The effect of load on biomechanics of the back and upper limb in a bench to shoulder lift during the WorkHab Functional Capacity Evaluation

Work ◽  
2018 ◽  
Vol 59 (2) ◽  
pp. 201-210 ◽  
Author(s):  
Nathanael West ◽  
Suzanne J. Snodgrass ◽  
Carole James
Keyword(s):  
Upper Limb ◽  
Functional Capacity ◽  
Functional Capacity Evaluation ◽  
Capacity Evaluation

FUNCTIONAL CAPACITY EVALUATION FOLLOWING FLEXOR TENDON INJURY

Hand Surgery ◽  
2002 ◽  
Vol 07 (01) ◽  
pp. 109-137 ◽  
Author(s):  
Karen Schultz-Johnson
Keyword(s):  
Upper Limb ◽  
Functional Capacity ◽  
Flexor Tendon ◽  
Tendon Injury ◽  
Functional Capacity Evaluation ◽  
Department Of Labor ◽  
Flexor Tendon Injury ◽  
Capacity Evaluation ◽  
Essential Components ◽  
The Impact

This article describes the indications for and the purpose and performance of the upper limb functional capacity evaluation (FCE) for persons who have sustained flexor tendon injury. It begins with the essential foundation concepts such as the U.S. Department of Labor Physical Demand Characteristics of Labor that clinicians use worldwide. The article explains how the clinician forms the plan for each FCE and the essential components that each FCE includes. While variation in the impact of upper limb injury makes a set format for performing the upper limb FCE impossible, even with a specific diagnosis, a general FCE outline with multiple options is presented. A discussion about relevant modifications to maximise function follows the identification of the critical factors to evaluate with flexor tendon injury. Importantly, the article provides insight into controversial issues such as assessment of endurance and inconsistent or sub-maximum effort. It addresses the challenge of documentation and report writing, and concludes with the issue of FCE validity.

Clinical Update: Functional Capacity Evaluations and Disability

1998 ◽  
Vol 3 (2) ◽  
pp. 4-5
Author(s):  
Glenn Pransky
Keyword(s):  
Direct Observation ◽  
Functional Capacity ◽  
Work Capacity ◽  
Functional Capacity Evaluation ◽  
Whole Body ◽  
Validity Of Results ◽  
Job Tasks ◽  
Capacity Evaluation ◽  
Physical Abilities ◽  
The Relationship

Abstract According to the AMA Guides to the Evaluation of Permanent Impairment, a functional capacity evaluation (FCE) measures an individual's physical abilities via a set of activities in a structured setting and provides objective data about the relationship between an impairment and maximal ability to perform work activities. A key distinction between FCEs and self-reported activities of daily living is that the former involve direct observation by professional evaluators. Numerous devices can quantify the physical function of a specific part of the musculoskeletal system but do not address the performance of whole body tasks in the workplace, and these devices have not been shown to predict accurately the ability to perform all but the simplest job tasks. Information about reliability has been proposed as a way to identify magnification and malingering, but variability due to pain and poor comprehension of instructions may cause variations in assessments. Structured work capacity evaluations involve a set of activities but likely underestimate the individual's ability to do jobs that involve complex or varying activities. Job simulations involve direct observation of an individual performing actual job tasks, require a skilled and experienced evaluator, and raise questions about expense, time, objectivity and validity of results, and interpretation of results in terms of the ability to perform specific jobs. To understand the barriers to return to work, examiners must supplement FCEs with information regarding workplace environment, accommodations, and demotivators.

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