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Michiel F. Reneman - One of the best experts on this subject based on the ideXlab platform.
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Functional Capacity Evaluation Research: Report from the Fourth International Functional Capacity Evaluation Research Meeting
Journal of Occupational Rehabilitation, 2020Co-Authors: M. J. A. Edelaar, D. P. Gross, C L James, P. R. Oesch, Michiel F. RenemanAbstract:Purpose To summarize progress of Functional Capacity Evaluation (FCE) research based on the proceedings of the Fourth International FCE Research Conference held in Switzerland on September 21 and 22, 2018. Methods A scientific committee identified key issues in FCE research and developed the program including key note presentations, a call for abstracts, and round table discussions over 2 days. Highlights of the presentations and discussions are summarized in this article. Results Seventy-nine participants from 11 countries attended the conference where 10 keynote lectures and 21 abstracts were presented. There was also an open discussion regarding the need for an International FCE clinical practice guideline (CPG), methods for developing such a guideline, and practical next steps. Full program details and abstracts from this Fourth International FCE Research Conference are available from https://www.sar-reha.ch/interessengemeinschaften/ig-ergonomie.html . Conclusions Researchers and clinicians continue to increase the body of knowledge in the FCE field. A major finding of this conference is the diversity across the different FCE protocols and research groups as well as of the different uses of FCE across cultural and social economic systems. Next steps will include exploring the development of an international, interdisciplinary, evidence-based FCE clinical practice guideline by a committee formed at the conference.
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Association between social factors and performance during Functional Capacity Evaluations: a systematic review
Disability and Rehabilitation, 2018Co-Authors: Jone Ansuategui Echeita, Peter Oesch, Jan Kool, Berry J Van Holland, Douglas P. Gross, Maurizio A. Trippolini, Michiel F. RenemanAbstract:Purpose: Determine the association of different social factors with Functional Capacity Evaluation (FCE) performance in adults.Materials and methods: A systematic literature search was performed in...
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Functional Capacity Evaluation in upper limb reduction deficiency and amputation development and pilot testing
Journal of Occupational Rehabilitation, 2018Co-Authors: Sietke G Postema, Michiel F. Reneman, Raoul M Bongers, C K Van Der SluisAbstract:Purpose To develop and pilot test a Functional Capacity Evaluation (FCE) for individuals with upper limb absence (ULA) due to reduction deficiency or amputation, and to examine the relationship between FCE results and presence of musculoskeletal complaints (MSC). Method Five tests (overhead lifting, overhead working, repetitive reaching, fingertip dexterity, and handgrip strength) were selected and adapted if necessary. The newly developed FCE, called FCE-One-Handed (FCE-OH), was pilot tested in 20 adults individuals with ULA, and 20 matched controls. MSC were assessed via a questionnaire. Results Adaptations were considered necessary for all tests, except the handgrip strength test. The repetitive overhead lifting test of the non-affected limb was added. On the overhead lifting test, individuals with above-elbow ULA (ten males), performed similar to controls using one hand. When lifting bimanually using the prosthesis, a trend for lower lifting Capacity of individuals with below-elbow ULA (seven males, three females) was observed compared to controls. On the overhead working test, individuals with above-elbow ULA performed worse compared to controls. Other tests showed no significant differences between groups. Relationships between FCE results and presence of MSC were non-significant. Conclusion The FCE-OH can be used to test Functional Capacity of one-handed individuals. Individuals with ULA generally showed similar Functional Capacity as two-handed individuals. FCE results were not related to MSC. It was discussed that a higher physical load on the non-affected limb might reflect a relative deficit of Functional Capacity.
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Functional Capacity Evaluation Research: Report from the Second International Functional Capacity Evaluation Research Meeting
Journal of Occupational Rehabilitation, 2016Co-Authors: C L James, Michiel F. Reneman, D. P. GrossAbstract: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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reliability of clinician rated physical effort determination during Functional Capacity Evaluation in patients with chronic musculoskeletal pain
Journal of Occupational Rehabilitation, 2014Co-Authors: Pieter U Dijkstra, Joannes Geertzen, Peter Oesch, B R H Jansen, M A Trippolini, Michiel F. RenemanAbstract:Introduction Functional Capacity Evaluation (FCE) can be used to make clinical decisions regarding fitness-for-work. During FCE the evaluator attempts to assess the amount of physical effort of the patient. The aim of this study is to analyze the reliability of physical effort determination using observational criteria during FCE. Methods Twenty-one raters assessed physical effort in 18 video-recorded FCE tests independently on two occasions, 10 months apart. Physical effort was rated on a categorical four-point physical effort determination scale (PED) based on the Isernhagen criteria, and a dichotomous submaximal effort determination scale (SED). Cohen’s Kappa, squared weighted Kappa and % agreement were calculated. Results Kappa values for intra-rater reliability of PED and SED for all FCE tests were 0.49 and 0.68 respectively. Kappa values for inter-rater reliability of PED for all FCE tests in the first and the second session were 0.51, and 0.72, and for SED Kappa values were 0.68 and 0.77 respectively. The inter-rater reliability of PED ranged from κ = 0.02 to κ = 0.99 between FCE tests. Acceptable reliability scores (κ > 0.60, agreement ≥80 %) for each FCE test were observed in 38 % of scores for PED and 67 % for SED. On average material handling tests had a higher reliability than postural tolerance and ambulatory tests. Conclusion Dichotomous ratings of submaximal effort are more reliable than categorical criteria to determine physical effort in FCE tests. Regular education and training may improve the reliability of observational criteria for effort determination.
Pieter U Dijkstra - One of the best experts on this subject based on the ideXlab platform.
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reliability of clinician rated physical effort determination during Functional Capacity Evaluation in patients with chronic musculoskeletal pain
Journal of Occupational Rehabilitation, 2014Co-Authors: Pieter U Dijkstra, Joannes Geertzen, Peter Oesch, B R H Jansen, M A Trippolini, Michiel F. RenemanAbstract:Introduction Functional Capacity Evaluation (FCE) can be used to make clinical decisions regarding fitness-for-work. During FCE the evaluator attempts to assess the amount of physical effort of the patient. The aim of this study is to analyze the reliability of physical effort determination using observational criteria during FCE. Methods Twenty-one raters assessed physical effort in 18 video-recorded FCE tests independently on two occasions, 10 months apart. Physical effort was rated on a categorical four-point physical effort determination scale (PED) based on the Isernhagen criteria, and a dichotomous submaximal effort determination scale (SED). Cohen’s Kappa, squared weighted Kappa and % agreement were calculated. Results Kappa values for intra-rater reliability of PED and SED for all FCE tests were 0.49 and 0.68 respectively. Kappa values for inter-rater reliability of PED for all FCE tests in the first and the second session were 0.51, and 0.72, and for SED Kappa values were 0.68 and 0.77 respectively. The inter-rater reliability of PED ranged from κ = 0.02 to κ = 0.99 between FCE tests. Acceptable reliability scores (κ > 0.60, agreement ≥80 %) for each FCE test were observed in 38 % of scores for PED and 67 % for SED. On average material handling tests had a higher reliability than postural tolerance and ambulatory tests. Conclusion Dichotomous ratings of submaximal effort are more reliable than categorical criteria to determine physical effort in FCE tests. Regular education and training may improve the reliability of observational criteria for effort determination.
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reliability and safety of Functional Capacity Evaluation in patients with whiplash associated disorders
Journal of Occupational Rehabilitation, 2013Co-Authors: Michiel F. Reneman, Pieter U Dijkstra, Maurizio Trippolini, B R H Jansen, Joannes GeertzenAbstract:Introduction Whiplash-associated disorders (WAD) are a burden for both individuals and society. It is recommended to evaluate patients with WAD at risk of chronification to enhance rehabilitation and promote an early return to work. In patients with low back pain (LBP), Functional Capacity Evaluation (FCE) contributes to clinical decisions regarding fitness-for-work. FCE should have demonstrated sufficient clinimetric properties. Reliability and safety of FCE for patients with WAD is unknown. Methods Thirty-two participants (11 females and 21 males; mean age 39.6 years) with WAD (Grade I or II) were included. The FCE consisted of 12 tests, including material handling, hand grip strength, repetitive arm movements, static arm activities, walking speed, and a 3 min step test. Overall the FCE duration was 60 min. The test–retest interval was 7 days. Interclass correlations (model 1) (ICCs) and limits of agreement (LoA) were calculated. Safety was assessed by a Pain Response Questionnaire, observation criteria and heart rate monitoring. Results ICCs ranged between 0.57 (3 min step test) and 0.96 (short two-handed carry). LoA relative to mean performance ranged between 15 % (50 m walking test) and 57 % (lifting waist to overhead). Pain reactions after WAD FCE decreased within days. Observations and heart rate measurements fell within the safety criteria. Conclusions The reliability of the WAD FCE was moderate in two tests, good in five tests and excellent in five tests. Safety-criteria were fulfilled. Interpretation at the patient level should be performed with care because LoA were substantial.
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normative values for a Functional Capacity Evaluation
Archives of Physical Medicine and Rehabilitation, 2009Co-Authors: Remko Soer, Cees P Van Der Schans, Jan H B Geertzen, Johan W Groothoff, Sandra Brouwer, Pieter U Dijkstra, Michiel F. RenemanAbstract:UNLABELLED: Soer R, van der Schans CP, Geertzen JH, Groothoff JW, Brouwer S, Dijkstra PU, Reneman MF. Normative values for a Functional Capacity Evaluation. OBJECTIVE: To establish normative values for a Functional Capacity Evaluation (FCE) of healthy working subjects. DESIGN: Descriptive. SETTING: Rehabilitation center. PARTICIPANTS: Healthy working subjects (N=701; 448 men, 253 women) between 20 and 60 years of age, working in more than 180 occupations. INTERVENTIONS: Subjects performed a 2-hour FCE consisting of 12 work-related tests. Subjects were classified into categories based on physical demands according to the Dictionary of Occupational Titles. MAIN OUTCOME MEASURES: Means, ranges, SDs, and percentiles were provided for normative values of FCE, and a regression analysis for outcome of the 12 tests was performed. RESULTS: Normative FCE values were established for 4 physical demand categories. CONCLUSIONS: The normative values enable comparison of patients' performances to these values. If a patient's performance exceeds the lowest scores in his/her corresponding demand category, then the patient's Capacity is very likely to be sufficient to meet the workload. Further, clinicians can make more precise return-to-work recommendations and set goals for rehabilitation programs. A comparison of the normative values can be useful to the fields of rehabilitation, occupational, and insurance medicine. Further research is needed to test the validity of the normative values with respect to workplace assessments and return-to-work recommendations.
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822 RELEVANCE OF NORMATIVE VALUES FOR Functional Capacity Evaluation
European Journal of Pain, 2009Co-Authors: Remko Soer, Johan W Groothoff, Sandra Brouwer, Pieter U Dijkstra, Joannes Geertzen, Van Der Cornelis Schans, Michiel F. RenemanAbstract:Background: Functional Capacity Evaluations (FCEs) are Evaluations designed to measure Capacity to perform activities and are used to make recommendations for participation in work. Normative values of healthy working subjects' performances are unavailable, thus patients' performances cannot be compared to those values. Objective: To establish normative values for FCE of healthy working subjects. Methods: Healthy subjects working in over 180 professions performed an FCE consisting of 12 work-related tests. Subjects were classified into categories based on physical demands according to the Dictionary of Occupational Titles (DOT). Means, ranges, standard deviations, percentiles were calculated and a regression analyses for outcome of the 12 tests was performed. Results: Normative FCE values of 701 healthy working subjects (448 male, 253 female) were established for 4 physical demand categories. Conclusion: The normative values enable comparison of patients' performances to these values. If the patients' performances exceed the lowest scores in his/her corresponding demand category, the patients' Capacity is very likely to be sufficient to defy the work load. Further, clinicians can make more precise return to work recommendations and set goals for rehabilitation programs. Comparisons to normative values are useful for the fields of rehabilitation, occupational and insurance medicine. Further research is needed to test validity of the normative references with respect to work place assessments and return to work recommendations.
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are pain intensity and pain related fear related to Functional Capacity Evaluation performances of patients with chronic low back pain
Journal of Occupational Rehabilitation, 2007Co-Authors: Michiel F. Reneman, Jan H B Geertzen, Pieter U Dijkstra, Henrica Schiphorts R Preuper, Marco KleenAbstract:Introduction: Pain related fear and pain intensity have been identified as factors negatively influencing Functional Capacity Evaluation (FCE) performances in patients with CLBP. Conflicting results have been reported in the literature. The objective of this study was to analyze the relationships between pain intensity and pain-related fear on the one hand, and performances during an FCE on the other hand in two samples of patients with chronic low back pain (CLBP). Methods: Two cross sectional observation studies were performed with two samples of patients with CLBP (study 1: n = 79; study 2: n = 58). Pain related fears were operationally defined as the score on the Tampa Scale of Kinesiophobia in study 1, and the Fear Avoidance Beliefs Questionnaire (FABQ) in study 2. Pain intensity was measured with a Numeric Rating Scale in both studies. Avoidance behavior observed during FCE was in both studies operationally defined as the unwillingness to engage in high intensity performance levels of three different Functional activities: high intensity lifting, prolonged standing in a forward bend position, and fast repetitive bending at the waist. Results: A total of 25 correlations between pain and pain related fear, and performance variables were calculated, out of which 7 were significant (p < 0.05). The strength of these significant correlations ranged from r = −0.23 to r = −0.50. Multivariate linear regression analyses revealed non-significant relationships in most instances. Pain and pain related fear contributed little if any to these models. Conclusions: The relation between pain and pain related fear and FCE performance is weak or non-existent in patients with CLBP.
Vincent Gouttebarge - One of the best experts on this subject based on the ideXlab platform.
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The reproducibility of two task-specific Functional Capacity Evaluation protocols for household waste collectors
Work-a Journal of Prevention Assessment & Rehabilitation, 2015Co-Authors: Vincent Gouttebarge, Judith K Sluiter, Marie-christine J. Plat, P. Paul F. M. Kuijer, Monique H. W. Frings-dresenAbstract:OBJECTIVE: The aim of this study was to assess the reproducibility (i.e., agreement and inter-rater reliability) of two taskspecific Functional Capacity Evaluation protocols meant to simulate the daily workload of collectors using either two-wheeled waste containers or bags. METHODS: A within-subjects design was used to assess reproducibility in terms of agreement and reliability. Twenty-one household waste collectors were assessed twice with both task-specific protocols with a time interval of seven days. Agreement was assessed using the Standard Error of Measurement (SEM), and inter-rater reliability was assessed using the Intra-Class Correlation Coefficient (ICC). RESULTS: For the task-specific protocol for waste collection using two-wheeled containers, agreement was excellent (SEM = 0.9 points; 0–340 scale; mean score 339), but inter-rater reliability was poor (ICC = 0.22). For the task-specific protocol for bag collection, agreement was acceptable (SEM = 53 s; continuous scale; mean time 779 s), and inter-rater reliability was good (ICC = 0.79). CONCLUSIONS: Reproducibility of the task-specific protocol for bag collection is acceptable to good, while the task-specific protocol for waste collection using two-wheeled containers has an excellent agreement but a poor reliability. Although face and content validity have been covered within the development of both protocols, further studies should evaluate the construct and criterion-related validity of both task-specific protocols.
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how to assess physical work ability with Functional Capacity Evaluation methods in a more specific and efficient way
Work-a Journal of Prevention Assessment & Rehabilitation, 2010Co-Authors: Vincent Gouttebarge, Haije Wind, Paul P F M Kuijer, Judith K Sluiter, Monique H W FringsdresenAbstract:OBJECTIVE: The objective of this paper is to propose a three-step procedure that can be used in the selection of Functional tests from any full Functional Capacity Evaluation (FCE) method in order to assess efficiently physical work-ability in workers with musculoskeletal complaints (MSC) and related Functional limitations. METHODS: Recently, some authors have considered the selection of Functional tests specific to particular jobs from within a full FCE method. In the present study, based on existing literature and on their own expertise on FCE methods, the authors develop in an analogous manner a conceptual framework for selecting Functional tests specific to particular MSCs from within a full FCE method. RESULTS: The first step is to establish the worker's medical condition and to assign it to one or more defined MSC categories (upper extremity, back, lower extremity). The second step is to identify activities that are restricted by the medical condition (e.g., lifting and bending for MSC of the back). The third and final step is to select Functional tests from a full FCE tests battery to permit measurement of the restricted activities identified in Step 2, striving to avoid redundancy by selecting a limited number of tests for each activity under investigation. CONCLUSIONS: The proposed three-step procedure is a new approach to enhance the efficiency and practicality of FCEs.
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Effect of Functional Capacity Evaluation information on the judgment of physicians about physical work ability in the context of disability claims
International Archives of Occupational and Environmental Health, 2009Co-Authors: Haije Wind, Vincent Gouttebarge, Judith K Sluiter, P. Paul F. M. Kuijer, Monique H. W. Frings-dresenAbstract: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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criterion related validity of Functional Capacity Evaluation lifting tests on future work disability risk and return to work in the construction industry
Occupational and Environmental Medicine, 2009Co-Authors: Vincent Gouttebarge, Haije Wind, Paul P F M Kuijer, Judith K Sluiter, C Van Duivenbooden, M H W FringsdresenAbstract:Objectives: To assess the criterion-related validity of the five Ergo-Kit (EK) Functional Capacity Evaluation (FCE) lifting tests in construction workers on sick leave due to musculoskeletal disorders (MSDs). Methods: Six weeks, 6 months and 1 year after the first sick leave day due to MSDs, construction workers underwent two isometric and three dynamic EK FCE lifting tests, and completed the Instrument for Disability Risk (IDR) for future work disability risk. Concurrent and predictive validity were assessed by the associations between the scores of the EK FCE lifting tests and the IDR outcomes (Pearson Correlation coefficients (r) and associated proportions of variance (PV) and area under receiver operating characteristic curve (AUC)). Predictive validity of the EK FCE lifting tests on the total number of days on sick leave until full durable return to work (RTW) was also evaluated (Cox regression analysis). Results: Concurrent validity with future work disability risk was poor for the two isometric EK FCE lifting tests (20.15(r(0.04) and moderate for the three dynamic EK FCE lifting tests (20.47(r(20.31). Only the carrying lifting strength test showed moderate and acceptable predictive validity on future work disability risk (r = 20.39; AUC = 0.72). Cox regression analyses revealed that two out of the five EK FCE lifting tests predicted durable RTW significantly, but only weakly. Conclusions: Criterion-related validity with future work disability risk was poor for the two isometric EK lifting tests and moderate for the three dynamic lifting tests, especially the carrying lifting strength test. Predictive validity on durable RTW was poor, although weakly significant in two dynamic EK FCE tests, of which one was the carrying lifting strength test.
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effect of Functional Capacity Evaluation information on the judgment of physicians about physical work ability in the context of disability claims
International Archives of Occupational and Environmental Health, 2009Co-Authors: Haije Wind, Vincent Gouttebarge, Paul P F M Kuijer, Judith K Sluiter, Monique H W FringsdresenAbstract: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).
Johan W Groothoff - One of the best experts on this subject based on the ideXlab platform.
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normative values for a Functional Capacity Evaluation
Archives of Physical Medicine and Rehabilitation, 2009Co-Authors: Remko Soer, Cees P Van Der Schans, Jan H B Geertzen, Johan W Groothoff, Sandra Brouwer, Pieter U Dijkstra, Michiel F. RenemanAbstract:UNLABELLED: Soer R, van der Schans CP, Geertzen JH, Groothoff JW, Brouwer S, Dijkstra PU, Reneman MF. Normative values for a Functional Capacity Evaluation. OBJECTIVE: To establish normative values for a Functional Capacity Evaluation (FCE) of healthy working subjects. DESIGN: Descriptive. SETTING: Rehabilitation center. PARTICIPANTS: Healthy working subjects (N=701; 448 men, 253 women) between 20 and 60 years of age, working in more than 180 occupations. INTERVENTIONS: Subjects performed a 2-hour FCE consisting of 12 work-related tests. Subjects were classified into categories based on physical demands according to the Dictionary of Occupational Titles. MAIN OUTCOME MEASURES: Means, ranges, SDs, and percentiles were provided for normative values of FCE, and a regression analysis for outcome of the 12 tests was performed. RESULTS: Normative FCE values were established for 4 physical demand categories. CONCLUSIONS: The normative values enable comparison of patients' performances to these values. If a patient's performance exceeds the lowest scores in his/her corresponding demand category, then the patient's Capacity is very likely to be sufficient to meet the workload. Further, clinicians can make more precise return-to-work recommendations and set goals for rehabilitation programs. A comparison of the normative values can be useful to the fields of rehabilitation, occupational, and insurance medicine. Further research is needed to test the validity of the normative values with respect to workplace assessments and return-to-work recommendations.
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821 TOWARDS CONSENSUS IN OPERATIONAL DEFINITIONS IN Functional Capacity Evaluation: A DELPHI SURVEY
European Journal of Pain, 2009Co-Authors: Remko Soer, Johan W Groothoff, C. Van Der Schans, Joannes Geertzen, Michiel F. RenemanAbstract:Background: The problem of inconsistent terminology in Functional Capacity Evaluation (FCE) has been widely addressed in the international literature. Many different terms seem to be used interchangeably while other terms appear to be interpreted differently. Objective: To gain consensus in operational definitions in FCE and conceptual framework to classify terminology used in FCE. Methods: A Delphi Survey was conducted which consisted of three rounds of questioning, using semi- and full-structured questions. The expert group was formed from international experts in FCE. Consensus of definitions was considered when 75% or more of all experts agreed with a definition. Results: In total, 22 international experts from 6 different countries in Australia, Europe and North America, working in different health related sectors, participated in this study. Consensus concerning conceptual framework of FCE was met in 9 out of 20 statements. Consensus on definitions was met in 10 out of 19 definitions. Experts agreed to use the ICF as a conceptual framework in which terminology of FCE should be classified and agreed to use pre-defined terms of the ICF. No consensus was reached about the definition of “Functional Capacity Evaluation,” for which two potential eligible definitions remained. Conclusion: Consensus was reached in many terms used in FCE. For future research, it was recommended that researchers use these terms, use the ICF as a conceptual framework and clearly state which definition for FCE is used because no definition of FCE was consented.
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822 RELEVANCE OF NORMATIVE VALUES FOR Functional Capacity Evaluation
European Journal of Pain, 2009Co-Authors: Remko Soer, Johan W Groothoff, Sandra Brouwer, Pieter U Dijkstra, Joannes Geertzen, Van Der Cornelis Schans, Michiel F. RenemanAbstract:Background: Functional Capacity Evaluations (FCEs) are Evaluations designed to measure Capacity to perform activities and are used to make recommendations for participation in work. Normative values of healthy working subjects' performances are unavailable, thus patients' performances cannot be compared to those values. Objective: To establish normative values for FCE of healthy working subjects. Methods: Healthy subjects working in over 180 professions performed an FCE consisting of 12 work-related tests. Subjects were classified into categories based on physical demands according to the Dictionary of Occupational Titles (DOT). Means, ranges, standard deviations, percentiles were calculated and a regression analyses for outcome of the 12 tests was performed. Results: Normative FCE values of 701 healthy working subjects (448 male, 253 female) were established for 4 physical demand categories. Conclusion: The normative values enable comparison of patients' performances to these values. If the patients' performances exceed the lowest scores in his/her corresponding demand category, the patients' Capacity is very likely to be sufficient to defy the work load. Further, clinicians can make more precise return to work recommendations and set goals for rehabilitation programs. Comparisons to normative values are useful for the fields of rehabilitation, occupational and insurance medicine. Further research is needed to test validity of the normative references with respect to work place assessments and return to work recommendations.
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Functional Capacity Evaluation in subjects with early osteoarthritis of hip and or knee is two day testing needed
Journal of Occupational Rehabilitation, 2009Co-Authors: Michiel F. Reneman, Johan W Groothoff, M. W. Ittersum, H. J. Bieleman, F. G. J. Oosterveld, Van Der Cornelis SchansAbstract:Introduction The Work Well Functional Capacity Evaluation (WW FCE) is a two-day performance based test consisting of several work-related activities. Three lifting and carrying test items may be performed on both days. The objective of this study was to assess the need for repeated testing of these items in subjects with early osteoarthritis of the hip and/or the knee and to analyze sources of variation between the 2 days of measurement. Methods A standardized WW FCE protocol was applied, including repeated testing of lifting low, lifting overhead and carrying. Differences and associations between the 2 days were calculated using paired samples t-tests, intraclass correlation coefficients (ICC) and limits of agreement (LoA). Possible sources of individual variation between the 2 days were identified by Wilcoxon signed ranks tests. Pearson correlation coefficients were calculated for differences in performances between days and differences in possible sources of variation between days. Results Seventy-nine subjects participated in this study, their mean (SD) age was 56.6 (4.8) years, median (min–max) WOMAC (Western Ontario and McMaster Universities) index scores for pain, stiffness and physical function were 5 (0–17), 3 (0–7) and 14 (0–49), respectively. Median (min–max) SF36 physical function was 75 (5–95), and SF36 pain score was 67 (12–76). Mean performance differences ranged from −0.2 to −0.8 kg (P > 0.05). ICC’s ranged from 0.75 (lifting overhead) to 0.88 (lifting low). LoA were: lifting low 8.0 kg; lifting overhead 6.5 kg; carrying 9.0 kg. Pearson’s correlations were low and non-significant. Conclusions All three tests show acceptable two-day consistency. WW FCE testing on two consecutive days is not necessary for groups of subjects with early osteoarthritis. Individual sources of variation could not be identified.
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towards consensus in operational definitions in Functional Capacity Evaluation a delphi survey
Journal of Occupational Rehabilitation, 2008Co-Authors: Remko Soer, Cees P Van Der Schans, Jan H B Geertzen, Johan W Groothoff, Michiel F. RenemanAbstract:Introduction The problem of inconsistent terminology in Functional Capacity Evaluation (FCE) has been widely addressed in the international literature. Many different terms seem to be used interchangeably while other terms appear to be interpreted differently. This may seriously hinder FCE research and clinical use. To gain consensus in operational definitions in FCE and conceptual framework to classify terminology used in FCE. Methods A Delphi Survey with FCE experts was conducted which consisted of three rounds of questioning, using semi and full structured questions. The expert group was formed from international experts in FCE. Experts were selected if they met any of the following criteria: at least one international publication as first author and one as co-author in the field of FCE; or an individual who had developed an FCE that was subject of investigation in at least one publication in international literature. Consensus of definitions was considered when 75% or more of all experts agreed with a definition. Results In total, 22 international experts from 6 different countries in Australia, Europe and North America, working in different health related sectors, participated in this study. Conclusion Consensus concerning conceptual framework of FCE was met in 9 out of 20 statements. Consensus on definitions was met in 10 out of 19 definitions. Experts agreed to use the ICF as a conceptual framework in which terminology of FCE should be classified and agreed to use pre-defined terms of the ICF. No consensus was reached about the definition of FCE, for which two potential eligible definitions remained. Consensus was reached in many terms used in FCE. For future research, it was recommended that researchers use these terms, use the ICF as a conceptual framework and clearly state which definition for FCE is used because no definition of FCE was consented.
Mike Capra - One of the best experts on this subject based on the ideXlab platform.
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content validity of the workhab Functional Capacity Evaluation
Australian Occupational Therapy Journal, 2019Co-Authors: Carole James, Lynette Mackenzie, Mike CapraAbstract:Introduction: Validity is a dynamic process and as part of a continual process of Evaluation of tools, this study aimed to evaluate content validity of the WorkHab Functional Capacity Evaluation, a tool used in occupational rehabilitation. Methods: A cross sectional survey of health professionals who conduct FCEs investigated their ratings of item relevance and item difficulty across different categories of work and injuries. The survey also explored the relationship of the WorkHab FCE items with the physical demand items of the Dictionary of Occupational Titles (DOT). Results: The majority of items of the WorkHab FCE were rated as relevant for manual work and vocational retraining with over 90% agreement between the 106 respondents. Therapists identified the WorkHab items of climbing, crawling and balance as less relevant for sedentary work. Lifting items were perceived as the most difficult for those with a lower back injury, or an upper limb injury. Sixteen of the 18 WorkHab FCE items had 100% agreement with the equivalent items on the DOT. The WorkHab FCE items that had poor agreement with the DOT were mainly sensory items such as see, feel, talk and hear. Conclusions: The findings of this study support the content validity for the WorkHab FCE specifically in relation to manual work and for vocational retraining purposes.
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inter and intra rater reliability of the manual handling component of the workhab Functional Capacity Evaluation
Disability and Rehabilitation, 2011Co-Authors: Carole James, Lynette Mackenzie, Mike CapraAbstract: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 ...
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test retest reliability of the manual handling component of the workhab Functional Capacity Evaluation in healthy adults
Disability and Rehabilitation, 2010Co-Authors: Carole James, Lynette Mackenzie, Mike CapraAbstract:Purpose. The WorkHab Functional Capacity Evaluation (FCE) is one of many FCEs currently available and is widely used in the Australian workplace injury management and occupational rehabilitation arena. This study investigated the test–retest reliability of manual handling tasks within the WorkHab FCE in healthy adults.Method. A convenience sample of 25 healthy subjects, consisting of 19 women and 6 men with a mean age of 29 years (SD: 12.0) participated in this study. Two FCE sessions were held a week apart and subjects completed a floor to bench, bench to shoulder and bench to bench lift. Analysis of the outcomes of the FCE included descriptive analysis, intra-class correlations (ICC), kappa, percentage agreement and 95% limits of agreement where appropriate.Results. The ICCs for the three lifts show an excellent reliability (0.90–0.92), and a moderate reliability for the manual handling score (0.74). Further analysis of the components of the manual handling score found the percentage agreement was high ...
