FCE (Functional Capacity Evaluation)

A standardized assessment of an individual's ability to perform work-related physical tasks such as lifting, carrying, and standing.

Key Facts

  • Measures lifting, carrying, pushing, pulling, and positional tolerances
  • Takes 4–6 hours to complete
  • Used in workers' comp, disability, and return-to-work decisions
  • Includes validity/effort testing to ensure accurate results

A Functional Capacity Evaluation (FCE) is a comprehensive, systematic evaluation that measures an individual's physical abilities and limitations. Testing typically takes 4-6 hours and assesses: lifting capacity (floor to waist, waist to shoulder, overhead), carrying, pushing/pulling, posture tolerances (sitting, standing, walking), hand grip and fine motor skills, and endurance. FCEs are used for return-to-work decisions, disability determination, job placement, and developing work restrictions. Results are compared against specific job demands to determine fitness.

Occupational Medical Exams Compared

Comparison of common workplace medical evaluations and their purposes.

TypePurposeRegulationFrequencyOrdered By
DOT PhysicalCMV driver clearanceFMCSA (49 CFR 391)Every 1–2 yearsEmployer / FMCSA
Preventive ExamGeneral wellness screeningEmployer policyAnnual or periodicEmployer
Fitness for DutySafe to perform job dutiesADA-guidedAs neededEmployer
FCEMeasure functional capacityNone specificAfter injury/claimInsurance / employer
IMEIndependent medical opinionWorkers' comp / legalAs neededInsurance / legal

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