Gross Douglas P, Battié Michele C, Asante Alexander
Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada.
J Occup Rehabil. 2006 Mar;16(1):53-62. doi: 10.1007/s10926-005-9008-x.
Functional Capacity Evaluations (FCE) are used for making return-to-work decisions, yet FCE's modest predictive ability is currently outweighed by the administrative burden of testing. We attempted to develop a short-form FCE while maintaining comparable predictive ability.
Three databases previously created for evaluating FCE predictive validity were used. Subjects were compensation claimants with low back disorders. FCE measures included items in the Isernhagen Work Systems' FCE. Days until benefit suspension served as an indicator of return-to-work. Analysis included Cox regression.
Three items, floor-to-waist lift, crouching, and standing, were maintained in the short-form FCE. The short-form FCE was found to predict comparably to the entire FCE protocol in two validation cohorts (R (2) difference<3%). Subjects meeting job demands on all three items consistently experienced faster benefit suspension.
A short-form FCE for determining future work status in claimants with low back disorders was developed. A substantially abbreviated FCE may offer an efficient alternative.
功能能力评估（FCE）用于做出重返工作岗位的决策，但目前FCE有限的预测能力被测试的管理负担所抵消。我们试图开发一种简化版FCE，同时保持相当的预测能力。
使用先前创建的三个用于评估FCE预测效度的数据库。研究对象为患有下背部疾病的工伤索赔者。FCE测量包括Isernhagen工作系统FCE中的项目。福利暂停天数作为重返工作岗位的指标。分析采用Cox回归。
简化版FCE保留了三项：从地面到腰部的提举、蹲伏和站立。在两个验证队列中，发现简化版FCE与整个FCE方案的预测能力相当（R（2）差异<3%）。在所有三项上均满足工作要求的受试者福利暂停的速度始终更快。
开发了一种用于确定下背部疾病索赔者未来工作状态的简化版FCE。大幅简化的FCE可能提供一种有效的替代方案。
