ENRO SHIRT/ WILSON BROTHERS, INC. v. MARY ANN RITTHALER and HON. RONALD MAY, ADMINISTRATIVE LAW JUDGE, and WORKERS' COMPENSATION BOARD
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RENDERED:
OCTOBER 12, 2001; 10:00 a.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
2001-CA-000113-WC
ENRO SHIRT/
WILSON BROTHERS, INC.
v.
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NO. WC-99-89387
MARY ANN RITTHALER and
HON. RONALD MAY,
ADMINISTRATIVE LAW JUDGE,
and WORKERS’ COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
GUDGEL, Chief Judge, BUCKINGHAM and McANULTY, Judges.
BUCKINGHAM, JUDGE: Enro Shirt/Wilson Brothers, Inc., petitions
for review of an opinion by the Workers’ Compensation Board
(Board) affirming a decision by an administrative law judge (ALJ)
which awarded benefits to Mary Ann Ritthaler based on a permanent
partial disability.
Enro Shirt disputes the determinations that
Ritthaler suffered a compensable injury and that she was entitled
to the 1.5 multiplier pursuant to KRS1 342.730(c)(1)1.
We affirm
the Board.
Ritthaler began working for Enro Shirt, a clothing
manufacturer, in 1986.
She performed various jobs while employed
for Enro Shirt, most of which involved a knitting or other
sewing-type machine.
Prior to her alleged injury, Ritthaler
started a piecework job that involved repetitive tasks.
According to her testimony, on March 12, 1999, Ritthaler
developed pain in her right hand, thumb, wrist, and arm while
performing her job.
The ALJ concluded that Ritthaler suffered “degenerative
changes in her right upper extremity;” that the changes were
dormant and non-disabling prior to her employment; that the
repetitive activity of her employment aggravated the changes
“producing symptoms and causing disability for the work plaintiff
was then doing for the defendant/employer;” and that Ritthaler
could not return to the type of work she performed at the time of
injury.
Furthermore, the ALJ found a six percent whole person
impairment and applied the l.5 multiplier in accordance with KRS
342.730(1)(c)1.
decision.
In a 2-1 decision, the Board affirmed the ALJ’s
This petition for review by Enro Shirt followed.
Enro Shirt first argues that the ALJ and Board erred in
determining that Ritthaler suffered a work-related “injury.”
Enro Shirt’s argument is that, although Ritthaler may have
suffered a compensable “injury” as that term was previously
defined under prior Kentucky statutes and case law, the December
1
Kentucky Revised Statutes.
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1996 amendment to the applicable statute restricted the
definition of “injury” in such a way as to result in a denial of
benefits in this case.
“Injury” is defined in KRS 342.0011(1) as
follows:
Any work-related traumatic event or series of
traumatic events, including cumulative
trauma, arising out of and in the course of
employment which is the proximate cause
producing a harmful change in the human
organism evidenced by objective medical
findings. “Injury” does not include the
effects of the natural aging process, and
does not include any communicable disease
unless the risk of contracting the disease is
increased by the nature of the employment.
“Injury” when used generally, unless the
context indicates otherwise, shall include an
occupational disease and damage to a
prosthetic appliance but shall not include a
psychological, psychiatric, or stress-related
change in the human organism, unless it is a
direct result of a physical injury.
(Emphasis added.)2
Enro Shirt’s argument focuses on what it perceives as a lack of
proof of a “traumatic event,” a lack of proof that the traumatic
event was “the proximate cause” of a harmful change in the human
organism, and a lack of objective medical findings to support the
determination that an injury occurred.
The issue before this court is whether there is
substantial evidence to support the ALJ’s conclusion that
Ritthaler suffered a compensable “injury” as that term is defined
in the statute.
See Whittaker, Director of Special Fund v.
Rowland, Ky., 998 S.W.2d 479, 481 (1999), citing Special Fund v.
Francis, Ky., 708 S.W.2d 641 (1986).
2
“Substantial evidence has
All references to the statutes in this opinion will be to
the statutes in effect when Ritthaler was injured.
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been defined as some evidence of substance and relevant
consequence, having the fitness to induce conviction in the minds
of reasonable men.”
Id., citing Smyzer v. B.F. Goodrich Chem.
Co., Ky., 474 S.W.2d 387 (1971).
Although there may have been
evidence which would have supported a conclusion contrary to the
ALJ’s decision, that evidence may not be an adequate basis for
reversing the decision.
Id. at 482, citing McCloud v. Beth-
Elkhorn Corp., Ky., 514 S.W.2d 46 (1974).
Enro Shirt maintains that there was no “traumatic
event” in this case and that the use of that phrase in the
statute incorporates the element of “a definite and identifiable
time, place and occurrence.”
It asserts that the General
Assembly did not intend to compensate a worker for a condition
such as this and that “a compensable injury be something more
than a mere harmful change that happens to manifest itself onthe-job.”
We note, however, that the definition of “injury”
includes “cumulative trauma.”
KRS 342.0011(1).
Further, “in
cases where the injury is the result of cumulative trauma, there
is no single accident . . . .”
877 S.W.2d 611, 613 (1994).
Coslow v. General Elec. Co., Ky.,
Thus, it is clear that an injury due
to cumulative trauma may be compensable although there is not a
single event that can be identified by time, place, and
occurrence.
Enro Shirt also maintains that Ritthaler’s employment
was not “the proximate cause” of her condition.
In this regard,
the ALJ determined that the degenerative changes in Ritthaler’s
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right upper extremity were dormant and non-disabling but were
aggravated by the repetitiveness of her employment.
Further, the
ALJ determined that this produced symptoms and caused disability
in connection with Ritthaler’s job.
In McNutt Const./First Gen.
Services v. Scott, Ky., 40 S.W.3d 854 (2001), the Kentucky
Supreme Court held that “[w]here work-related trauma causes a
dormant degenerative condition to become disabling and to result
in a functional impairment, the trauma is the proximate cause of
the harmful change; hence, the harmful change comes within the
definition of an injury.”
Id. at 859.
Thus, Enro Shirt’s
argument in this regard is likewise without merit.
Enro Shirt further maintains that the statute clearly
requires evidence by objective medical findings before there may
be a compensable “injury.”
“Objective medical findings” is
defined as “information gained through direct observation and
testing of the patient applying objective or standardized
methods.”
KRS 342.0011(33).
Enro Shirt asserts that the term
“objective medical findings” excludes medical opinions based on
only the claimant’s subjective history and complaints.
In Gibbs v. Premiere Scale Co., _______ S.W.3d
__________ (2001), the Kentucky Supreme Court held that there is
no requirement that a harmful change be documented by means of
sophisticated diagnostic tools in order to be compensable.
at ________ .
Id.
The court further held that “[w]e are not
persuaded that a harmful change must be both directly observed
and apparent on testing in order to be compensable as an injury.
Id.
Further, the court in Gibbs held that:
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We know of no reason why the existence of a
harmful change could not be established,
indirectly, through information gained by
direct observation and/or testing applying
objective or standardized methods that
demonstrates the existence of symptoms of
such a change. Furthermore, we know of no
reason why a diagnosis which was derived from
symptoms that were confirmed by direct
observation and/or testing applying objective
or standardized methods would not comply with
the requirements of KRS 342.0011(1).
Id. at _________ .
We conclude that there is substantial evidence to
support the conclusion of the ALJ that Ritthaler suffered an
“injury” as that term is defined in the statute.
First, the
repetitive nature of Ritthaler’s work activity and the medical
testimony supported the conclusion of a cumulative trauma.
Second, Ritthaler’s testimony as well as medical testimony
supported the finding that her work was the proximate cause of
her condition.
Third, Dr. David Thurman and Dr. Thomas Harter
testified as to objective medical findings of an injury.
Enro Shirt’s second argument is that there was not
substantial evidence to support the ALJ’s finding that Ritthaler
was entitled to the 1.5 percent multiplier pursuant to KRS
342.730(1)(c)1.
That statute states as follows:
If, due to an injury, an employee does not
retain the physical capacity to return to the
type of work that the employee performed at
the time of injury, the benefit for permanent
partial disability shall be one and one-half
(1 1/2) times the amount otherwise determined
under paragraph (b) of this subsection, but
this provision shall not be construed so as
to extend the duration of payments.
Due to the fact that Ritthaler’s injury was caused by repetitive
activity, we conclude there was substantial evidence that she
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could not return to the type of work she was performing at the
time of her injury.
Thus, the 1.5 percent multiplier in the
statute applied.
The opinion of the Board is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE, MARY ANN
RITTHALER:
Thomas L. Ferreri
Louisville, Kentucky
Robert L. Catlett, Jr.
Louisville, Kentucky
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