To meet Listing 11.22, you must document extreme motor function loss or severe bulbar dysfunction sustained for at least 12 months. The SSA also considers marked limitations in physical and mental functioning. The evidence that closes the gap is a combination of clinical imaging and detailed physician statements that explicitly link your neurological symptoms to an inability to perform work-related tasks on a consistent basis. An attorney can help you navigate this process.
What this listing covers
Motor neuron disorders are a group of neurological conditions that cause the nerve cells controlling your voluntary muscles to deteriorate. Unlike ALS, these disorders follow different progression patterns but similarly affect your ability to move, speak, and breathe. These conditions are progressive and result in significant physical decline.
In your daily life, these disorders often make it impossible to perform basic tasks like walking, gripping objects, or swallowing. The physical toll makes it difficult to sustain a full-time work schedule, as simple activities like standing up from a chair or maintaining balance become major challenges that require assistance or assistive devices.
How SSA evaluates a claim under this listing
Under Listing 11.22, the SSA evaluates your claim based on the severity of your motor function loss or bulbar dysfunction. They look for evidence that you have extreme difficulty standing, balancing, or using your hands and arms. Alternatively, they assess whether your condition has caused severe breathing or swallowing issues that require mechanical ventilation or specialized feeding tubes.
The SSA also considers how your condition impacts your overall physical and mental functioning. To meet the listing, you must show marked limitations in physical ability combined with marked limitations in areas like concentrating, interacting with others, or managing yourself. These limitations must be documented as lasting or expected to last for at least 12 months. An attorney can help you understand how these criteria apply to your specific medical history.
Evidence that strengthens a claim
Strong claims rely on comprehensive medical records that detail the progression of your neurological symptoms. This includes clinical examination findings, results from imaging like MRI or CT scans, and electrodiagnostic tests that confirm the nature of your motor neuron disorder. Documentation of your response to prescribed treatments is also essential.
Non-medical evidence is important to show how your condition affects your daily life. Statements from your treating physician regarding your functional capacity, along with reports from family members about your daily struggles, help paint a clear picture. An attorney can help you gather the necessary documentation to support your claim.
How an attorney helps
A disability attorney helps by ensuring your medical records clearly map to the specific requirements of Listing 11.22. They assist in obtaining detailed functional capacity statements from your doctors that explain exactly why you cannot perform work-related activities. By preparing your case for potential hearings and organizing your evidence, they help you present the most accurate picture of your limitations to the SSA.
Frequently asked questions
Not every diagnosis automatically qualifies. The SSA evaluates your claim based on the specific functional limitations caused by your disorder, such as the inability to walk or use your hands, rather than just the name of the condition. An attorney can review your medical records to see if your symptoms meet the criteria in Listing 11.22.
The most critical evidence includes clinical notes documenting your muscle weakness, imaging results, and detailed reports on your ability to perform physical tasks. The SSA needs to see that your condition has caused marked or extreme limitations in your daily functioning for at least one year. An attorney can help you gather the necessary documentation to support your claim.
The SSA defines a marked limitation as a serious interference with your ability to initiate, sustain, and complete work-related activities. This is not based on a single test but on the overall impact of your symptoms on your physical and mental functioning. If you are unsure how your limitations align with these standards, an attorney can provide guidance.
A denial is not the end of the process. You have the right to request a reconsideration and, if necessary, a hearing before an ALJ. You must file your appeal within the specific deadlines set by the SSA. An attorney can help you identify gaps in your previous application and strengthen your evidence for the next stage.



