Disability
Functional Capacity Evaluation
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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
Gene
ral Evaluation
Job-Specific Evaluation
Resources
Tools
Gene
ral 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 Pain
Disability
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]
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