PHYSICAL CAPACITY ASSESSMENT
A physical capacity evaluation typically assesses “isolated” parts of the body (or) functional units.
SMITH PHYSICAL CAPACITY EVALUATION
It has 154 performance items and was found to be very accurate in predicting Reemployment of workers with physical disability.
NUMBER OF HOURS CAPABLE OF WORK:
Given the workday, the client can –
Sitting: ½ 1 2 3 4 5 6 7 8(hours)
Standing: ½ 1 2 3 4 5 6 7 8
Walking: ½ 1 2 3 4 5 6 7 8
PHYSICAL DEMANDS:
Lifting strength (0) (1-10) (11-20) (40-over)
Sedentary - 0-10 lbs
Light - 11-20 lbs
Moderate - 21-50 lbs
Heavy - 51-65 lbs
Climbing (stairs / ladders) Balance Crouch Squat
Reach- at shoulder height Reach –below shoulder height
Client can use feet for repetitive movements: Right ---- Left ---- Both ----
Client can use hands for repetitive movements: Right ---- Left ---- Both ----
Simple Grasping: Yes ---- No ----
Fine Manipulation: Yes ---- No ----
Client is restricted by following environmental factors:
Hot / Cold ---- Dust ---- Height ---- Noise ----
Client will be required to use following Assistive Devices (or) Braces:
Additional comments: ----------------------------------------------------------------------------------------------------------------------------------------------------------------
Date: ---------------- Therapist: ----------------------------