A functional capacity evaluation is only as reliable as the effort behind it. Most FCEs produce a number; what an adjuster, case manager, or attorney needs to know is whether that number reflects maximal effort or demonstrated performance only.
At Restoration Physiotherapy, we classify effort — maximal, submaximal, or equivocal — through distraction-based cross-validation methodology grounded in peer-reviewed validation. The result is a report defensible enough to act on. We test at partner clinics across the Carolinas, serving carriers, third-party administrators, attorneys, and case managers in workers' compensation.
The methodology classifies effort the same way regardless of who refers the case.
Insurance Adjusters and TPAs — When you need to know whether an FCE number reflects maximal effort or demonstrated performance only — for placement, settlement, and claim closure decisions that have to hold up.
Nurse Case Managers — A clear picture of functional capacity, effort classification, and return-to-work readiness, grounded in distraction-based cross-validation rather than evaluator opinion.
Attorneys (Plaintiff and Defense) — Documentation grounded in distraction-based cross-validation, with effort classified as maximal, submaximal, or equivocal. Methodology supported in the peer-reviewed literature.
Physicians — Functional findings that inform medical decision-making, impairment ratings, and return-to-work clearance, with effort classification you can rely on.
Most FCEs rely on visual observation or therapist judgment to decide whether effort is maximal. We don't.
Restoration Physiotherapy uses a distraction-based protocol that verifies effort by comparing independent measurements across multiple movement patterns for internal consistency — not by relying on what an evaluator thinks they saw.
Here's what that means for you:
The methodology rests on peer-reviewed validation (Lechner 1998, Schapmire 2002, Schapmire et al. 2011).
We provide Functional Capacity Evaluations at independent partner clinics across
North Carolina
South Carolina
Contact us if you wish to discuss another site.
Why We Don't Allow Videotaping During FCEs
Occasionally we're asked whether a Functional Capacity Evaluation can be videotaped. The answer is no, and the reasoning is methodological.
A validated FCE protocol is a standardized procedure. The testing conditions, the evaluator's real-time observation, the sequence of measurements, and the environment are all part of what was validated in the research. Introducing an additional, unvalidated element — a camera, a permanent recording — changes the testing condition in a way the protocol wasn't designed to account for.
There's a related concern. Subjects in physical performance testing may change their behavior when they know they're being recorded — what's sometimes called the Hawthorne Effect. They may become more deliberate about appearing consistent across measurements, more guarded, or more dramatic. Whether and how much this happens varies by person, but the point is that it's an uncontrolled variable. Our methodology depends on consistent conditions across every evaluee, and we don't introduce variables we can't standardize.
The policy applies uniformly. Every FCE is administered under the same testing conditions regardless of who refers the case or which side the case may eventually favor. The deliverable is a written report with the data, the cross-validation findings, and the effort classification.
For more on how the protocol produces a defensible record, see the methodology page on this site.
POB 3324 Matthews NC, 28106
mobile: (704) 654 - 9838 email: smckelvey@restorationphysio.com

Acute physical therapy when indicated, delivered one-on-one by the clinician — not handed off to technicians or aides. Treatment plans are individualized and focused on functional return.
Adjacent services applying the same evidence-based approach as the FCE: work conditioning, ergonomic evaluations, job demand analyses, and pre-employment and post-offer testing. Each supports specific case or employer objectives — return-to-work readiness, job-task matching, post-injury reconditioning.

Restoration Physiotherapy inc
Functional Capacity Evaluations across NC & SC
smckelvey@restoretesting.com | (704) 654-9838
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