Recognition of the MTAP by the Official Disability Guidelines (ODG)

From Joe Verna, Spine & Sport:
Please find attached recognition and induction of the MTAP into the Official Disability Guidelines (ODG). ODG is the primary guideline to use for treatment request and authorizations for workers’ compensation in the state of California as well as many other states in the US. In other words, ODG helps validate your treatment when using rehabilitation approaches in these guidelines and things not found in the guidelines are likely not authorized. I would like to thank the many years of work by Vert Mooney Research Foundation members, in particular: Dr Len Matheson for his decades of work on this filed of patient reported outcome measures. I would also like to thank many clinics/ clinicians that have used and are routinely using the MTAP and continue to improve patient care.

ODG Treatment
Integrated Treatment/Disability Duration Guidelines
Fitness For Duty
(See body-part chapters for more recent condition specific information,
Especially the Low Back Chapter)
Back to ODG – TWC Index
(Updated 09/09/15)
See Multidimensional task ability profile (MTAP).
Multidimensional task ability profile (MTAP)
Recommend acceptance by a payer as an option, when they require documentation of objective functional outcomes. According to ODG, restoration of function should be the primary measure of treatment success, and there are are variety of options. Also see the Pain Chapter and the Low Back Chapter. The MTAP is a patient-reported outcome measure of physical function that uses a combination of text and pictorial illustrations. The MTAP in its current form of 50 items is reliable when administered to individuals with musculoskeletal disorders in either English or Spanish. (Verna, 2013) The technology of self-report measures was used to develop MTAP for use with patients with musculoskeletal impairments that may lead to work disability. The MTAP displayed good concurrent validity compared with actual physical performance as assessed by the EPIC Lift Capacity test. Modern performance-integrated self-report measures, such as the MTAP, have the potential to provide information about functional capacity that is sufficiently useful to confirm status and help guide treatment algorithms. (Mooney, 2010) Results demonstrate that the MTAP has good concurrent validity. (Mayer, 2005) See also Functional capacity evaluation (FCE).

Research Paper: Age and gender normative data for lift capacity

A study about the EPIC Lift Capacity test, “Age and Gender Normative Data for Lift Capacity“, is available as a free download at Matheson Development.

Published in WORK 49 (2014) 257–269.


BACKGROUND: Functional Capacity Evaluations (FCEs) are routinely used in physical medicine to ascertain an individual’s work ability; with lift capacity being an important aspect of many evaluations. Despite the widespread use of lift capacity tests, there are few studies that provide age and gender normative data.

OBJECTIVE: To evaluate the safety, reliability, and validity of the EPIC Lift Capacity test, and to examine the effects of age and gender on lift capacity.

METHODS: This study used a test-retest design with 4,443 adult participants in good general health. Test-retest of participants’ lift capacity was undertaken to examine safety and reliability. Age and gender and the self-reported physical demands of each employed participant’s usual and customary job were collected to examine validity.

RESULTS: Safety and reliability were demonstrated for both measures of lift capacity for each of the six sub-tests in the EPIC Lift Capacity test battery. Inter-subtest differences and expected age and gender differences were found across all subtests.

CONCLUSIONS: The EPIC Lift Capacity test is a safe and reliable test of lift capacity. Normative data are presented that allow comparison within age and gender categories.

AOTA Special Interest Section Quarterly Writers Award

Leonard Matheson, PhD, CVE, CRC, and co-authors Matt Dodson, OTD, and Tim Wolf, OTD were recognized as recipients of the 2012 AOTA Special Interest Section Quarterly Writers Award for their paper “Executive Dysfunction and Work: Tying It All Together”. Work SIS Quarterly. 2011, 25(1) p1–4.

AOTA members can read this paper via the SIS Work Archives. An abstract is also available to the public at Research Gate.

Work-Oriented Executive Dysfunction: Evaluation of Critical Demands During FCE

DATE: Thursday, June 5, 2014
TIME: 2:00pm–3:30pm ET
Seats are limited—Register today!

Dr. Leonard Matheson and Tania Percy, B.Sc. (OT), B.A., are among North America’s thought-leaders of cognitive testing as related to hiring, return-to-work, stay-at-work, and life care planning. Join them for an update on developments in the field. The discussion will be followed by a vigorous question and answer period.