Maximize Human Capabilities :: Occupational Therapy >>> Service Overview

By: Maximize Human Capabilities - Mhc  09-12-2011
Keywords: Functional Capacity Evaluation, Job Demands Analysis

MHC provides the following services:

Functional Capacity Evaluation (FCE)
This is a comprehensive objective assessment to determine an individual's safe ability for work. The assessment is tailored to the specific referral questions, and typically ranges from 3 hours to 7 hours. The FCE is usually performed in one day, and can be performed over two days if needed. The assessment will establish the client's abilities and limitations for specific jobs and/or general job categories. The Matheson FCE protocol is followed, a well established researched format that emphasizes reliability, validity along with safety and practicality. Testing includes physical effort testing, reliability of pain and disability reports, musculoskeletal screening evaluation, dexterity testing, body mobility (sitting tolerance, standing and walking tolerance), body agility (stair/ladder climbing, balancing, bending, squatting, above shoulder work), lifting ability, carrying ability, push/pull ability, and work simulation. Clinic space at Concordia Physiotherapy Clinic, 112-1100 Concordia Ave. Winnipeg, MB is used for conducting the assessments. If appropriate, a portion of the assessment is conducted at the worksite.
Cognitive Assessment
A Cognitive Assessment may be done in conjunction with a Functional Capacity Evaluation, or on its own. The assessment determines the functional cognitive skill deficits of the individual, level of awareness, and ability to use compensatory strategies for return to work.
Job Demands Analysis
This is an assessment of the critical physical and/or cognitive demands of the job. The job organization and structure, physical layout, and environmental factors are also assessed. The assessment may include all of the critical demands, or focus on either the physical or cognitive components. An example of the job demands that are assessed includes lifting, carrying, pushing, pulling, sitting, standing, walking, stairs/ladders, balancing, bending, squatting, above shoulder work, low level work, and prolonged positioning. The frequency of the job demands are rated according to the criteria outlined by the Dictionary of Occupational Titles. The strength rating for the job (e.g. Sedentary work) is provided.
Worksite Assessment and Accommodation
Based on the results of a Functional Capacity Evaluation (FCE), or from assessment by another health care professional, a client may have a set of restrictions or limitations established for work. A Worksite Assessment will assess the critical job demands of the work in question to determine the suitability for the client. Ergonomic recommendations may be made in order to accommodate the client's limitations to the job tasks.

Worksite Assessments are also conducted with individuals who are currently working, but are continuing to experience difficulty due to their injury. The critical job demands and the work environment are assessed. Recommendations may include modification to tools and equipment, modification of work method, pacing or job task rotation, body mechanics training and education.

Home Assessment and Accommodation
A Home Assessment is completed in order to determine an individual's ability to independently perform activities of daily living including: transfers, dressing, bathing, hygiene, feeding, cooking, cleaning, laundry, shopping, and other related home management and community activities. The need for equipment with compensatory strategies, and/or personal care assistance is determined.
Power Mobility Assessment and Training
Assess an individual's physical and cognitive ability to use a power wheel chair or power scooter. Following the assessment, training sessions may be recommended to teach the client strategies designed to overcome their deficit allowing for safe and independent use of the equipment.
Return to Work Programs
Return to work programs are individually tailored programs to allow for a successful and safe return to work following injury. This commonly begins with a functional assessment to determine the client's functional abilities and limitations, and a review of the job demands. A specific structured plan of gradually increasing hours and duties is established. This is closely monitored including follow up at the worksite.
Permanent Impairment Assessment
Following a permanent physical impairment, objective data is provided including the measurement of range of motion of the joints in question, limb length, and scaring and disfigurement.
Medical - Legal Consultation
MHC Therapists have experience with complex cases where a very comprehensive assessment and report with recommendations is required.
Individualized Programming
We treat a wide range of diagnoses with a variety of treatment measures including:
  • Education regarding proper body mechanics, work simplification techniques, and energy conservation
  • Equipment, work place modification
  • Exercise, work conditioning/work hardening activities
  • Increasing client's independence with activities of daily living (i.e., feeding, dressing, transfers, homemaking, grooming)
  • Equipment, home modification to improve safety and independence
  • MHC therapists concentrate mostly in the client's workplace and in the client's homes. Clients are also seen at the clinic when this is more appropriate.
  • Progressive Goal Attainment Program (PGAP) provider with the University Centre for Research on Pain and Disability.

Keywords: Functional Capacity Evaluation, Job Demands Analysis

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