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Functional Capacity Evaluation
Aka: Functional Capacity Evaluation, Functional Evaluation, Functional Assessment
- See Also
- Disability
- Impairment Evaluation
- Disability Evaluation
- Disability Management
- Assistive Technology
- Letter of Medical Necessity
- Disability Referral
- Activities of Daily Living
- Failure to Thrive in the Elderly
- Elderly Drivers with Cognitive Impairment
- Medication Use in the Elderly (Beers List, STOPP)
- Definition
- Formal evaluation of functional capacity as it relates to patient Impairment
- Functional Evaluation is most often directed at work capacity in specific occupations and roles
- Contrast with Disability Evaluation that is not directed at a specific task
- Indications
- Musculoskeletal Impairment that subjectively limits a patient's work capacity
- Evaluation
- Performed by physical therapists and occupational therapists
- Uses a standardized battery of performance based tests
- Typically requires 4-6 hours to perform (up to 2-3 days in some cases)
- Identify a list of body regions required for a specific job
- Identify both maximal and sustainable levels of physical exertion
- Measure what an employee is willing to perform
- Areas of testing
- Strength
- Endurance
- Positional tolerance
- Body mechanics
- Repetitive activity tolerance
- Work simulation
- Types
- General Evaluation
- Job-Specific Evaluation
- Resources: Tools
- General functioning assessment
- Short Form Health Survey (SF-36)
- http://www.rand.org/health/surveys_tools/mos/mos_core_36item.html
- Functional Activities Questionnaire
- http://www.healthcare.uiowa.edu/familymedicine/fpinfo/Docs/functional-activities-assessment-tool.pdf
- Pain Assessment
- Pain Disability Index
- http://www.med.umich.edu/1info/FHP/practiceguides/pain/detpdi.pdf
- McGill Pain Questionnaire
- http://www.ama-cmeonline.com/pain_mgmt/pdf/mcgill.pdf
- Neck Pain assessment
- Neck Disability Index
- http://www.maic.qld.gov.au/forms-publications-stats/pdfs/NDI.pdf
- Low Back Pain assessment
- Oswestry Low Back PainDisability Questionnaire
- http://www.rehab.msu.edu/_files/_docs/Oswestry_Low_Back_Disability.pdf
- Roland Morris Disability Questionnaire
- http://www.rmdq.org/
- Quebec Back Pain Disability Scale
- https://www.tac.vic.gov.au/files-to-move/media/upload/quebec_scale.pdf
- Upper Extremity assessment
- Disabilities of the Arma, Shoulder and Hand Outcomes Measure (DASH Outcome Measure)
- http://dash.iwh.on.ca/
- Upper Extremity Functional Index
- http://www.rehab.msu.edu/_files/_docs/Upper_Extremity.pdf
- Michigan Hand Outcomes Questionnaire
- https://www.thompsonhealth.com/Portals/0/_RehabilitationServices/PT Mgmt of Knee/Brief_Michigan_Hand_Questionnaire_with_Scoring.pdf
- Upper Extremity Functional Scale
- http://www.rehab.msu.edu/_files/_docs/Upper_Extremity.pdf
- Lower Extremity assessment
- Lower Limb Outcomes Questionnaire
- http://www.aaos.org/research/outcomes/Lower_Limb.pdf
- References
- Maness (2015) Am Fam Physician 91(2): 102-9 [PubMed]