SSDI Blue Book 11.22

Motor Neuron Disorders and SSDI Eligibility

Motor neuron disorders other than ALS may qualify you for SSDI under the criteria in Listing 11.22.

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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.

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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