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EPHE 456 > Functional Capacity Evaluation > Flashcards

Functional Capacity Evaluation Flashcards

1
Q

what is FCE system designed for

A

to OBJECTIVELY assess ones physical capabilities,

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2
Q

when do use FCE system

A
  • normally after an injury/could relate to legal issue or insurance (return to work)
  • testing equipment
  • software
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3
Q

An FCE System records real time ______, ______, and _______ activities as well as heart rate

A

strength, movement, postural

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4
Q

what is the HR comopnent used for?

A

to measure work effort

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5
Q

what 7 things does the FCE measure?

A
  1. grip and pinch strength
  2. whole body isometric and dynamic lifting
  3. isometric testing for upper and lower bod
  4. range of motion
  5. dexterity
  6. movement, balance and postural tolerance
  7. aerobic fitness
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6
Q

who uses the FCE system

A

PT, OT, kin, exercise physiologists, and physicians specializing in occupational medicine and physical medicine

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7
Q

true or false. an asthma test is an FCE (when you bow into the tube)

A

true

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8
Q

what is the FCE protocol? (6)

A
  1. intake interview
  2. musculoskeletal screening
  3. strength testing
  4. functional abilities
  5. cardiovascular assessment
    6 reliability of effort (HR and RPE)
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9
Q

what does the intake interview process look like

A
  • Evaluator explains the FCE protocol to the client and gets informed consent. ! 
  • The client has the opportunity to tell the evaluator their story and how they have been effected by their injury or illness
  • document their perceptions on how difficult certain tasks are so it can be compared
  • document tolerance for sustained sitting
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10
Q

during the musculoskeletal screening process, the client undergoes a general screening of functional movements as well as more specific assessment of the injured area including:

A
  1. ROM
  2. strength
  3. stability
  4. sensation
  5. specific diagnostic tests
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11
Q

what is also collected during musculoskeletal screening

A

grip and pinch strength collected 3-4 times to calculate the clients reliability effort
- compared to age based norms

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12
Q

what used to assess ROM

A

goniometer

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13
Q

what is assessed during strength testing

A

static and dynamic lifting, pushing, pulling, and carrying capacity

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14
Q

the _____ tasks assess maximum strength through various postures

A

static

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15
Q

the ____ tasks are useful in assessing clients ability to perform common job related tasks

A

dynamic

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16
Q

______ ______ can be measured from different body segments performing various tasks (coupling)

A

isometric torque

17
Q

what is used to assess the clients functional abilities?
using what testing?
- what is used to rate the clients ability level after?

A
  • ARCON
    using the Methods-Time-Measurement testing
  • industrial standard criterion
18
Q

what does the industrial criterion use to assess ability levels?

A

the average time that it takes an average worker (of either gender), between 18-65 with average skills, to perform a task at a rate that they can maintain over an 8-hour work day with appropriate rest and without injury

19
Q

what are 3 submaximal aerobic tests that are used by the FCE to predict VO2 max

A
  1. Canadian aerobic fitness test
  2. YMCA step test
  3. Single Stage Treadmill test
20
Q

Studies suggest that an individual should be able to maintain an energy expenditure that is ____ of their VO 2max over an 8 hour work day

A

33%

21
Q

how do you determine reliability of effort and if their effort was indeed maximal?

A
  • HR and RPE

- compare objective abilities to clients perception of abilities and self reported symptoms

22
Q

The FCE system and software calculates independent measures of reliability based on repeated effort for individual tasks as well as correlation between common tests which analyze the statistical consistency of: (4)

A
  1. effort and movement
  2. HR response to exertion
  3. quality and speed of movement patterns
  4. force curve analysis (force developing while doing a static lift)
23
Q

the FCE report is A full report outlining the results of the test and is generated by the software. it shows the capacity of the individual related to what 4 things?

A
  1. Reliability of effort
  2. MTM comparison
  3. Population norms
  4. previous reports

EPHE 456 (9 decks)

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