• With a 60 year old worker, the estimated Maximum Heart Rate would = 207 – (0.7 * age) = 207 – (0.7 * 60) = 165 bpm
• Target HR for our modified Chester Step Test = 0.8 * MHR = 0.8 * 165 = 132 bpm.
• When the exercise HR for a progressive step test meets or exceeds 132 bpm, this signifies a HR endpoint and the examiner should stop the test, let the worker walk around slowly, and check the 2-minute recovery HR while standing.
• The submaximal step test may be terminated earlier if the subject reports an exertion rating that exceeds a Somewhat hard level of perceived exertion. This would be 7 on the new OMNI Exertion Scale that we developed in collaboration with Dr. Robert Robertson who pioneered the OMNI Scale.  
• Moderate relative exercise intensity is typically defined as 40 - < 60% of the Heart Rate Reserve, or 64 - < 76% of the estimated Maximum Heart Rate. This equates to an Exertion Rating of Fairly light to Somewhat hard.  

• We added a new template for the Comprehensive FCE that has all picture upload tests removed to simplify the work of examiners who don’t take routinely pictures during an FCE. This template is titled: “Comprehensive FCE - No Pictures 200107”
• Suggestion tip for saving: It is a good practice to click on the forward or back navigation arrows at the bottom of each test to save your work in each test before exiting or clicking on the report preview to prevent data loss
• Suggestion to publish your report: It is a good practice to click on the orange gear icon for change status to publish your finished reports after you make your final edits. This will electrically sign your published reports and remove them from your dashboard. This gives you the option to view the report. You may change the report status back to draft by navigating to the published report list under my exams to make further edits
• There are a number of updates to the Reference List. For example, there is a new article for Wickstrom et al. (2019) about the Two Square Agility Test, Renfro et al (2019) about the Chester Step, and Allison et al (2019) about Anatomic Impairment vs Work Disability
• There are a few updates to the factors on the Operating Definitions pages for the Comprehensive and Disability FCE reports for some of the work tolerances 
• WorkAbility Movement Screen template was updated to include an option to administer the WRMT Turning and eliminate PAR-Q. Eliminating the PAR-Q keeps the movement screen within a 20 min. scheduling block for wellness. 

• The intake forms for WorkAbility FCE and Fitness Screen have been updated with a main change to substitute a new Recent Physical Activity Survey that is more consistent with physical activity guidelines.

• WorkAbility Movement Screen flyer has been updated

• The Active Movement Screen protocol was simplified and reordered a bit to distinguish thumb adduction from finger flexion movements, and eliminate toe walk sideways. If there is any balance difficulty noted during movement that precede the heel walk forward tests, you should administer this movement separately for each leg, e.g. Right heel walk and keep left foot flat in a step together step method followed by Left heel walk with right foot flat. This is safer and allowed you to observe each side independently
• WorkAbility Rate of Manipulation Turning Test has been updated and positioned before the Placing Test. The Industrial Standard has been modified to a faster expected usual rate speed. Its ratings are now more consistent with the ratings for finger dexterity on the Grooved Pegboard Placing Score
• WorkAbility Rate of Manipulation Placing Test has been modified to make this a side to side placing test. This saves time, by eliminating the need for the examiner to change board positions. This enables use of this protocol for assessment of lower work posture tolerances at floor level
• Chester Step Test and Materials Handling Tests are using a different OMNI Exertion Scale that we developed in collaboration with Dr. Robert Robertson who invented the OMNI Scale. This new scale puts Seated or Reclining Rest at the zero point, using a similar approach to heart rate reserve method for exercise prescription. This creates a single scale for use with any type of exertional tasks
• We recommend the Gellish formula to more accurately estimate Maximum Heart Rate = [207 – (0.7 * age)] per the article about the Chester Step Test by Renfro et al. 2019. This method is more accurate for use with older adults than 220-age. The submaximal target heart rate for the modified Step Test and Frequent Materials Handling Tests would be 80% of [207- (0.7 * age)]. If this criterial is met, then you should not progress the work load
• CKCUES Test now includes the option to administer the test as a Kneeling Push-up or Table Push-up for workers that can’t safely perform this in a standard push-up plank posture. The WRMT Placing can also be administered at Table Level or on the Floor to assess weightbearing through the upper extremities
• The Summary of WorkAbility factors has the option to rate the number of matched WorkAbility Factors as a way of communicating an overall job match. This follows the spirit of the method suggested in the Allison et al (2019) article that compares anatomical impairment using the AMA Guides vs. a new method suggested to evaluate work disability