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Yang CL, Yin YR, Chu CM, Tang PL. Does category of strength predict return-to-work after occupational injury? BMC Public Health 2022; 22:1472. [PMID: 35918669 PMCID: PMC9344704 DOI: 10.1186/s12889-022-13817-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Accepted: 07/14/2022] [Indexed: 11/23/2022] Open
Abstract
Background Occupational accidents may lead laborers to lose their working capacities, affecting their physical and mental health. Occupational rehabilitation helps improve the ability of patients with occupational accidents and suggests appropriate jobs to avoid second injuries. This study aimed to identify whether any of the functional capacity evaluation (FCE) strength subtests predicted successful return to work. Methods Data were collected of 84 patients receiving government-subsidized occupational rehabilitation between September 2016 and December 2018. A structured questionnaire was employed for pre- and post-training assessment, including basic information, information of the occupational accident, status of the laborer at the opening of the injury case, physical requirement for the job, and physical capacity. Eight subtests of strength were included in the physical capacity evaluation, i.e., carrying, lifting to several levels, power grip, and lateral pinch, to explore the association between the strength tests and return to work. Results The unadjusted model showed that for every additional kilogram in bilateral carrying strength before work hardening training, the odds of successful return to work increased (crude odds ratio [OR] = 1.12, 95% confidence interval [CI] = 1.01–1.24, p = 0.027). After adjustment for basic demographic information and pre-accident physical functional elements of work, the odds of successful return to work increased (adjusted OR = 1.27, 95% CI = 1.04–1.54, p = 0.02) for every additional kilogram in the pre-training bilateral carrying strength. There were no statistically significant differences observed in the other seven subtests. Conclusion Through thorough evaluation and work hardening training provided in the occupational rehabilitation, patients’ physical capacity can be understood and improved. However, a full evaluation of functional capacities is prolonged and time-consuming. This study provides evidence that pre-work-hardening bilateral carrying strength may be a promising predictor of return to work and we recommend to consider it as a prioritized test to assist in determining appropriate advice regarding return to work. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13817-2.
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Affiliation(s)
- Chia-Lin Yang
- Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan (ROC)
| | - Yan-Ru Yin
- Department of Occupational Medicine, Kaohsiung Veterans General Hospital, 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan (ROC)
| | - Chuan-Man Chu
- Department of Occupational Medicine, Kaohsiung Veterans General Hospital, 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan (ROC)
| | - Pei-Ling Tang
- Research Center of Medical Informatics, Kaohsiung Veterans General Hospital, 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan (ROC). .,Department of Health-Business Administration, Fooyin University, 151 Jinxue Rd., Daliao Dist., Kaohsiung City, 83102, Taiwan (ROC). .,College of Nursing, Kaohsiung Medical University, 100, Shin-Chuan 1st Road, Sanmin Dist., Kaohsiung City, 80708, Taiwan (ROC).
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Understanding the Process and Challenges for Return-to-Work Post-Hematopoietic Cell Transplantation from a Musculoskeletal Perspective: A Narrative Review. Occup Ther Int 2021; 2021:5568513. [PMID: 34316293 PMCID: PMC8277503 DOI: 10.1155/2021/5568513] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 05/02/2021] [Accepted: 06/18/2021] [Indexed: 12/20/2022] Open
Abstract
The current paper seeks to inform healthcare professionals on how adapting various components of return to work (RTW) programs that are already in use by other musculoskeletal rehabilitation settings can help optimize return to work process for patients with or without musculoskeletal manifestations, posthematopoietic cell transplantation. Since there is no universally agreed RTW structure for hematopoietic cell transplant patients, a narrative approach has been taken utilizing evidence from the existing musculoskeletal return to work assessment publications to help draw parallel for the hematopoietic cell transplant patients. Databases were searched including PUBMED, CINHAL, AMED, SCOPUS, and Cochrane using keywords RTW, functional restoration program, hematopoietic cell transplant, bone marrow transplant, stem cell transplant, and musculoskeletal functional assessment. The authors have managed to outline and propose a structured RTW assessment and monitoring program which can aid in getting patients back to employment by utilizing the functional capacity and job evaluation to help hematopoietic cell transplantation patients reintegrate socially. Patients undergoing hematopoietic cell transplant require additional support and a robust assessment system to allow safe RTW. The proposed model of RTW assessment can prove to be beneficial in helping patients return to work safely. Clinical Significance. To acknowledge the individuality in functional limitation is important in determining not only the rehab needs but also the RTW capabilities. The proposed RTW plan not only promotes an individualized approach to patients but also provides a structure for return to work assessments for hematopoietic cell transplantation patients, thus, eliminating the need for guess work by healthcare professionals. In line with the International Classification of Functioning, Disability, and Health (ICF) recommendations, a RTW assessment combined with a job evaluation helps healthcare professionals and stakeholders to understand the unique challenges and strengths of a patient and thereby design an individualized therapy approach.
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James C, MacKenzie L, Capra M. Content validity of the WorkHab functional capacity evaluation. Aust Occup Ther J 2019; 66:380-392. [DOI: 10.1111/1440-1630.12565] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Carole James
- School of Health Sciences University of Newcastle CallaghanNew South WalesAustralia
| | - Lynette MacKenzie
- Faculty of Health Sciences University of Sydney Lidcombe New South Wales Australia
| | - Mike Capra
- School of Geography, Planning and Environment Queensland University Brisbane Queensland Australia
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De Baets S, Calders P, Schalley N, Vermeulen K, Vertriest S, Van Peteghem L, Coussens M, Malfait F, Vanderstraeten G, Van Hove G, Van de Velde D. Updating the Evidence on Functional Capacity Evaluation Methods: A Systematic Review. JOURNAL OF OCCUPATIONAL REHABILITATION 2018; 28:418-428. [PMID: 28988355 DOI: 10.1007/s10926-017-9734-x] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Objectives To synthesize the evidence on the psychometrics functional capacity evaluation (FCE) methods. Methods A systematic literature search in nine databases. The resulting articles were screened based on predefined in- and exclusion criteria. Two reviewers independently performed this screening. Included studies were appraised based on their methodological quality. Results The search resulted in 20 eligible studies about nine different FCE methods. The Baltimore Therapeutic Equipment work simulator showed a moderate predictive validity. The Ergo-Kit (EK) showed moderate variability and high inter- and intra-rater reliability. Low discriminative abilities and high convergent validity were found for the EK. Concurrent validity of the EK and the ERGOS Work Simulator was low to moderate. Moderate to high test-retest, inter- and intra-reliability was found in the Isernhagen Work-Systems (IWS) FCE. The predictive validity of the IWS was low. The physical work performance evaluation (PWPE) showed moderate test-retest reliability and moderate to high inter-rater reliability. Low internal and external responsiveness were found for the PWPE, predictive validity was high. The predictive validity of the short-form FCE was also high but need to be further examined on several psychometric properties. Low discriminative and convergent validity were found for the work disability functional assessment battery. The WorkHab showed moderate to high test-retest, inter- and intra-rater reliability. Conclusion Well-known FCE methods have been rigorously studied, but some of the research indicates weaknesses in their reliability and validity. Future research should address how these weaknesses can be overcome.
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Affiliation(s)
- Stijn De Baets
- Occupational Therapy Program, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium.
| | - Patrick Calders
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Noortje Schalley
- Occupational Therapy Program, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium
| | - Katrien Vermeulen
- Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium
| | - Sofie Vertriest
- Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium
| | - Lien Van Peteghem
- Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium
| | - Marieke Coussens
- Occupational Therapy Program, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium
| | - Fransiska Malfait
- Centre for Medical Genetics, Ghent University Hospital, Ghent, Belgium
| | - Guy Vanderstraeten
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
- Department of Physical and Rehabilitation Medicine, Ghent University Hospital, Ghent, Belgium
| | - Geert Van Hove
- Department of Special Needs Education, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium
| | - Dominique Van de Velde
- Occupational Therapy Program, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium
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van de Pol D, Zacharian T, Maas M, Kuijer PPFM. Test-retest reliability and agreement of the SPI-Questionnaire to detect symptoms of digital ischemia in elite volleyball players. J Sports Sci 2016; 35:1173-1178. [PMID: 27477322 DOI: 10.1080/02640414.2016.1214283] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The Shoulder posterior circumflex humeral artery Pathology and digital Ischemia - questionnaire (SPI-Q) has been developed to enable periodic surveillance of elite volleyball players, who are at risk for digital ischemia. Prior to implementation, assessing reliability is mandatory. Therefore, the test-retest reliability and agreement of the SPI-Q were evaluated among the population at risk. A questionnaire survey was performed with a 2-week interval among 65 elite male volleyball players assessing symptoms of cold, pale and blue digits in the dominant hand during or after practice or competition using a 4-point Likert scale (never, sometimes, often and always). Kappa (κ) and percentage of agreement (POA) were calculated for individual symptoms, and to distinguish symptomatic and asymptomatic players. For the individual symptoms, κ ranged from "poor" (0.25) to "good" (0.63), and POA ranged from "moderate" (78%) to "good" (97%). To classify symptomatic players, the SPI-Q showed "good" reliability (κ = 0.83; 95%CI 0.69-0.97) and "good" agreement (POA = 92%). The current study has proven the SPI-Q to be reliable for detecting elite male indoor volleyball players with symptoms of digital ischemia.
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Affiliation(s)
- Daan van de Pol
- a Department of Radiology , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands
| | - Tigran Zacharian
- b Coronel Institute of Occupational Health, Academic Medical Center , University of Amsterdam , Amsterdam , the Netherlands
| | - Mario Maas
- a Department of Radiology , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands
| | - P Paul F M Kuijer
- b Coronel Institute of Occupational Health, Academic Medical Center , University of Amsterdam , Amsterdam , the Netherlands
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James CL, Reneman MF, Gross DP. Functional Capacity Evaluation Research: Report from the Second International Functional Capacity Evaluation Research Meeting. JOURNAL OF OCCUPATIONAL REHABILITATION 2016; 26:80-83. [PMID: 26108156 DOI: 10.1007/s10926-015-9589-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
INTRODUCTION Functional capacity evaluations are an important component of many occupational rehabilitation programs and can play a role in facilitating reintegration to work thus improving health and disability outcomes. The field of functional capacity evaluation (FCE) research has continued to develop over recent years, with growing evidence on the reliability, validity and clinical utility of FCE within different patient and healthy worker groups. The second International FCE Research Conference was held in Toronto, Canada on October 2nd 2014 adjacent to the 2014 Work Disability Prevention Integration conference. This paper describes the outcomes of the conference. REPORT Fifty-four participants from nine countries attended the conference where eleven research projects and three workshops were presented. The conference provided an opportunity to discuss FCE practice, present new research and provide a forum for discourse around the issues pertinent to FCE use. Conference presentations covered aspects of FCE use including the ICF-FCE interface, aspects of reliability and validity, consideration of specific injury populations, comparisons of FCE components and a lively debate on the merits of 'Man versus Machine' in FCE's. FUTURE DIRECTIONS Researchers, clinicians, and other professionals in the FCE area have a common desire to improve the content and quality of FCE research and to collaborate to further develop research across systems, cultures and countries.
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Affiliation(s)
- C L James
- School of Health Sciences, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
| | - M F Reneman
- Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - D P Gross
- Department of Physical Therapy, University of Alberta, Edmonton, AB, Canada
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Mitchell D, Hancock E, Alexander L. An investigation of the inter-rater reliability of the Valpar Joule functional capacity evaluation in healthy adults. Work 2015; 53:337-45. [PMID: 26409397 DOI: 10.3233/wor-152154] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND A functional capacity evaluation (FCE) can provide a comprehensive, objective measure of a worker's ability to meet work demands to support return to work decision making. Research evidence of a FCE's reliability and validity, involving more than one study, and covering all test components with a diverse range of populations, is essential to ensure confidence in any FCE system. OBJECTIVE This study aimed to establish the inter-rater reliability of the Valpar Joule FCE functional capacity evaluation (FCE) for which there is currently limited published literature regarding its reliability. METHODS Twelve healthy subjects were digitally recorded completing the initial protocol of the Valpar Joule. Assessments were rated separately by 3 raters and the results then compared. RESULTS Using Intraclass Correlation Coefficients (ICC), with percentages of agreement and t-tests to determine bias, inter-rater reliability was high for determining last safe weight lifted for forceful tasks with ICC>0.90. Agreement ranged from 97.2% -100% for determining reasons for terminating tests; 97.2% -98.6% for identifying maximum safe capacity, but was only between 8.3% -50% for full agreement for identification of last weight safely lifted in forceful tasks. Differences were identified between raters with different training and experience for identifying poor body mechanics in lifting. CONCLUSION Results demonstrated high inter-rater reliability for the Valpar Joule functional capacity evaluation in healthy adults. Further development of criteria identifying poor body mechanics and training in its use is recommended to increase evaluator objectivity.
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Caron J, Ronzi Y, Bodin J, Richard I, Bontoux L, Roquelaure Y, Petit A. Interest of the Ergo-Kit(®) for the clinical practice of the occupational physician. A study of 149 patients recruited in a rehabilitation program. Ann Phys Rehabil Med 2015; 58:289-97. [PMID: 26381198 DOI: 10.1016/j.rehab.2015.08.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2014] [Revised: 08/11/2015] [Accepted: 08/12/2015] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Functional capacity evaluation is commonly used to assess the abilities of patients to perform some tasks. Ergo-Kit(®) is a validated tool assessing both functional capacities of patients and workplace demands. The objective of this study was to evaluate the relevance of the Ergo-Kit(®) data for occupational physicians during the return-to-work process. METHODS A retrospective and monocenter study was conducted on all patients included in a rehabilitation program and assessed with the Ergo-Kit(®) tool between 2005 and 2014. Workplace demands and patients' functional capacities were evaluated and confronted. Self-beliefs and perceived disability were also assessed and compared to the functional capacity evaluation. RESULTS One hundred and forty-nine working-age patients (85 men, 64 women; 39±12 years) suffering from musculoskeletal disorders or other diseases were included. Main causes of mismatch between workplace demands and functional capacities were manual handling of loads, postures with arms away from the body and repetitive motions at work; sitting posture was correlated with a lesser physical workload; and Oswestry score was correlated with functional capacities evaluated by the Ergo-Kit(®). CONCLUSION Ergo-Kit(®) is a relevant tool to assess the multidimensional aspects of workplace demands and functional capacities. It could be very helpful for occupational physicians to manage return-to-work.
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Affiliation(s)
- J Caron
- LUNAM université, université d'Angers, laboratoire d'ergonomie et d'épidémiologie en santé au travail (LEEST), faculté de médecine d'Angers, rue Haute-de-Reculée, 49045 Angers cedex 01, France; Centre de consultations de pathologie professionnelle, CHU d'Angers, médecine E, 4, rue Larrey, 49933 Angers cedex 9, France.
| | - Y Ronzi
- LUNAM université, université d'Angers, laboratoire d'ergonomie et d'épidémiologie en santé au travail (LEEST), faculté de médecine d'Angers, rue Haute-de-Reculée, 49045 Angers cedex 01, France; Département de médecine physique et de réadaptation, CHU d'Angers, 28, rue des Capucins, 49103 Angers cedex 02, France
| | - J Bodin
- LUNAM université, université d'Angers, laboratoire d'ergonomie et d'épidémiologie en santé au travail (LEEST), faculté de médecine d'Angers, rue Haute-de-Reculée, 49045 Angers cedex 01, France
| | - I Richard
- LUNAM université, université d'Angers, laboratoire d'ergonomie et d'épidémiologie en santé au travail (LEEST), faculté de médecine d'Angers, rue Haute-de-Reculée, 49045 Angers cedex 01, France; Département de médecine physique et de réadaptation, CHU d'Angers, 28, rue des Capucins, 49103 Angers cedex 02, France
| | - L Bontoux
- LUNAM université, université d'Angers, laboratoire d'ergonomie et d'épidémiologie en santé au travail (LEEST), faculté de médecine d'Angers, rue Haute-de-Reculée, 49045 Angers cedex 01, France; Département de médecine physique et de réadaptation, CHU d'Angers, 28, rue des Capucins, 49103 Angers cedex 02, France
| | - Y Roquelaure
- LUNAM université, université d'Angers, laboratoire d'ergonomie et d'épidémiologie en santé au travail (LEEST), faculté de médecine d'Angers, rue Haute-de-Reculée, 49045 Angers cedex 01, France; Centre de consultations de pathologie professionnelle, CHU d'Angers, médecine E, 4, rue Larrey, 49933 Angers cedex 9, France
| | - A Petit
- LUNAM université, université d'Angers, laboratoire d'ergonomie et d'épidémiologie en santé au travail (LEEST), faculté de médecine d'Angers, rue Haute-de-Reculée, 49045 Angers cedex 01, France; Centre de consultations de pathologie professionnelle, CHU d'Angers, médecine E, 4, rue Larrey, 49933 Angers cedex 9, France
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James C, Mackenzie L, Capra M. Quantification of the safe maximal lift in functional capacity evaluations: comparison of muscle recruitment using SEMG and therapist observation. JOURNAL OF OCCUPATIONAL REHABILITATION 2013; 23:419-427. [PMID: 23224793 DOI: 10.1007/s10926-012-9407-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
INTRODUCTION This study aimed to identify any correlation between muscle activity using surface electromyography (SEMG) and therapist determined safe maximal lift (SML) during the bench to shoulder lift of the WorkHab FCE. This would support construct (convergent) validity of SML determination in the WorkHab FCE. METHOD An experimental laboratory based study design was used. Twenty healthy volunteers performed the bench to shoulder lift of the WorkHab FCE whilst SEMG of upper trapezius, mid deltoid, thoracic, brachioradialis and bicep muscles were recorded. A summary of the data is presented using descriptive statistics and differences between groups were tested using generalised linear mixed models. RESULTS Results showed a significant difference in activity and duration of muscle activation with increasing weight lifted [p = 0.000 and p = 0.024 (brachioradialis)]. There was a significant difference between the up lift (bench to shoulder) and the down lift (shoulder to bench) for all muscles (p = 0.000) except the brachioradialis (p = 0.819). No significant change was found in muscle activity before or after the SML. CONCLUSION Convergent validity of the bench to shoulder lift of the WorkHab FCE was not established as no relationship between the muscle recruitment using SEMG and SML, as determined by therapist observation was identified during this lift.
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Affiliation(s)
- Carole James
- School of Health Sciences, University of Newcastle, University Drive, Callaghan, NSW, Australia.
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Pas LW, Kuijer PPFM, Wind H, Sluiter JK, Groothoff JW, Brouwer S, Frings-Dresen MHW. Clients’ and RTW experts’ view on the utility of FCE for the assessment of physical work ability, prognosis for work participation and advice on return to work. Int Arch Occup Environ Health 2013; 87:331-8. [DOI: 10.1007/s00420-013-0865-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2012] [Accepted: 02/27/2013] [Indexed: 11/29/2022]
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Kuijer PPFM, van Oostrom SH, Duijzer K, van Dieën JH. Maximum acceptable weight of lift reflects peak lumbosacral extension moments in a functional capacity evaluation test using free style, stoop and squat lifting. ERGONOMICS 2012; 55:343-349. [PMID: 22409171 DOI: 10.1080/00140139.2011.642005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
UNLABELLED It is unclear whether the maximum acceptable weight of lift (MAWL), a common psychophysical method, reflects joint kinetics when different lifting techniques are employed. In a within-participants study (n = 12), participants performed three lifting techniques--free style, stoop and squat lifting from knee to waist level--using the same dynamic functional capacity evaluation lifting test to assess MAWL and to calculate low back and knee kinetics. We assessed which knee and back kinetic parameters increased with the load mass lifted, and whether the magnitudes of the kinetic parameters were consistent across techniques when lifting MAWL. MAWL was significantly different between techniques (p = 0.03). The peak lumbosacral extension moment met both criteria: it had the highest association with the load masses lifted (r > 0.9) and was most consistent between the three techniques when lifting MAWL (ICC = 0.87). In conclusion, MAWL reflects the lumbosacral extension moment across free style, stoop and squat lifting in healthy young males, but the relation between the load mass lifted and lumbosacral extension moment is different between techniques. PRACTITIONER SUMMARY Tests of maximum acceptable weight of lift (MAWL) from knee to waist height are used to assess work capacity of individuals with low-back disorders. This article shows that the MAWL reflects the lumbosacral extension moment across free style, stoop and squat lifting in healthy young males, but the relation between the load mass lifted and lumbosacral extension moment is different between techniques. This suggests that standardisation of lifting technique used in tests of the MAWL would be indicated if the aim is to assess the capacity of the low back.
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Affiliation(s)
- P P F M Kuijer
- Coronel Institute of Occupational Health, Academic Medical Center/University of Amsterdam, the Netherlands.
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James C, Mackenzie L, Capra M. Inter- and intra-rater reliability of the manual handling component of the WorkHab Functional Capacity Evaluation. Disabil Rehabil 2011; 33:1797-804. [PMID: 21244335 DOI: 10.3109/09638288.2010.548896] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
UNLABELLED The WorkHab Functional Capacity Evaluation (FCE) is widely used in Australian workplace injury management and occupational rehabilitation arenas; however, there is a lack of published literature regarding its reliability and validity. PURPOSE This study investigated the intra- and inter-rater reliability of the manual handling component of this FCE. METHOD A DVD was produced containing footage of the manual handling components of the WorkHab conducted with four injured workers. Therapist raters (n = 17) who were trained and accredited in use of the WorkHab FCE scored these components and 14 raters re-evaluated them after approximately 2 weeks. Ratings were compared using intraclass correlation coefficients (ICCs), paired sample t-tests (intra-rater), chi-squared (inter-rater) and percentage agreement. RESULTS Intra-rater agreement was high with ICCs for the manual handling components and manual handling score showing excellent reliability (0.94-0.98) and good reliability for identification of the safe maximal lift (ICC: 0.81). Overall inter-rater agreement ranged from good to excellent for the manual handling components and safe maximal lift determination (ICC > 0.9). Agreement for safe maximal lift identification was good. CONCLUSIONS Ratings demonstrated substantial levels of intra-rater and inter-rater reliability for the lifting components of the WorkHab FCEs.
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Affiliation(s)
- Carole James
- School of Health Sciences, Faculty of Health, University of Newcastle, Callaghan, 2308, Australia.
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Slebus FG, Kuijer PFM, Willems JHBM, Frings-Dresen MHW, Sluiter JK. Work ability assessment in prolonged depressive illness. Occup Med (Lond) 2010; 60:307-9. [DOI: 10.1093/occmed/kqq079] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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James C, Mackenzie L, Capra M. Test–retest reliability of the manual handling component of the WorkHab functional capacity evaluation in healthy adults. Disabil Rehabil 2010; 32:1863-9. [DOI: 10.3109/09638281003734466] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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Gibson LA, Dang M, Strong J, Khan A. Test-Retest Reliability of the GAPP Functional Capacity Evaluation in Healthy Adults. The Canadian Journal of Occupational Therapy 2010; 77:38-47. [DOI: 10.2182/cjot.2010.77.1.6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Background. Functional capacity evaluations are commonly used in work rehabilitation practice to assess a person's capacity to perform work-related activities. Purpose. This study examined the test-retest reliability of participants' performance and administrator ratings using the Gibson Approach to Functional Capacity Evaluation (GAPP FCE). Methods. Forty-eight healthy adults were evaluated twice on 12 recommended core items of the GAPP FCE and rated for overall performance. Findings. The ICCs and 95% CIs for the Physical Level of Work and Alternative Physical Level of Work Ratings were 0.93 (0.87-0.96) and 0.86 (0.72-0.93) respectively. The ICCs for the core item-level ratings ranged from 0.15 to 0.94, and the ICCs for the actual loads handled in the manual handling items ranged from 0.88 to 0.95. Implications. The stability of an overall physical level of work rating shows potential for use in functional capacity evaluation practice and research. Further research is needed to investigate other measurement properties of the GAPP FCE using populations with injury or disability.
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Wind H, Gouttebarge V, Kuijer PPFM, Sluiter JK, Frings-Dresen MHW. Effect of Functional Capacity Evaluation information on the judgment of physicians about physical work ability in the context of disability claims. Int Arch Occup Environ Health 2009; 82:1087-96. [PMID: 19458959 PMCID: PMC2746897 DOI: 10.1007/s00420-009-0423-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2008] [Accepted: 04/29/2009] [Indexed: 11/25/2022]
Abstract
Purpose To test whether Functional Capacity Evaluation (FCE) information lead insurance physicians (IPs) to change their judgment about the physical work ability of claimants with musculoskeletal disorders (MSDs). Methods Twenty-seven IPs scored twice the physical work ability of two claimants for 12 specified activities, using a visual analogue scale. One claimant performed an FCE, the other served as a control. Outcome measure was the difference between experimental and control group in number of shifts in the physical work ability for the total of 12 specified activities. Results The IPs changed their judgment about the work ability 141 times when using FCE information compared to 102 times when not using this information (P-value = 0.001), both in the direction of more and less ability. Conclusions The IPs change their judgment of the physical work ability of claimants with MSDs in the context of disability claim procedures more often when FCE information is provided.
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Affiliation(s)
- Haije Wind
- Academic Medical Center, Coronel Institute of Occupational Health, University of Amsterdam, Amsterdam, The Netherlands.
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Gouttebarge V, Wind H, Kuijer PP, Sluiter JK, Frings-Dresen MH. Construct validity of functional capacity evaluation lifting tests in construction workers on sick leave as a result of musculoskeletal disorders. Arch Phys Med Rehabil 2009; 90:302-8. [PMID: 19236984 DOI: 10.1016/j.apmr.2008.07.020] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2008] [Revised: 07/15/2008] [Accepted: 07/15/2008] [Indexed: 11/24/2022]
Abstract
OBJECTIVES To assess the construct (discriminative and convergent) validity of 5 Ergo-Kit (EK) functional capacity evaluation (FCE) lifting tests in construction workers on sick leave as a result of musculoskeletal disorders (MSDs). DESIGN Cross sectional within-subject design. SETTING Occupational health service for the construction industry. PARTICIPANTS Male construction workers (N=72) on 6-week sick leave as a result of MSDs. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURE After being assessed on 5 EK FCE lifting tests, participants were asked to complete the Von Korff questionnaire on pain intensity and disability as a result of MSDs and the instrument for disability risk assessing the risk for work disability. Discriminative validity was evaluated by comparing the results of the EK FCE lifting test scores between the 2 groups of participants based on the instrument for disability risk scores (high risk for work disability compared with low risk for work disability). Convergent validity was evaluated by assessing the associations between the results of the EK FCE lifting tests and Von Korff questionnaire self-reported pain intensity and disability as a result of MSDs. RESULTS The hypothesized differences between both instrument for disability risk groups on the 5 EK FCE lifting tests were found in the expected direction but were not statistically significant (1 test exhibited a trend). Pearson correlation coefficients showed a poor convergent validity between the scores of the Von Korff questionnaire and the EK FCE lifting tests (-.29< or =r< or =.05). CONCLUSIONS Poor construct validity of the 5 EK lifting tests was found: discriminative validity was not statistically established, and convergent validity with self-reported pain intensity and disability was poor.
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Affiliation(s)
- Vincent Gouttebarge
- Department of Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
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Wind H, Gouttebarge V, Kuijer PPFM, Sluiter JK, Frings-Dresen MHW. Complementary value of functional capacity evaluation for physicians in assessing the physical work ability of workers with musculoskeletal disorders. Int Arch Occup Environ Health 2008; 82:435-43. [DOI: 10.1007/s00420-008-0361-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2007] [Accepted: 09/22/2008] [Indexed: 10/21/2022]
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