Gibson Libby, Strong Jenny
Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
J Occup Rehabil. 2005 Jun;15(2):237-51. doi: 10.1007/s10926-005-1222-z.
Although safety is recognized as a critical issue in functional capacity evaluations (FCEs), it has rarely been investigated. This paper reports on the findings of a study which examined safety aspects of a new approach to FCE. Fourteen rehabilitation clients with chronic back pain participated in the study. Aspects examined included the pre-FCE screening procedures, the monitoring of performance and safety during the FCE, and the end of FCE measures and follow-up procedures. Support was found for the screening procedures of the approach, particularly blood pressure measurement, and for the combined approach to monitoring of the person's performance from biomechanical, physiological and psychophysical perspectives. Issues for FCE safety in general are identified and discussed, including the importance of screening procedures to determine readiness for FCEs and the issue of load handling in FCEs, especially in relation to clients with chronic back pain.
尽管安全在功能能力评估（FCE）中被视为一个关键问题，但很少有人对此进行研究。本文报告了一项研究的结果，该研究考察了一种新的FCE方法的安全方面。14名患有慢性背痛的康复患者参与了该研究。考察的方面包括FCE前的筛查程序、FCE期间对表现和安全的监测，以及FCE结束时的措施和后续程序。研究发现该方法的筛查程序，特别是血压测量，以及从生物力学、生理学和心理物理学角度对人的表现进行监测的综合方法是有依据的。文中还确定并讨论了FCE安全的一般问题，包括筛查程序对确定FCE准备情况的重要性，以及FCE中负荷处理的问题，特别是与慢性背痛患者相关的问题。
