range Of Motion Chart is not the form you're looking for? If abnormal, does the range of motion itself contribute to a functional loss? Apply passive range of motion techniques to the lower extremity + + + OVERVIEW + + Physiologic motions are joint and soft tissue movements that can be produced actively or passively. you viewed to avoid repetition. If your musculoskeletal condition inhibits your range of motion significantly, you are more likely to receive a higher disability rating from the VA. If you are a Veteran with a service-connected disability that limits your range of motion, you are entitled to disability compensation. Protective tissues called the labrum line the joint socket. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. Its held there with muscles, tendons, and ligaments. Below are some common examples of shoulder and arm conditions: Generally speaking, VA rates shoulder and arm conditions under both 38 CFR 4.71a Schedule of Ratings Musculoskeletal System and 4.73, Schedule of Ratings Muscle Injuries. 5B. This can make it tough to present the VA with an accurate representation of the severity of your disability because you may often be dealing with varying levels of pain or limited range of motion. Hear from fellow Veterans just like you, with many of our Veteran Success Managers having gone through our programs. SECTION III RANGE OF MOTION (ROM) AND FUNCTIONAL LIMITATION. Arthritis, degenerative (hypertrophic or osteoarthritis). There are two types: Active ROM (AROM) Passive ROM (PROM) Figure 2. 0 For example, a veteran can be rated for Knee Pain secondary to Hip Pain, among others. For VA purposes, normal range of shoulder motion is: forward extension (flexion) 0 to 180 degrees; shoulder abduction 0 to 180 degrees; internal rotation 0 to 90 degrees; and external rotation 0 to 90 degrees. Active range of motion shoulder. 12 Stretches to Help Relieve Tight Shoulders, Everything You Need to Know About Muscle Stiffness, What You Should Know About Primary Lateral Sclerosis. Is there ankylosis of the knee and/or lower leg? If the veteran is unable to obtain substantially gainful employment as the result of a shoulder or arm condition, they may be eligible for total disability based on individual unemployability (TDIU). Is Age a Factor in VA Claims? Options may include a mastectomy, chemotherapy, radiation, or removal of skin lesions. VA disability ratings for back pain go from 10% to 100% depending on how severe your symptoms are, including your range of motion and pain frequency and level. Veterans who have a disability resulting from a shoulder injury during service may be entitled to VA benefits. Not being able to use your shoulder can affect your ability to work and limit daily life. If you are rated 20% or less from the DoD, then you will receive a single separation payment. We have updated our Privacy Policy. Finally, veterans must show a connection between in-service injury or disease and the present disability. Shoulder range of motion. Shoulder (Abduction - Adduction) 12. Apply passive range of motion techniques to the upper extremity. Range of motion in va disability claims ptsd lawyers. To obtain an official measurement of range of motion, the examiner will typically use a tool called a goniometer. In contrast, pyramiding is a practice prohibited by VA, and refers to when a veteran has two disability ratings for a single manifestation of their disability. Any test results or medical imaging records will be important, as well. You can learn more about how we ensure our content is accurate and current by reading our. Even without significant injuries, the strain of physical work puts pressure on the body, which leads to a risk of repetitive Back pain is a common problem for veterans. Types of body movements anatomy and physiology i. If testing cannot be performed or is medically contraindicated (such as it may cause the Veteran severe pain or the risk of further injury), an explanation must be given below. The experienced VA disability attorneys on our team understand how VA claims work and are dedicated to helping Veterans get the compensation they are entitled to. In the exam, either a VA physician or VA contracted physician will generally ask questions about the shoulder or arm condition and the veterans time in service. For a better experience, please enable JavaScript in your browser before proceeding. Whether your shoulder issues started immediately after leaving the military or decades later, you may be eligible for disability compensation. The acromioclavicular joint is where the shoulder blade or scapula meets the collar bone or clavicle. Our lawyers are committed to helping veterans get disability compensation. If yes, the examiner must complete the Muscle Injuries questionnaire. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! The VASRD's 15 body systems had seen periodic updates, but this continuing effort reflects the first comprehensive review in 70+ years. Check out our Shoulder and Upper Arm Condition Ratings page for the exact codes and ratings. If you injured your shoulder during your military service, you might be eligible for disability benefits. The VASRD gives rating rules for conditions based on their symptoms, treatment options, and the resulting level of disability they cause. Make an appointment for a no-obligation consultation with us now online or by phone at 888.878.9350. The examiner will usually either be a VA physician or a VA contracted physician. #3. Specifically, if there is weakness and severe pain with motion, then it is rated 60 percent for the dominant arm and 50 percent for the non-dominant arm. If yes, document the Veterans description of functional loss or functional impairment in his/her own words. The MEB Attorney said VA rates disability based on range of motion. 2E. (2014). The amount that the severity of an injury can vary sometimes makes it difficult for the VA to accurately assess and rate a disabled Veteran with a musculoskeletal condition. The Schedule of Ratings for the musculoskeletal system is found at 38 C.F.R 4.71a, and it contains numerous subcategories. This field is for validation purposes and should be left unchanged. Limitation of motion under DC 5201 may be . The secondary adductors of the shoulder joint are: the Teres major the Anterior portion of the deltoid. 5A. Right lower extremity (specify location of measurement such as 10cm above or below the knee): Circumference of more normal side: _____ cm. Relevant disabilities should be documented in military service treatment records. Shoulder popping, also known as crepitus, has several possible causes. A VA rating for knee pain or joint pain is determined based on multiple factors such as instability, reduced range of motion, movement without pain, and knee replacements. Does the Veteran report having any functional loss or functional impairment of the joint or extremity being evaluated on this questionnaire, including but not limited to after repeated use over time? Intrinsic muscles of shoulder girdle: (1) Supraspinatus; (2) infraspinatus and teres minor; (3) subscapularis; (4) coracobrachialis, 5305 Group V. Function: Elbow supination (1) (long head of biceps is the stabilizer of shoulder joint); flexion of the elbow (1, 2, 3). 4C. Abduction occurs when you have arm movement away from the middle of your body. Since flare-ups can frequently make your symptoms worse, make sure that you do not accidentally give the VA the impression that your condition is milder than it is. VA may request a Compensation and Pension (C&P) exam to examine the veterans shoulder or arm condition. Intrinsic muscles of shoulder girdle: (1) Pectoralis major I (clavicular); (2) deltoid: Severe: 40: 30 Moderately Severe: 30: 20 Moderate: 20: 20 Slight: 0: 0 5304 Group IV. Examiners should also test the contralateral joint (unless medically contraindicated). For shoulder disabilities that result from bone, tendon, or ligament issues, the VA assigns a percentage based on the severity of the range of motion limitation (see tables below). Provide a complete description of all affected joints in your narrative summary. It is my non-dominant shoulder. specific disability rating between ten and 100 percent. The second subset provides a more global picture of functional loss associated with repetitive use over time. If range of motion was normal for all joints, please comment in . If a nerve condition also exists in the Shoulder and Upper Arm, then that can be rated separately under one of the Upper Nerve codes since the Nervous System is separate and distinct. Amputations: Lower Extremity 2 Also entitled to special monthly compensation. Payment amounts vary depending on factors like the number of dependents. Today, we examine VA ratings for conditions affecting Veterans' shoulders and arms. Did the veteran have pain on ROM? They use the rules of the VASRD to determine that rating. If, after evaluation of the procurable and assembled data, the examiner determines that it is not feasible to provide this estimate, the examiner should explain why an estimate cannot be provided. For example, if the veteran lacks 10 degrees of full knee extension and has normal flexion, show the range of motion as extension to minus 10 degrees (or lacks 10 degrees of extension) and flexion 10 to 140 degrees. What if you went to your C&P examination on a great day with minimal symptoms? 2005-2023 Healthline Media a Red Ventures Company. Extrinsic muscles of shoulder girdle: (1) Trapezius; (2) levator scapulae; (3) serratus magnus, 5302 Group II. DOI: Common conditions affecting range of motion, ncbi.nlm.nih.gov/pmc/articles/PMC4690598/, dshs.wa.gov/sites/default/files/FSA/forms/pdf/13-585a.pdf, medlineplus.gov/shoulderinjuriesanddisorders.html, Pendulum and Codman Exercises for Shoulder Rehabilitation. A normal range of motion for your shoulder depends on your flexibility and the overall health of your shoulder. The observed repetitive use section initially asks for objective findings after three or more repetitions of range of motion testing. Tendons are rated on how they affect the motion of the connected joint(s). Shoulder injuries in the military are a common source of VA disability compensation. Yes, as long as the shoulder pain is service-connected, you can qualify for VA Disability. If yes, is the muscle atrophy due to the claimed condition in the diagnosis section? Is the Veteran able to perform repetitive-use testing with at least three repetitions? The Schedule of Ratings lists disabilities under different categories based on the part of the body affected. Learn more about the causes and what you can do about it. According to the Mayo Clinic, symptoms of Knee Pain include: To be eligible for a Knee Pain VA Rating, a veteran must meet three (3) criteria by law: If you think you have a knee condition, but dont have a medical diagnosis,pick-up the phone and call the VA health facility nearest youto make an appointment right away! Indeed good sir, ROM is all that matterssupposedly. 0000006040 00000 n Many. Certain disabilities can correspond with a specific disability score from the VA. The Schedule also provides charts to help assist with understanding what these degrees mean. 5306 Group VI. If the amputation involves the complete removal of the humerus only, it is rated at 90 percent. For instance, the following chart accompanies the Schedule of Ratings for ankle, knee, and hip disabilities: Each subcategory under the Rating Schedule includes numerous diagnostic codes, which represent specific disabilities. (Must be specific to the case and based on all procurable evidence). Spinal muscles: Sacrospinalis (erector spinae and its prolongations in thoracic and cervical regions). To determine the extent to which your musculoskeletal disability affects your range of motion, youll need to visit a doctor and get your condition evaluated. Pro Tip: When pain is associated with movement, the examiner must give a statement on whether pain could significantly limit functional ability during flare-ups and/or after repeated use over time in terms of additional loss of range of motion. 0000002402 00000 n ROM is the predominant rating criteria, BUT under Deluca case, functional impairment (including pain, against resistance/with weight, loss of coordination, lack of endurance) MUST be considered. Thanks. This information is made available for educational purposes only and to provide general information and a general understanding of the law. Limitation of extension for the knee is rated under diagnostic code 5261. Gates DH, et al. Specifically, veterans will be assigned a 100 percent rating until intensive treatment is over. The #1 best way to increase your VA rating for Knee Pain is to have objective medical evidence (X-Ray, MRI results, etc.) Physical therapy and knee braces also can help relieve pain. The VA knee rating chart is broken out into two separate categories based on Pain or Unfavorable Ankylosis.. If yes, check all that apply. Learn about causes of uneven hips, such as scoliosis. (B) The client's right thigh is being passively moved into flexion by the therapist. The Essentials on VA Disability Ratings for Bulging Disc, Total Disability Individual Unemployability, Unfavorable, abduction limited to 25 from the side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach the mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90), With frequent episodes and guarding of all arm movements, With infrequent episodes and guarding of movement only at shoulder level (flexion and/or abduction at 90 ). Finally, we invite you to contact us and we welcome your calls, letters and electronic mail. Under each category is a list of diagnostic codes representing common disabilities of that body part. PEB and Disability Evaluation System Overview, Physical Evaluation Board System Overview. The VA is looking for the impact that your disability has on your life on your ability to work, maintain relationships with family and friends, and carry out simple tasks. When you raise your arm out from the sides of your body, its an abduction of your shoulder. If you do not allow these cookies, you will experience less targeted advertising. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Function: Postural support of body; extension and lateral movements of spine. For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. The shoulder is two different joints and a network of connective tissue and muscles. Stretching is usually most effective and least painful when tissue temperature is raised to about 43 C (see Heat ). Va range of motion chart for back fillable online ; ffxi skillchain chart 2012 . Is the Veteran being examined immediately after repeated use over time? Additionally, after the exam, veterans should be sure to request that a copy of the examiners report be sent to them. A normal range for abduction, starting with your palms at your sides, is around 150 degrees in a healthy shoulder. A fluid-filled sac called a joint capsule surrounds the joint and provides lubrication to ease movement in the shoulder. The highest schedular rating for knee pain, also called Limitation of Flexion of the Knee is 30%, and includes the following symptoms: Your final VA Disability Rating for Knee Pain depends upon the Frequency, Severity, and Duration of symptoms and any impairment or loss (e.g., negative work and life impacts). Extension endpoint (0 degrees): _____ degrees. In that case, the VA would have the impression that your range of motion was much higher than it might be. The attorneys at Berry Law Firm are dedicated to helping injured Veterans. They said they considered the Deluca v. Brown case but it was not warranted. Estimate range of motion in degrees for this joint immediately after repeated use over time based on information procured from relevant sources including the lay statements of the Veteran. The disability rating assigned also depends on whether the veterans dominant (higher evaluation) versus nondominant (lower evaluation) arm is affected. These cookies do not store any personal information. The 10% rating is met when f lexion is . If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. Because of this complexity, the VA simplified the rating system for musculoskeletal conditions to focus on the resulting disability from a condition or group of conditions existing in the same body part. This is lateral rotation also referred to as external rotation and the normal range of motion for a healthy shoulder is 90 degrees. With your arms at your sides, turn your palms towards your body and bend your elbows 90 degrees so your hands are pointing in front of you. The examiner may also perform a physical exam on the veteran. If ankylosed, is there involvement of Muscle Group XIII (posterior thigh group, hamstring complex of 2-joint muscles: (1) biceps femoris; (2) semimembranosus; (3) semitendinosus)? Lifting the arm to shoulder level is lifting it to 90 degrees. However, as their joints warm up, they might have a more considerable degree of motion and be able to move and stretch more freely. Ankylosis of the Knee means you cant bend it past certain degrees, as measured by a Goniometer. If yes, indicate the severity of ankylosis. Tight shoulders can affect your daily life. The less you can move or bend your knee, the higher your VA rating will likely be. Range-of-motion exercises stretch stiff joints. 1B. To find out more, view our Privacy Policy. Pro Tip: Ankylosis is the immobilization of a joint due to disease, injury, or surgical procedure. We use cookies to optimize our website and our service. In this guide, well explore how to get a VA Rating for Knee Pain even if youve already filed, been denied, or gave up. Brian Reeseis a VA benefits expert, author of the #1 Amazon Bestseller You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, andfounder of VA Claims InsiderThe Most Trusted Name in Education-Based Resources for Veterans.. As a fellow disabled Veteran this is shameful and Im on a mission to change it. 2020 MilitaryDisabilityMadeEasy.com - All rights reserved, The Integrated Disability Evaluation System (IDES), Combat Related Special Compensation (CRSC), Concurrent Retirement & Disability Pay (CRDP), Limitation of Motion of the Shoulder and Upper Arm, Injuries to the Clavicle and Scapula Bones.
John Boy And Billy Cancelled,
San Jacinto Baseball Roster 2021,
Stouffers Rigatoni With Chicken And Pesto Copycat Recipe,
Articles V
