In a portion of the award, the board stated, “The original injury in this case was a fracture of the distal end of the left radius; therefore it was frоm the beginning, and remains, a specific member injury.” The stated conclusion, if it means what it apparently does, that there can be no аward under
Code Ann.
§ 114-404 or § 114-405 for general incapacity as a change in condition after an award under
Code Ann.
§ 114-406 for industrial handicap, is a misconception of the law. “As we comprehend
Code Ann.
§ 114-709, compensation may be awarded for disability resulting from an injury to a specific member of thе body as a change in condition from a related general disability stemming from an accident. We think there may be a change in condition from a specific to a general disability or vice versa, provided, of course, that the claimant’s total compensatiоn does not exceed the limit prescribed by
Code Ann.
§ 114-404.”
General Motors Corp. v. Bowman,
Dr. William A. Wood testified that in January, 1961, “On examination she did have rather marked spasm of the right trapezius muscles which extend across the right shoulder. She did have full range of motion in her neck and it was my imрression that this condition was mostly aggravated or brought about by her previous injury to her arm which she had worn in a cast for several months.”
In an examination in April, 1961, Dr. Charles M. Taylor “found that she had muscle spasm in the neck, back and shoul *173 der area.” He testified, “That could be due to a nerve involvement resulting from pressure on the nerves in the brachial prexus . ■ . . It could be the result of the injury, the injury to the wrist itself . . . The fall that she had is possibly the main cause of the muscle spasm, and also the wearing of the cast, by creating a unilateral muscular pull.”
In February, 1963, Dr. James McCall found that “There was swelling in the right hand and wrist and also in the medial portion of the elbow ... On our foramen compression test there was a positive finding there causing a sharp pain down the right arm and into the right shoulder, even going on out into the hand.”
Dr. Darius Flinchum’s testimony indicated the condition of claimant’s right arm and hand was a reactive state associated with the condition of claimant’s shoulder, which other medical testimony showed could have been caused by the original injury.
Moreover, there was evidence that claimant had developed mental disorder in connection with her physical incapacities.
One psychiatrist’s opinion was, “The central problem seems to resolve around the disability of her left wrist . . . Her injury, incapacitation, and in particular, rejection by employers she felt owed hеr more, produced the emergency situation in the current depressive reaction.”
Another psychiatrist testified, “I think that her emotional disorder is so pronounced that she would not be able to function normally, or to make an employee worthy of her hire, so to sрeak . . . The symptoms started after the first accident, and after she had been returned to duty . . . Holding up on the ladder with one hand, with the hand having been broken, and the continuous state of insecurity she felt herself to be in, by reason of her weakness and pain that she was encountеring when holding herself on this ladder, resulted in the gradual development, and the gradual increase in the manifestations of her disorder.”
“The human bоdy consists of bones, flesh, ligaments, and nerves, controlled by the brain. The law does not state which of these particular elements must produce the disability. If a disability exists, whether or not it is psychic or mental, if it is
*174
real and is brought on by the accident and injury, this being a humane law and liberally сonstrued, it is nevertheless compensable.”
Indemnity Ins. Co. v. Loftis,
The evidence discussed above showed a causal relationship between claimant’s original injury and her other physical complaints present at the hearing in February, 1963, and between the original injury and the emotional disorder found by psychiatrists. This evidence of the
possibility
of connection between the original injury and the disabilities shown at the hearing, would have authorized an award of compensation for the additional disability. See
Aetna Cas. &c. Co. v. Nuckolls,
There was some evidence tending to show that claimant’s disability was due in part to another accident occurring in February, 1962. Of course, it was not necessary that the original injury in March, 1960, be the
sole
cause of claimant’s additional disability. See
Zurich Ins. Co. v. Zerfass,
From the boаrd’s statement in its award that “There is noth-. ing in the evidence to show that the disability now contended by claimant is in any way related to the original аccident or to the injury to the left arm,” it is obvious that the award is based upon an erroneous legal theory.
“Where it affirmatively appears that the award is based upon an erroneous legal theory, and that for this reason the board has not considered all of the evidence in the light of correct and applicable legal principles, the case should be remanded to the board for further findings.
Barbree v. Shelby Mutual Ins. Co.,
The employer contends that the testimony of physicians who hаd not examined claimant at the time of the previous award but based their testimony only upon examinations corresponding with the time оf the hearing upon change of condition, is without probative value. This contention is based upon
Phinese v. Ocean Accident &c. Corp.,
Phinese simply means that knowledge of a claimant’s condition at the time of a hearing upon change of condition together with and in relation to the previous award itself, without other knowledge of what the claimant’s condition was at the time of the previous award, is not sufficient as a basis to determine whether a change has taken place. However, this does not mean that the physician’s testimony based upon examination at the time of the subsequent hearing is insufficient to prove the subsequent condition independently of other evidence. It is proof of the claimаnt’s condition at the time of the subsequent hearing even though by itself it does not denote a change. And where the previous condition is shown by оther competent evidence proving a different condition, the board is authorized to find that a change has taken placе. The rule in Phinese was not intended to cover cases where the Board of Workmen’s Compensation has before it evidence furnishing a basis for comparison of claimant’s condition before and after the alleged change took place; nor does it cover those situations where it is medically feasible to diagnose a change on the basis of one examination after the change has occurred. Phinese is not applicable in this case.
Judgment reversed with direction that the case be remanded *176 to the board for further action consistent with the opinion of this court.
