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5th Edition

The Hanoun Computer Impairment Rating and Evaluation System (CIRES ) allows you to quickly and accurately perform comprehensive impairment ratings based on the 3rd Edition Revised, 4th Edition and the most recently introduced 5th edition - in compliance with the American Medical Association’s Guidelines for the Evaluation of Permanent Impairment.

CIRES provides the most exact measurements of range of motion while accurately calculating the whole person impairment.

CIRES produces professional, clear and accurate reports.

CIRES saves the practitioner time, expedites report preparation and eliminates the errors in multiple impairment calculation.

This makes CIRES the only system for the processional evaluator or those looking to expand their practice.

optional components

The RS-232 Data Acquisition System

The data acquisition system interfaces between the measurement tools and the computer software. Specially designed outlets allow for all the accessories to plug into the system while also supplying the computer input outlet and power switch.

Interfaced Dual Inclinometers (TROM)

The dual inclinometers consist of two sensors connected with a coiled wire. The smaller of the two sensors is referred to as the remote sensor. The larger sensor is referred to as the master sensor. The dual inclinometers are used to quickly and accurately assess spinal ranges of motion as well as other extremity ranges of motion. Automatic comparisons can be made to American Medical Association published norms.

Computer Interfaced Goniometer

The goniometer is used to quickly and accurately assess extremity range of motion. Automatic comparisons can be made to AMA normative values. The integrated goniometer is used to perform range of motion evaluations, including impairment evaluations, baselines, onsite, etc. It is self-calibrating and accurate to within one degree. Research has shown that visual evaluation of range of motion has poor intra and inter-rater reliability. These integrated tools substantially improve the accuracy of anatomical range of motion evaluation.

Computer Interfaced Jamar Grip Dynamometer

The grip dynamometer is used to perform the standard grip strength test, the rapid exchange test, as well as the maximum voluntary effort and the modified maximum voluntary effort tests. These tests are used to assess hand grip strength, as well as the patient’s consistency, validity and effort.

Computer Interfaced Pinch Dynamometer

The pinch dynamometer is used to measure strength in the key, tip and palmar hand positions relative to a population of the patient’s age and sex, using a normative database. It is also very useful for determining the ability to perform tasks involving fine motor movements.

Computer Interfaced Manual Muscle Tester

The manual muscle tester can be used to perform a variety of strength tests such as cervical, upper extremity, lower extremity, etc. This allows the evaluator to objectively document strength in units (i.e., pounds, kilograms) rather than subjectively using a 0 – 5 muscle grading scale.


The algometer is used to determine superficial tenderness. This tool is especially useful when evaluating patients with fibromyalgia, chronic fatigue, etc. The algometer will allow you to assess the patient’s consistency of self-reports based on a test-retest basis.

Interfaced Workplace (onsite) Force Gauge

Using different attachments, the force gauge can be used to simulate job demands or to measure actual forces required in the workplace.

Wireless Infrared Heart Rate System

The wireless heart rate transmitter provides real-time heart rate tracking for the entire duration of the assessment. It frees the patient to concentrate on their activity without creating physical or functional limitations from being tied to the machine. The heart rate transmitter works in conjunction with the Heart Rate Monitor and come as a set. The Heart Rate Monitor allows for automatic computerized integration of a patient’s heart rate into the documentation software and the automatic integration and interpretation of heart rate values in assessment procedures that require this data. The wireless remote acquisition sensor eliminates any obstruction or limitation of patient movement patterns. The receiver and transmitter have up to a 30 foot working range

Computerized Impairment Evaluation Software

Guidelines for the Evaluation of Permanent Impairment is directly interfaced with the Dual Inclinometers and Goniometer, providing the most accurate measurement of range of motion. The software automatically calculates the impairment rating and provides the necessary protocols for administering the impairment evaluation properly.

Multi User Networking ODES (Optional)

Multi User Networking ODES is capable of networking any number of sites to a central database. This is beneficial since more than one person can access the database for easier and quicker review of patient’s records, reduced time in retrieving and printing reports, speedier claims processing and payment of services. Multiple users can access the same or multiple patients at the same time. Various users can be given different security levels allowing the system administrator to determine access levels. This feature allows for the installation of up to 5 systems.

Training and Education

A one day training course is available either at Hanoun Medical offices or at a designated facility. The training will demonstrate the use of the CIRES. Areas covered include the efficient use of the software, calibration, various testing procedures, reporting, etc.

Service Contract (Optional)

This includes software updates, hardware service, and toll free number for technical support. Please call for information on fees for service contracts related to optional features.