Gross Douglas P, Battié Michele C
Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
J Occup Rehabil. 2003 Dec;13(4):287-95. doi: 10.1023/a:1026276822721.
The construct validity of a kinesiophysical Functional Capacity Evaluation (FCE) administered within a worker's compensation context was examined. A cross-sectional study design was employed. Clinical and demographic information on workers' compensation claimants was extracted from a rehabilitation facility's database. Measures of interest were the Isernhagen Work Systems' (Duluth, MN) FCE, the Pain Disability Index (PDI), and a pain visual analogue scale (VAS). A multitrait Pearson correlation matrix was created to observe the pattern of relationships between variables. The sample consisted of 321 subjects with work-related, medically stable low back pain of median duration of 307 days. FCE performance was moderately correlated with the PDI (r = -0.44-0.52) and with the pain VAS (r = 0.34-0.45). Pain intensity was correlated highly with the PDI (r = 0.79). The moderate relationship between FCE and the PDI supports the construct validity of FCE as a functional measure. However, kinesiophysical FCE performance was not unrelated to pain severity ratings as purported.
对在工伤赔偿背景下进行的运动物理功能能力评估(FCE)的结构效度进行了检验。采用横断面研究设计。从一家康复机构的数据库中提取了工伤赔偿申请人的临床和人口统计学信息。感兴趣的测量指标包括伊瑟恩哈根工作系统(明尼苏达州德卢斯)的FCE、疼痛残疾指数(PDI)和疼痛视觉模拟量表(VAS)。创建了一个多特质皮尔逊相关矩阵来观察变量之间的关系模式。样本包括321名患有与工作相关、医学上稳定的下背痛的受试者,中位病程为307天。FCE表现与PDI中度相关(r = -0.44 - 0.52),与疼痛VAS中度相关(r = 0.34 - 0.45)。疼痛强度与PDI高度相关(r = 0.79)。FCE与PDI之间的中度关系支持了FCE作为一种功能测量方法的结构效度。然而,运动物理FCE表现并非如所声称的那样与疼痛严重程度评级无关。