FCE Participation Summary

MR AHMAD AIZUDDIN B. AHMAD AFAMI

Joule FCE Participation Summary

Client:
Date of Birth:
ID:
Evaluation Date(s):
Hand Dominance:

Ahmad Aizuddin b. Ahmad Afami

27/07/1989
PRPM00000510
28/10/2015 15/1/2016
Right

Diagnosis:

Left hemiparesis and permanent

blindness right eye secondary to
hemorrhagic stroke
Unemployed
Dr. Asrizam b. Mustafah

Job Title:
Physician:
Date of Injury:
Evaluator(s): Muhammad Salihin b. Md. Pauzi

Forceful Tasks
Activity

Terminating
Factor

Consistency
Rating

Client
Report of
Safety

Recommended
Modification

Bilateral Carry

Test completed

Consistent

Yes

1. Able to lift carry weight up to

10.2 kg loads for 20 meter
safely.
2. Recommended to use
correct body mechanic when
lifting heavy loads from floor
level to higher body level to
prevent from back injury.
3. Properly shift weight
distribution to avoid too much
stressed on left feet.

Unilateral Carry
Dominant Hand
(Affected Hand)

Test completed

Consistent

Yes

1. Able to lift carry weight up to

11.3kg loads for 80 meter
safely.
2. Recommended to use
correct body mechanic when
lifting heavy loads from floor
level to higher body level to
prevent from back injury.

Unilateral Carry NonDominant Hand

(Unaffected Hand)

Test completed

1. Able to lift carry weight up to

15.9kg loads for 80 meter
safely.
2. Recommended to use
correct body mechanic when
lifting heavy loads from floor
level to higher body level to
prevent from back injury.

FCE Participation Summary

Page 2 of 7

Forceful Tasks
Activity

Terminating
Factor

Consistency
Rating

Client
Report of
Safety

Recommended
Modification

Core Lift: Waist to

Waist

Test completed

1. Able to lift 18.7kg loads and

transfer from waist to waist
level.
2. Recommended to use
correct body mechanic when
lifting heavy loads to prevent
from back injury.

Core Lift: Waist to

Floor

Test completed

1. Able to lift 20.4kg loads and

transfer from floor to waist
level.
2. Recommended to use
correct body mechanic when
lifting heavy loads to prevent
from back injury.

Hand Grip

Test completed

1. Client able to perform well.

Results shows that right hand
grip has greater strength
compared to left hand.
2. Isometric grip strength for
right hand is 101.9% greater
than left hand.
3. Power for right hand grip is
8.9% greater than left hand
grip.
4. Endurance for right hand
grip is 193.5% greater than left
hand.
5. Refer to BTE Primus
Summary 1.

FCE Participation Summary

BTE Primus RS Summary 1

Page 3 of 7

FCE Participation Summary

Page 4 of 7

Repetitive Tolerance Tasks

Activity

Terminating
Factor

Consistency
Rating

Client
Report of
Safety

Recommended
Modification

Walking Endurance on Test completed

Even Surface

Consistent

Yes

1. Client able to walk on even

ground for 2km in 28 minutes.
2. Recommend to use goodgripped shoes to walk faster.

Walking Endurance on Test completed

Uneven Surface

Marginally
consistent

Yes

1. Client able to walk on

uneven ground, steep
ascending and descending,
loose soil, sand and rocks for
more than 10 minutes for
400m.
2. Recommend to aware of
each steps especially with
uneven ground whereby client
tends to drag his feet.

FCE Participation Summary

Page 5 of 7

Stair Tolerance

Test completed

Consistent

Yes

1. Client able to climb up and

down stairs 2 storeys height
for 1 minute and 33 seconds.

9-ft Ladder Tolerance

Test completed

Consistent

Yes

1. Able to climb ladder three

times repeatedly well.
2. Able to tolerate fatigue well
within test with no significant
pain reported.
3. Recommend to always look
for possible hazard above
head and on the ground as
client having limited visual
field.

Repetitive carrying
weight (12kg) while
walking 50ft

Test completed

Consistent

Yes

1. Able to tolerate for more

than 12 repetitions with
reasonable pace.
2. Recommend to pace
movement and aware of
fatigue.

Positional Tolerance Task

Activity

Terminating
Factor

Standing Tolerance on Test completed

Even Ground

Standing Tolerance on
Small Platform

Consistency
Rating

Client
Report of
Safety

Recommended
Modification

Consistent

Yes

1. Able to tolerate standing on

even ground for more than 1
hour.
2. Recommended to switch
weight between both legs to
reduce stress on both legs.
3. Client may use small stool
to rest his leg, and switch leg
to rest.
1. Able to tolerate standing on
small platform for more than
30 minutes.
2. Recommended to switch
weight between both legs to
reduce stress on both legs.

FCE Participation Summary

Page 6 of 7

Other Functional Status

Activity

Terminating
Factor

Consistency
Rating

Client
Report of
Safety

Recommended
Modification

Simple calculation/
Problem solving

Test completed

Consistent

Yes

1. Able to tolerate perform

simple to moderate
mathematical calculation and
problem solving (using
calculator).

Fine Motor (Affected

Hand)

Test Completed

Consistent

Yes

1. Able to perform with

moderate performance.
2. Recommend client to pace
his fine motor movement if
using his affected hand as
hes tend to initiate the use of
his shoulder. Therefore
shoulder fatigue might also
occur when this movement is
prolonged.

Comments
1) The client was pleasant and cooperative with testing. She/he participated fully, followed directions well, and asked
appropriate questions.
2) The client demonstrated consistent performance and cooperative behavior in this FCE. Subjective input matched objective
data. This FCE is considered to be a valid and reliable representation of the clients safe work abilities.
Recommendations
1) Recommended to use correct body mechanic when lifting heavy loads from floor level to higher body level to prevent from
back injury. Properly shift weight distribution to avoid too much stressed on left feet.
2) Recommend to use good-gripped shoes to walk faster.
3) With clients limited visual field, it is recommend to always aware and keep a look out for possible hazard above head and
on the ground.
4) When walking on uneven ground, client is recommend to aware of each steps whereby he tends to drag his feet and
theres a possibility to trip and fall.
5) Recommend client to pace his fine motor movement if using his affected hand as hes tend to initiate the use of his
shoulder. Therefore shoulder fatigue might also occur when this movement is prolonged.
6) Recommend to pace movement and aware of fatigue.

Explanation

Terminating Factor:

Reason the test was ended.

Consistency Rating:

The correlation between the client's subjective input and objective findings. Each activity is
rated with one of the following designations:

FCE Participation Summary

Page 7 of 7

Consistent:

The client demonstrated maximum effort. Subjective input matched objective data. The client's
performance represents valid and reliable representation of safe work abilities.

Marginally
Consistent:

The client demonstrated signs of effort. There was a general correlation between
subjective input and objective data. The client's performance represents safe, but possibly not
maximum work abilities.

Inconsistent:

The client may, or may not have demonstrated signs of effort. Clear inconsistencies were noted
between subjective input and objective data. The client's performance is not considered to be a
valid and reliable representation of safe work abilities.

No Rating:

Consistency of performance was not rated.

Client Report of Safety: Does the client think the test was safe and reasonable.
Recommended Technique Modification: Suggestions for improving safety and body mechanics.

Prepared by,
Muhammad Salihin b. Md. Pauzi
Occupational Therapist
SOCSO Rehabilitation Center