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The assessor should not be pushing you at all. The assessor is there to observe and should be neutral, neither encouraging or criticising. The client should be told that the aim of the assessment is to see what he/she can do / is able to do / is prepared to do. The client should also be specifically instructed to "do your best but we do not expect you to hurt yourself and I [the assessor] will stop any test if you appear to be reaching your maximum or are doing tasks in an unsafe manner".

The assessor should have information about the client's job and what the physical demand level is. If the FCE is being done preparatory to returning to an existing job there is no point in going beyond the maximum physical demand level of that job.

The assessor should be a clinically experienced Physical Therapist or Occupational Therapist and should be able towill recognise when a client has reached their safe maximum physical ability. Remember too that in some cases the client may have psychological issues such as catastrophisation or hypervigilance to their symptoms that will influence what the client's safe physical work ability is - even though the client may think otherwise.

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14y ago

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