Bradley Barnett vs. Kawasaki Motors MFG Corp USA and Sentry Casualty Company
Background1
On June 21, 2023, while employed by Kawasaki Motors MFG Corp USA as a team lead in materials handling, Barnett, who is right-handed, injured his right shoulder. He was raising a large overhead dock door with his right arm and felt a sharp pain when the door caught; then, when he pushed the door down and tried to reopen it, he again experienced “intense pain” in his right shoulder. Barnett saw Kawasaki‘s physician (Physician), who ordered diagnostic imaging, which revealed a large, right shoulder rotator cuff tear. On August 17, 2023, Physician performed arthroscopic surgery on Barnett‘s shoulder.
Following surgery, Barnett participated in extensive physical therapy, involving progressive strengthening, passive and active range of motion, and neuromuscular rehabilitation. On January 16, 2024, Barnett passed a Fit for Duty examination. On February 5, 2024, Physician determined that Barnett was at maximum medical improvement and released him to return to full duty with no restrictions. Two days later, Physician stated, “a 7% rating for [Barnett‘s] right shoulder may be appropriate. This is related to the typical loss of strength and endurance with overhead activity and activity away from the body associated with a rotator cuff repair surgery.”
Barnett filed a claim with the Division of Workers’ Compensation on April 1, 2024. Before the hearing on Barnett‘s claim, he was reexamined by Physician on
Despite Physician‘s observations, Barnett reported that he was favoring his right upper extremity and having difficulty reaching behind his back and overhead and lifting heavy objects away from his body. Physician concluded,
I believe much of the range of motion difference from side to side is based on his lack of stretching on the right upper extremity due to concern that he is going to injure the shoulder. He states that he still does the home exercise program, although it sounds like he is really not doing this very often.
. . .
I do believe his symptoms will improve in the future, as Mr. Barnett has been very clear today that he has been avoiding doing certain activities, stretching, or strengthening exercises with his right upper extremity because of his concern that he would reinjure his shoulder. I believe once he restarts his home exercise program that his complaints will improve.
Barnett reported to Physician that, in July 2024, nearly five months after his release to full duty, he fell off his bicycle and onto his outstretched hands, fracturing his left wrist.2 Physician noted,
Mr. Barnett‘s symptoms are very mild in nature. He describes some mild soreness with certain activities. None of this is preventing him from accomplishing the task. However, as mentioned, if any current complaints are related to a distinct injury or event, this would have been the fall from his bike in July which is a concerning injury mechanism for a rotator cuff injury. However, again there is no indication on his clinical examination today that his rotator cuff is not functioning the way it should be.
A final hearing on Barnett‘s claim was held May 28, 2025. For purposes of the hearing, the parties stipulated that the only issue to be resolved was the nature and extent of the permanent partial disability (PPD) to Barnett‘s right shoulder, which resulted from a work injury. Barnett, who was 68 years old at the time of the hearing, was the only witness to testify. He explained that, despite being released to full duty with no restrictions, he continued to experience pain in his right shoulder while working and “had to be careful how [he] lifted boxes, somewhat favoring the right shoulder to avoid sharp pains.” At the time of the hearing, he was still experiencing discomfort daily and favoring his right shoulder to avoid exacerbating the pain when lifting anything. His right shoulder remained weaker, and his range of motion in that shoulder was still limited. Barnett reported that he was unable to participate in activities that he had engaged in before the work injury or that participation now caused pain, including riding a bicycle and a motorcycle. In addition, Barnett presented extensive physical therapy notes that documented his functional limitations and reports of residual pain, but he did not present his own impairment rating.
The ALJ concluded that Barnett had sustained a 25% PPD to his right shoulder and awarded him 58 weeks of PPD at the rate of $581.89, for a total of $33,749.62. The ALJ explained that he based his award on “medical records, credible testimony, functional limitations, and residual pain.” The ALJ also noted that Barnett had limited
Kawasaki appealed the ALJ‘s award, alleging that the ALJ‘s award was inconsistent with credible evidence and “against the weight of the evidence as to causation of reported symptomology.” On October 30, 2025, the Commission issued a final award allowing compensation, but the Commission found Barnett
failed to carry his burden of proving the extent of his disability due to the work injury because he produced no credible, persuasive evidence that supported a greater level of disability than that assessed by the employer/insurer‘s authorized treating physician . . . . The ALJ then exceeded his authority by substituting his own lay opinion of treatment records and vaguely alluding to his experience with [Physician] in other cases to justify an award of three times greater PPD than is supported by any objective medical opinion evidence in the record.
Accordingly, the Commission modified the ALJ‘s award by reducing Barnett‘s PPD rating from 25% to 7% “of the shoulder at the 232-week level ($581.89 x 16.24 weeks) in the amount of $9,449.89.”
This appeal follows.
Standard of Review
Both of Barnett‘s points on appeal accuse the Commission of exceeding its statutory authority by reducing the ALJ‘s PPD rating from 25% to 7%. “Where the Commission reviews an ALJ‘s decision, [the Commission] essentially considers the
We will affirm “the Commission‘s decision unless (i) the Commission acted in excess of its powers, (ii) the award was procured by fraud, (iii) the facts do not support the award, (iv) or insufficient competent evidence exists in the record to warrant the making of the award.” Treasurer of Mo. v. Majors, 506 S.W.3d 348, 352 (Mo. App. W.D. 2016) (citing
Analysis
On appeal, Barnett raises two points, arguing that the Commission exceeded its statutory authority by (1) relying solely on the impairment rating provided by Physician, and (2) disregarding, without explanation, Barnett‘s unimpeached testimony, which the ALJ found credible. Because the two arguments are interrelated, we consider them together.
“Permanent partial disability” is “a disability that is permanent in nature and partial in degree.”
In his first point, Barnett argues that the Commission acted in excess of its authority by effectively creating and applying a legal standard not found in
In determining the rating, “the Commission is not bound by the medical testimony but may consider all the evidence, including the testimony of the employee, and draw all reasonable inferences from other testimony in arriving at the percentage of disability.” Fogelsong v. Banquet Foods Corp., 526 S.W.2d 886, 892 (Mo. App. 1975). Likewise, “[t]he Commission . . . is not obligated to award the same percentages assigned by experts.” Patterson, 452 S.W.3d at 767; see also Lewis v. Kan. Univ. Med. Ctr., 356 S.W.3d 796, 802 (Mo. App. W.D. 2011) (“The Commission is not bound by the expert‘s exact percentages and is free to find a disability rating higher or lower than that expressed in medical testimony.“) (quoting Pavia v. Smitty‘s Supermarket, 118 S.W.3d 228, 234 (Mo. App. S.D. 2003)).
The impairment rating is a question of fact, and “[w]e shall not substitute our judgment for that of the Commission on issues of fact.” Patterson, 452 S.W.3d at 767 (quoting Molder, 342 S.W.3d at 410); see also Lewis, 356 S.W.3d at 802 (“The extent
Barnett argues that Bock v. City of Columbia is dispositive as to Point I. In Bock, we held that, where a claimant‘s injury is “all within the realm of lay understanding,” the Commission may not require the claimant to present expert medical testimony as to the appropriate disability rating. Bock v. City of Columbia, 274 S.W.3d 555, 561 (Mo. App. W.D. 2008). In fact, we rejected a per se rule requiring expert testimony in cases even where the extent of the injury is complicated by a subsequent or pre-existing injury. Id. Instead, we determined,
Because none of Bock‘s injuries or their combined impact fall outside the realm of lay understanding, and because the Commission is competent to determine the extent of the disability attributable to the impact of the fallen pipe, the Commission erred in concluding that Bock‘s failure to present expert medical testimony barred his claim for benefits.
Consistent with Bock, the Commission did not require Barnett to present competing medical evidence. Instead, the Commission acknowledged that Barnett could have presented lay evidence sufficient to support the ALJ‘s award. Although the Commission stated that Barnett “failed to carry his burden of proving the extent of his disability due to the work injury because he produced no credible, persuasive evidence that supported a greater level of disability than that assessed by the employer/insurer‘s authorized treating physician[,]” the Commission did not limit the “credible, persuasive evidence” that Barnett could have presented to medical evidence. If Barnett had presented enough other evidence, he could have prevailed without presenting an impairment rating by another physician. The Commission simply did not find anything in Barnett‘s evidence that supported a disability rating above 7%. And the Commission was entitled to credit Physician‘s conclusion, following a full examination, that any residual immobility and discomfort were the result of Barnett‘s avoidance of certain
We conclude that the Commission did not exceed its authority by relying solely on the impairment rating provided by Physician. Nor did the Commission require Barnett to provide his own physician rating. Rather, there was sufficient competent and substantial evidence upon which the Commission relied in setting Barnett‘s PPD at 7%. Despite Barnett‘s testimony regarding the lingering effects of his injury, the Commission was clearly persuaded by evidence that any lingering effects were the result of Barnett‘s hesitation to use his right shoulder. “[T]he [C]ommission‘s award is not contrary to the overwhelming weight of the evidence and thus is supported by competent and substantial evidence on the whole record.” Hampton v. Big Boy Steel Erection, 121 S.W.3d 220, 224 (Mo. banc 2003).
Point I is denied.
For his second point, Barnett asserts that the Commission exceeded its statutory authority by disregarding, without explanation, Barnett‘s unimpeached testimony, which the ALJ found credible. We are not persuaded by Barnett‘s argument for several reasons.
First, although the Commission could have better explained its reasoning for reducing the ALJ‘s rating of Barnett‘s PPD, there is no indication in the record that Barnett asked for any clarification of the Commission‘s factual summary or any additional findings of fact. “Such a request must be made if either party feels that the
Undoubtedly, if any party feels that the commission‘s findings of fact are not clear, leave the reason for its conclusion and award in doubt, or should be amplified for any other reason, he should ask the commission to modify them by making additional findings instead of complaining in the appellate court that findings of fact, which are not inconsistent with the result reached, do not contain a finding concerning all disputed questions of fact which must necessarily have been decided in order to make and support the award.
Id. (quoting State ex rel. Probst v. Haid, 62 S.W.2d 869, 873 (Mo. 1933)).
Second, the Commission owes no deference to the ALJ‘s credibility determinations or evaluation of evidence. “[T]he Commission is not bound to follow the ALJ‘s decision, even concerning the assessment of witness credibility, but is entitled to reach its own conclusions.” Molder, 342 S.W.3d at 410. Here, the Commission was entitled to weigh the medical evidence, including Physician‘s impairment rating, more heavily than Barnett‘s testimony on the extent of his disability and its relation to his work injury. And the Commission was entitled to credit Physician‘s conclusion that Barnett‘s reluctance to use his right shoulder negatively impacted his rate and degree of recovery, something that the ALJ acknowledged in his award. “Deferring to the Commission on its factual findings [including disability ratings], as we must, we find that the Commission reasonably could have made its findings and reached its result based upon all of the evidence before it, even if we might have reached a different conclusion.” Glasco, 534 S.W.3d at 402 (internal quotations omitted).
Point II is denied.
Conclusion
The Commission did not exceed its authority by reducing Barnett‘s PPD from 25% to 7% based on the Commission‘s assessment of the record as a whole. The Commission‘s award is affirmed.
Karen King Mitchell, Judge
Thomas N. Chapman, Presiding Judge, and Janet Sutton, Judge, concur.