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And this is why computerized range of motion testing is medically necessary – yet, not admissible.
2106 and 2309

And this is why computerized range of motion testing is medically necessary – yet, not admissible.

By Jason Tenenbaum 2 min read

Key Takeaway

Simanovskiy rejected computerized test results lacking personal-knowledge proof. Read the holding, Perl's later timing rule and the historical limits.

This article is part of our ongoing 2106 and 2309 coverage, with 310 published articles analyzing 2106 and 2309 issues across New York State. Attorney Jason Tenenbaum brings 24+ years of hands-on experience to this analysis, drawing from his work on more than 1,000 appeals, over 100,000 no-fault cases, and recovery of over $100 million for clients throughout Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, and the Bronx. For personalized legal advice about how these principles apply to your specific situation, contact our Long Island office at (516) 750-0595 for a free consultation.

Last reviewed: September 2026.

Legal Update (September 2026): Perl v Meher later rejected a universal requirement of contemporaneous numerical range-of-motion measurements; it did not dispense with causation or admissible proof.

The quoted decision was Simanovskiy v Barbaro, 72 AD3d 930 (2d Dept 2010). The plaintiffs opposed a serious-injury dismissal motion with Dr. Dudelzak’s reports and computerized range-of-motion tests. The doctor had not quantified the reported limitations, and nobody with personal knowledge had affirmed the computerized results. The court dismissed the complaint; the cross-appeal became academic.

What the case does not establish

The opinion addresses the submitted medical proof. It does not find that computerized testing is clinically necessary or that its cost must be reimbursed. It also does not bar computerized results as a class.

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The timing discussion needs a later qualification. In Perl v Meher, 18 NY3d 208 (2011), the Court of Appeals rejected a blanket requirement of contemporaneous numerical measurements. Later measurements could establish severity where causation was supported. Early medical evidence remained important to connecting the condition with the accident.

Reviewing a test report today

Identify who performed or knows the testing, what the recorded findings show and how the report supports the claimed limitation. CPLR 2106 now offers a signed affirmation for covered statements, but changing the signature block does not create personal knowledge.

The serious-injury statute has also changed since this note. Laws of 2026, chapter 58, Part EE removed the 90/180 category for actions and proceedings commenced on or after May 26, 2026. The historical case addressed limitation-of-use categories; it should not serve as a complete checklist of current statutory categories.

Jason’s original comment

This was Jason’s original observation in 2010. Its medical-necessity conclusion goes beyond the court’s holding: usefulness in litigation does not itself establish clinical necessity or entitlement to reimbursement.

The computerized range of motion testing is medically necessary because it is instrumental in meeting the serious injury threshold of the Insurance Law. It was not admissible, however, because it was not properly affirmed.

Connect to the Encyclopedia

For review of a particular motion, keep the signed reports, supporting records, objections and court orders together and contact the firm. This historical note is general information, not an assessment of an individual case.

Legal Context

Why This Matters for Your Case

New York law is among the most complex and nuanced in the country, with distinct procedural rules, substantive doctrines, and court systems that differ significantly from other jurisdictions. The Civil Practice Law and Rules (CPLR) governs every stage of civil litigation, from service of process through trial and appeal. The Appellate Division, Appellate Term, and Court of Appeals create a rich and ever-evolving body of case law that practitioners must follow.

Attorney Jason Tenenbaum has practiced across these areas for over 24 years, writing more than 1,000 appellate briefs and publishing over 2,353 legal articles that attorneys and clients rely on for guidance. The analysis in this article reflects real courtroom experience — from motion practice in Civil Court and Supreme Court to oral arguments before the Appellate Division — and a deep understanding of how New York courts actually apply the law in practice.

About This Topic

CPLR 2106 and 2309: Affirmation & Oath Requirements

CPLR 2106 governs who may submit an affirmation in lieu of an affidavit in New York courts, while CPLR 2309 addresses the requirements for oaths, affidavits, and the certification of out-of-state documents. These seemingly technical provisions have significant practical impact — an improperly executed affirmation or affidavit can render an entire summary judgment motion defective. These articles analyze the formal requirements, common defects, and court decisions that practitioners must navigate when preparing sworn statements.

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Disclaimer: This article is published by the Law Office of Jason Tenenbaum, P.C. for informational and educational purposes only. It does not constitute legal advice, and no attorney-client relationship is formed by reading this content. The legal principles discussed may not apply to your specific situation, and the law may have changed since this article was last updated.

New York law varies by jurisdiction — court decisions in one Appellate Division department may not be followed in another, and local court rules in Nassau County Supreme Court differ from those in Suffolk County Supreme Court, Kings County Civil Court, or Queens County Supreme Court. The Appellate Division, Second Department (which covers Long Island, Brooklyn, Queens, and Staten Island) and the Appellate Term (which hears appeals from lower courts) each have distinct procedural requirements and precedents that affect litigation strategy.

If you need legal help with a 2106 and 2309 matter, contact our office at (516) 750-0595 for a free consultation. We serve clients throughout Long Island (Huntington, Babylon, Islip, Brookhaven, Smithtown, Riverhead, Southampton, East Hampton), Nassau County (Hempstead, Garden City, Mineola, Great Neck, Manhasset, Freeport, Long Beach, Rockville Centre, Valley Stream, Westbury, Hicksville, Massapequa), Suffolk County (Hauppauge, Deer Park, Bay Shore, Central Islip, Patchogue, Brentwood), Queens, Brooklyn, Manhattan, the Bronx, Staten Island, and Westchester County. Prior results do not guarantee a similar outcome.

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Jason Tenenbaum, Esq.

Jason Tenenbaum is a personal injury attorney serving Long Island, Nassau & Suffolk Counties, and New York City. Admitted to practice in NY, NJ, FL, TX, GA, MI, and Federal courts, Jason is one of the few attorneys who writes his own appeals and tries his own cases. Since 2002, he has authored over 2,353 articles on no-fault insurance law, personal injury, and employment law — a resource other attorneys rely on to stay current on New York appellate decisions.

Education
Syracuse University College of Law
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