The following are the requirements for the medical certification of aircrew, including guidance material issued by the UK CAA Medical Department in relation to the musculoskeletal system.
MED.B.050 Musculoskeletal System
CLASS 2 - AMC2 MED.B.050(a) Applicants with any significant sequelae from disease, injury or congenital abnormality affecting the bones, joints, muscles or tendons with or without surgery should require full evaluation prior to a fit assessment.
At routine medical examination much information on musculoskeletal function is obtained informally by observation of the applicant as they walk, sit, climb onto the examining couch etc. At the initial examination, following musculoskeletal injury or if there is any other reason to suspect impaired function, formal examination is required. This will include, as a minimum, demonstration of a satisfactory range and strength of neck and limb movement, of stability of joints likely to be subjected to prolonged or sudden stress and the absence of pain or medication side-effects likely to affect concentration or judgement. The Standards for Performing Aviation Medical Examinations on Behalf of the UK Civil Aviation Authority set out the minimum examination that should be undertaken. More detailed examination will be required for applicants with musculoskeletal disease/injury and supplementary notes can be found in Examination of the musculoskeletal system.
Medical Flight Test Form - Musculoskeletal (PDF) Medical reports - Musculoskeletal (PDF)Guidance for the Medical certification of pilots with a musculoskeletal disability
Guidance for the assessment of Prosthetic Limbs
Limb prosthesis assessment form
CLASS 2 - AMC2 MED.B.050 (b) Applicants with inflammatory, infiltrative, traumatic or degenerative disease of the musculoskeletal system may be assessed as fit provided the condition is in remission or is stable and the applicant is taking no disqualifying medication and has satisfactorily completed a medical flight test. Appropriate limitation(s) may apply.
Guidance for the certification of pilots with a musculoskeletal disability
Bladder antispasmodics Information on bladder antispasmodicsMedical certification following injury UK CAA guidance on medication used in musculoskeletal conditions. Obesity guidance (PDF) Medical reports - Musculoskeletal (PDF)
CLASS 2 - AMC2 MED.B.050 (c) Applicants with abnormal musculoskeletal system, including obesity, undertaking a medical flight test should satisfactorily perform all tasks required for the type of flight intended, including the emergency and evacuation procedures.
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