FCE Sincerity of Effort & Symptom Validity

Question 1

The coefficient of variation (CV) threshold most commonly used in grip strength testing to indicate consistent, reliable effort is:

Accepted Answer

Less than 15%

Answer

A CV of less than 15% across repeated grip strength trials is the widely accepted criterion indicating consistent, sincere effort.

Question 2

In the five-position grip strength test, a bell-shaped curve of results (low-high-low pattern) across positions 1 through 5 is considered a sign of:

Accepted Answer

Sincerity of maximal effort

Answer

A bell-shaped curve where grip strength peaks at position 2 or 3 and tapers at the extremes is the normal pattern indicating sincere maximal effort.

Question 3

The Rapid Exchange Grip (REG) test is used in FCE primarily to:

Accepted Answer

Detect submaximal effort by comparing REG to sustained grip values

Answer

The REG test compares rapid-alternating grip values to sustained grip; submaximal effort is suggested when REG values are unexpectedly higher than sustained grip values.

Question 4

Waddell's non-organic signs are used in FCE to assess:

Accepted Answer

Behavioral indicators that may suggest symptom magnification

Answer

Waddell's signs are behavioral and physical exam findings that may indicate non-organic contributions to pain and disability, signaling possible symptom magnification.

Question 5

Which of the following is the MOST appropriate term for a clinical finding when an examinee performs below their actual physical ability during FCE testing?

Accepted Answer

Submaximal effort

Answer

Submaximal effort is the clinically appropriate, objective term; malingering implies intent to deceive, which FCE evaluators cannot definitively determine.

(FCE) Functional Capacity Evaluator Certification Practice Test

(FCE) Functional Capacity Evaluator Certification Practice Test

FCE Sincerity of Effort & Symptom Validity