The clinical utility of functional capacity evaluations: The opinion of health professionals working within occupational rehabilitation

Article type: Research Article

Authors: James, Carole | MacKenzie, Lynette

Affiliations: Faculty of Health, University of Newcastle, NSW, Australia

Note: [] Address for correspondence: Carole James, School of Health Sciences, Hunter Building, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia. Tel.: +61 249 216632; Fax: +61 249 216984; E-mail: [email protected]

Abstract: Functional Capacity Evaluations (FCE's) are used within the occupational rehabilitation arena with the aim of assessing an individual's functional abilities in relation to work tasks. Therapists use a variety of different FCE's, both standardized and non standardized. This study aimed to investigate therapists' views on the clinical utility of FCE's in general and to identify if these differed between professional groups. A cross sectional study design was used. Health professionals who conduct FCE's and who worked for WorkCover accredited rehabilitation providers in NSW were surveyed. Surveys were returned from 79 participants working for 65 different rehabilitation providers. Of those who replied, 82\% (n=63) were occupational therapists, 13% (n=10) physiotherapists and 5% (n=5) exercise physiologists. The mean years of professional experience was 10.9 years and the mean years of FCE experience was 5.3 years. Data were analyzed using STATA [v8.0] and the clinical utility of FCE's was considered relating to: usefulness & relevance; adaptability and flexibility; therapist perceived requirements and issues in practice. No differences were found related to the clinical utility of FCE's between professional groups or years of professional experience. The results suggest consistency and similarities in how FCE's are currently used in practice across NSW (Australia). Limitations of this study and areas for further research are suggested.

Keywords: Functional capacity evaluation, clinical utility, occupational rehabilitation

DOI: 10.3233/WOR-2009-0871

Journal: Work, vol. 33, no. 3, pp. 231-239, 2009