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Understanding and Interpreting an FCE

Understanding and Interpreting an FCEAn FCE needs to be objective, non biased, evidence based in order to be fair to the injured worker and referral source. The goal is to obtain a valid FCE Other Common Test Names Work Tolerance Screening (WTS) functional Abilities Evaluation (FAE) functional capacity Assessment (FCA) Work capacity Evaluation (WCE)FCE Purpose-Provides objective data to assess Capabilities and Limitations The report needs to answer the referral question???? Is the patient giving effort that is maximum or near maximum effort in order to accurately determine: Work Status Work Placement Settlement Determine next course of action Surgery Other medical interventions Missed diagnosisA Physican should avoid placing arbitrary restrictions on abilities without objective assessment and measurementFCE Assesses Validity/Reliability Consistency of Effort Quality of effortPROBLEM: What do we do when the patient does not give good objective effortWho Should Perform an FCE?

•Functional Capacity Assessment (FCA) •Work Capacity Evaluation (WCE) FCE Purpose-Provides objective data to assess Capabilities and Limitations •The report needs to answer the referral question???? •Is the patient giving effort that is maximum or near

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