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Functional Capacity Evaluations in North and South Carolina

A functional capacity evaluation is only as good as the effort behind it.

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.

Who We Work With

How Our FCE Method is Different

How Our FCE Method is Different

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.

How Our FCE Method is Different

How Our FCE Method is Different

How Our FCE Method is Different

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:

  • Effort is measured, not assumed
  • Performance is classified as maximal, submaximal, or equivocal — with the data behind the classification
  • The report is defensible enough to act on: placement, settlement, claim closure
  • Testing is mobile — partner clinics across the Carolinas
  • Turnaround is typically 48 hours

The methodology rests on peer-reviewed validation (Lechner 1998, Schapmire 2002, Schapmire et al. 2011).

Where We Test

How Our FCE Method is Different

Where We Test

We provide Functional Capacity Evaluations at independent partner clinics across 

North Carolina 

  • Charlotte (Matthews)
  • Cary
  • Greensboro
  • Asheville (Flat Rock)
  • Benson
  • Jefferson


South Carolina

  • Columbia
  • Greenville
  • Aiken/ Augusta, GA
  • Myrtle Beach (Garden City)
  • Charleston
  • Beaufort (Okatie)


Contact us if you wish to discuss another site.

Ready to Refer a case?

Call us at:

North Carolina, USA

(704) 654-9838, smckelvey@restorationphysio.com

A note on Video

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.

Contact Us

Sam McKelvey, PT

POB 3324 Matthews NC, 28106

mobile: (704) 654 - 9838 email: smckelvey@restorationphysio.com

Sam McKelvey, PT – Owner of Restoration Physiotherapy and Functional Capacity Evaluation Specialist

Physical Therapy Services by Restoration Physio

One on one physical therapy

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.

Specialized Treatment Programs

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 logo – Functional Capacity Evaluations in NC and SC

Restoration Physiotherapy inc 

Functional Capacity Evaluations across NC & SC  

smckelvey@restoretesting.com | (704) 654-9838

Copyright © 2025 Restoration Physiotherapy All Rights Reserved.

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