When "Low End of Medium" Really Means Light Strength: A Practical Approach to TSA

A client recently completed a Functional Capacity Evaluation (FCE) and was found to be functioning at the low end of the Medium strength range. The results were:

• Floor-to-waist lift: 30 lb – occasional

• Above-shoulder lift: 22 lb – occasional

• Bilateral carry: 35 lb – occasional

So what strength classification should we use when searching for job matches?

Although the FCE places them near Medium, the client does not meet all the physical demands required for jobs classified as Medium Strength. For example, Medium often includes:

• Lifting up to 50 lb occasionally

• Lifting or carrying 25 lb frequently

Since we must match clients to jobs they can fully perform, I would recommend classifying this client as suited for Light Strength work.

Why Light Strength Makes Sense:

• Light strength includes lifting up to 20 lb occasionally and frequent lifting up to 10 lb

• This client exceeds Light demands in a few areas but does not consistently meet Medium demands

• Job listings under Medium Strength may include requirements this client cannot safely sustain

Why Conservative Matching Helps:

• Helps avoid placements that could aggravate existing injuries

• Supports long-term success and return-to-work sustainability

• Reduces the risk of overestimating capacity in real-world settings

But Let’s Not Aim Too Low:

• Always review the FCE for effort and validity measures

• Look at the client’s full situation—health condition, prognosis, recovery potential

• Balance safety with opportunities for growth, earnings, and participation

Your Turn:

Have you used this approach in your own practice? What factors influence how you decide on strength classifications when job matching?

Let me know in the comments below—I’d love to hear your thoughts.