Functional capacity evaluation following flexor tendon injury.

Abstract

This article describes the indications for and the purpose and performance of the upper limb functional capacity evaluation (FCE) for persons who have sustained flexor tendon injury. It begins with the essential foundation concepts such as the U.S. Department of Labor Physical Demand Characteristics of Labor that clinicians use worldwide. The article explains how the clinician forms the plan for each FCE and the essential components that each FCE includes. While variation in the impact of upper limb injury makes a set format for performing the upper limb FCE impossible, even with a specific diagnosis, a general FCE outline with multiple options is presented. A discussion about relevant modifications to maximise function follows the identification of the critical factors to evaluate with flexor tendon injury. Importantly, the article provides insight into controversial issues such as assessment of endurance and inconsistent or sub-maximum effort. It addresses the challenge of documentation and report writing, and concludes with the issue of FCE validity.