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Abstract
Functional capacity evaluations (FCEs) have become an important component of disability evaluation during the past 10 years to assess an individual's ability to perform the essential or specific functions of a job, both preplacement and during rehabilitation. Evaluating both job performance and physical ability is a complex assessment, and some practitioners are not yet certain that an FCE can achieve these goals. An FCE is useful only if it predicts job performance, and factors that should be assessed include overall performance; consistency of performance across similar areas of the FCE; consistency between observed behaviors during the FCE and limitations or abilities reported by the worker; objective changes (eg, blood pressure and pulse) that are appropriate relative to performance; external factors (illness, lack of sleep, or medication); and a coefficient of variation that can be measured and assessed. FCEs can identify specific movement patterns or weaknesses; measure improvement during rehabilitation; identify a specific limitation that is amenable to accommodation; and identify a worker who appears to be providing a submaximal effort. FCEs are less reliable at predicting injury risk; they cannot tell us much about endurance over a time period longer than the time required for the FCE; and the FCE may measure simple muscular functions when the job requires more complex ones.
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Cooke C, , Dusik LA & , Menard MR, et al. Relationship of performance on the ERGOS work simulator to illness behavior in a workers compensation population. J Occup Med. 1994:36(7);757–762.
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Hazard RG, , Fenwick JW & , Kalisch SMet al. Functional restoration in low back pain. Spine. 1989:14;157–161.
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Fishbain DA, , Adel-Moty E & , Cutler Ret al. Measuring residual functional capacity in chronic low back patients based on the Dictionary of Occupational Titles. Spine. 1994:19(8);872–880.
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Dusik LA, , Menard MR, , Cooke C, , Fairburn SM, , Beach GN. Concurrent validity of the ERGOS work simulator versus conventional function capacity evaluation techniques in a workers compensation population. J Occup Med. 1993:35(8);759–767.
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Tramposh AK. The functional capacity evaluation: measuring maximum work abilities. Occup Med. 1992:7(1);113–124.
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Mayer T, , Gatchel RJ & , Mayer Het al. A prospective 2-year study of functional restoration in industrial low back pain. JAMA. 1987:258;1763–1771.
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