The Functional Capacity Evaluation: Administration of FCE
Editors note: This is the fourth post in a series about The Functional Capacity Evaluation.
The Functional Capacity Evaluation should be administered by an occupational therapist with appropriate education and training in the administration of FCEs. The administrator has total control over the examination. The report from the FCE is completely based upon the administrator’s observations – and their subjective characterization of those observations. Quantifying and characterizing effort is subjective from the administering therapist’s perspective. Misrepresentation of effort has the effect of impugning the credibility of the patient, intended or otherwise.
There is currently no clear way to counter the effect of or dispute the results of an FCE which serves to disqualify a patient from employment and-or houses negative comments such as “submaximal effort” which damages the credibility of the Petitioner. The administrator should be prepared to testify as to his-her findings in instances where the validity of the results of the FCE are in dispute.