Mr. Patient has completed a course of physical therapy for Lumbar Sprain/Strain sustained in an accident at work. Treating physician seeks to determine if he currently meets the essential physical demands of his own job, or to determine appropriate restrictions or modifications that would permit Mr. Patient to return to work on a full-time basis.
RELIABILITY AND CONSISTENCY OF EFFORT
The results of this evaluation suggest that Mr. Patient gave a reliable effort, with 68 of 70 consistency measures within expected limits.
Mr. Patient is unable to meet job demands in the following categories: Mid Lift, Low Lift, Full Lift.
Mr. Patient can return to work with a temporary modification of duties. He is limited to the medium lifting category (less than 50 lb) until a re-evaluation can be performed in six weeks.
Functional Abilities Summary:
Mr. Patient’s demonstrated abilities in this evaluation (FCE) are summarized below. A value of n/a indicates the activity was not included in the evaluation. If job demands were provided with this evaluation, functional abilities are compared to the corresponding job demand level. FCE performance below job demand is shown as a Yes in the deficit column, while mixed performance (both above and below the job demand level) is shown as ? indicating a possible deficit.