WORKSTEPS FCE PROTOCOL
The FCE is a medical test to measure an employee’s function post-injury. The WorkSTEPS FCE is designed to document existing impairment, prove consistency, and create realistic objective treatment goals and return to work recommendations. The WorkSTEPS FCE is also automated and includes criteria to evaluate symptom magnification, inappropriate illness behavior, and validity of performance. (This information is invaluable to objectively move the patient through the system in a fair and timely manner.)
This system specializes in developing products which objectively classify validity of effort---and we fill a void that has created the litigious "expert witness" culture surrounding functional capacity evaluations. Our system enables the test administrator to assess test behavior in a legally defensible manner.
The X-RTS Lever Arm is used in a repeated measures testing protocol. Weights can be placed at any of 35 measurement points along the length of the device. Actual workloads are determined not only by the amount of weight added to the device, but also by the position into which the workload is secured. Visual estimations of actual workloads have an average error of 80%. Persons who fail the validity criteria typically have variation of 30-50% when comparing repeated measures. Persons who have no apparent motivational issues will have 5-15% average variation between repeated measures. The X-RTS Lever Arm is a common sense, low-tech solution for a high-tech world.
- Biomechanics during use of
Lever Arm replicates the biomechanics a "box lift"
- Real life 3-D movement of
handle plate (held by user)
- Actual workloads are difficult
to estimate accurately by visual inspection, making
successful deception unlikely---the equivalent of "visual
- Approximately 2,000
combinations of possible workloads
- Can cross-reference bilateral as well as unilateral lifts
The X-RTS Hand Strength Assessment has been shown to be 99.5% accurate in classifying validity of effort. The methods of the past have failed to classify effort accurately because they failed to take into account the biofeedback loop in the hands that facilitates "successful" feigning of weakness. Simply put, the hands feel and perform precisely.
The X-RTS approach to defeating this biofeedback loop involves a simple concept. It is a distraction-based testing method that involves administering trials that require simultaneous testing of both hands, in addition to the standard unilateral grip and pinch measurements. In addition, our method involves the use of statistically-based criteria. Individually, none of these criteria are highly sensitive to feigned weakness. Collectively, though, they are highly sensitive to poor effort---without misclassifying cooperative patients. This approach provides a definitive assessment of effort that allows the test administrator to make legally-defensible conclusions with regard to effort. By taking into account not only the medical history, but also the behavior of the claimant, therapists, physicians, case managers, attorneys and adjusters can make valid recommendations for case management.
Please show up 15 minutes early for your scheduled time!