Focus Rehabilitation

Functional Capacity Evaluations

A Functional Capacity Evaluation is defined as “a systematic process of measuring and developing an individual’s capacity to dependably sustain performance in response to broadly defined work demands”. (Roy Matheson)

Functional Capacity Evaluations (FCEs) are conducted by registered Occupational Therapists and Certified Work Capacity Examiners. Our therapists are Matheson trained and have experience in providing Expert Witnesses Testimony in the Supreme Court of BC.

Components of a Functional Capacity Evaluation:

The evaluation consists of a combination of functional tasks, work simulation, clinical observation, and standardized and non-standardized evaluations to determine the individual’s physical capacity:

  • Lifting, carrying, pushing and pulling capacity.
  • Reaching and manual handling including medium and fine motor dexterity.
  • Climbing and balancing.
  • Sitting, standing and walking.
  • Work in various body postures (stooping, kneeling, crouching, and bending).

Standardized tests are used to determine the consistency of effort and reliability of the client’s reported levels of pain and disability.

In addition, where cognitive or emotional barriers have been identified as barriers to return to every day living, educational pursuits or work, the scope of the Functional Capacity Evaluation may be expanded to evaluate cognitive function, psychological barriers or emotional response to the demands of functional activities.

The scope of assessment and testing involving cognitive and psychological barriers will be limited to the context of function and does not include diagnostic statements or neuro-psychological test results that fall within the scope of Psychiatry, Psychology or Neuro-Psychology practice.

What is a Functional Capacity Evaluation used for?

  • Establishes whether an individual meets the physical, cognitive, or psychological requirements of his/her job.
  • Determines safe parameters for re-entering the work force and minimizes risk of re-injury through identifying work restrictions.
  • Provides objective information for disability settlements.
  • Identifies exaggerated pain behaviors and validity of effort.
  • Recommends rehabilitation intervention to assist in recovery, return to daily activities and return to work.