Human Performance and Rehabilitation Centers, Inc.

Hurt on the Job? You May Need a Functional Capacity Evaluation

Functional Capacity Evaluations (FCE) are full body assessments that are performed to determine an individual’s ability to safely return to work at pre-injury status or to determine if work modifications are necessary to allow the employee to safely resume their job. FCE’s are commonly used for:

  • Employees that have suffered musculoskeletal work related injuries and an evaluation is requested to determine their physical abilities in comparison to the demands of a target job
  • Establishing a disability claim
  • A generic test to assess an individual’s current physical ability when the job goal is unknown

The Process

Your therapist or trainer will request a job description for review to assure all job demands are evaluated. The results of the FCE are then compared to the job description. If the client does not meet all the job demands, the evaluator will determine if the employee is a candidate for a work reconditioning program and recommendations will be made to the physician ordering the exam.

The length of the test and the number of days required to complete testing will vary depending on the injured body part. Hand, elbow, and shoulder exams are performed on one day and take approximately 4 hours to complete. Spine, hip, knee, foot, and ankle exams are performed over two separate days, taking approximately a total of 6-8 hours to complete. Clients are asked to dress in clothing and shoes that permit them to safely perform the presented tasks, and that information is provided prior to the day of testing.

The test may be executed by a physical therapist, occupational therapist, athletic trainer, or a kinesiologist. The test items are designed to determine cardiovascular fitness, lifting capabilities, strength, balance, and hand coordination. In order to perform the test, the individual must be medically stable and have met maximum medical improvement as determined by their physician.

Sit Up Straight: How Workplace Posture Impacts Health

For a growing number of professionals, the cumulative effects of working behind a desk can take their toll. Years of pecking away at a computer and talking on the phone can lead to a variety of issues, including headaches, stiffness, and pain in the shoulders, middle back and neck. There’s hope, though. These issues can be effectively addressed through physical therapy and by making adjustments to your everyday posture.

We see patients routinely who experience pain that we can link directly to the way they sit at work. The modern world has created all sorts of demands that don’t square with our bodies’ natural movements. We are not designed to perch in uncomfortable chairs six to eight hours a day, and as the years go by, our body rebels by expressing pain. Physical therapists address these issues by using interventions that can effectively remove stiffness. We also help patients strengthen muscles in the upper back to provide additional support to the neck and shoulders. And, we make specific recommendations for postural adjustments so that pain does not return.

Improving the way you sit at a desk goes a long way. Here are some recommendations:

  • Your feet should touch the floor completely. For people under 5’5”, this can be a challenge as most desks are made for taller people. Use a box or stool if needed.
  • You should be able to place your forearm on your desk or your elbows on arm rests while typing at a keyboard.
  • Your knees should be at a 90-degree angle when you sit, making sure your knees are in line with your hips.
  • Don’t crane your neck to talk on the phone. Use a headset.
  • Ideally, your computer screen should be at eye level.

One of the most important issues to remember is that the body doesn’t like being stagnant. Set a timer and take a “micro-break” every 20 minutes. I can hear the work-a-haulics groaning, but this doesn’t have to take long – a mere 10-15 seconds is all that’s required to stand up and stretch. It’s a simple strategy that goes a long way in protecting your health and warding off pain.