Functional Capacity Evaluations

A functional capacity evaluation (FCE) is a set of tests, practices and observations that are combined to determine the ability of the evaluated person to function in a variety of circumstances, most often employment, in an objective manner. Physicians sometimes change diagnoses based on FCEs. 

They are also required by insurers in when an insured person applies for disability payments or a disability pension in the case of permanent disability.

An FCE can be used to determine fitness to work following an extended period of medical leave. If an employee is unable to return to work, the FCE provides information on prognosis, and occupational rehabilitation measures that may be possible. An FCE can also be used to help identify changes to employee workload, or modifications to working conditions such as ergonomic measures, that the employer may be able to undertake in an effort to accommodate an employee with a disability or medical condition. FCEs are needed to determine if an employee is able to resume working in a capacity "commensurate with his or her skills or abilities" before the disability or medical condition was diagnosed.   

FCEs may be required for some employers before an employee can return to work, as well as by insurers before insurance payments can be made. FCEs are also used to determine eligibility for disability insurance, or pension eligibility in the event that an employee is permanently unable to return to work. 

During most FCEs, the following measurements are typically taken:

Lifting power

Push and pull power

How long one can stand, sit or walk

Flexibility and reaching

Grasping and holding capabilities

Bending capabilities

Balance capabilities