� Physical and functional limitations or restrictions: The employee�s functional capabilities and vulnerabilities should be considered and matched against the demands of the job and working conditions.

� Limitations: Any existing constraints in the employee�s physical or mental capability to perform tasks. A mild increase in symptoms with increased activity is appropriately viewed as a nonmedical issue. Patient self-report may not always be a reliable method of making this determination. Self-imposed limitations may be based on subjective perception or secondary gain. The physician is advised to rely on objectively determinable findings to the maximum extent possible.

� Specific restrictions: Any protective measures required to prevent injury or foster recovery. These should be specific � e.g., the exact weight and height for lifting restrictions; the amount of time per hour and per shift an activity can take place; postures to be avoided. Duration of restrictions should coincide with the expected increase in endurance associated with the increased activity of a graduated return to work.

� Social or environmental limitations or restrictions.

� Schedule modifications: Should be noted when return to a normal schedule is medically appropriate.

� Medical aids, adaptive equipment, or personal protective equipment.

Source: American College of Occupational and Environmental Physicians, Arlington Heights, IL.