Reesink David D, Jorritsma Wim, Reneman Michiel F
University Center ProMotion Groningen, P. O. Box 247, 9700 AE, Groningen, The Netherlands.
J Occup Rehabil. 2007 Sep;17(3):436-49. doi: 10.1007/s10926-007-9086-z. Epub 2007 May 22.
Neck pain is a common musculoskeletal complaint and a relationship with reduced work-related functional capacity is assumed. A validated instrument to test functional capacity of patients with neck pain is unavailable. The objective of this study was to develop a Functional Capacity Evaluation (FCE), which is content valid for determining functional capacity in patients with work related neck disorders (WRND).
A review of epidemiological review literature was conducted to identify physical risk factors for WRND.
Evidence was found that physical risk factors contribute in development of WRND. Physical risk factors were related to repetitive movements, forceful movements, awkward positions and static contractions of the neck or the neck/shoulder region. An FCE was designed based on the risk factors identified. Eight tests were selected to cover all risk factors: repetitive side reaching, repetitive reaching overhead, static overhead work, front carry, forward static bend neck, overhead lift and the neck strength test. Content validity of this FCE was established by providing the rationale, specific objectives and operational definitions of the FCE.
Further research is needed to establish reliability and other aspects of validity of the neck-FCE.
颈部疼痛是一种常见的肌肉骨骼疾病，人们认为它与工作相关功能能力下降有关。目前尚无经过验证的用于测试颈部疼痛患者功能能力的工具。本研究的目的是开发一种功能能力评估（FCE），该评估在确定与工作相关的颈部疾病（WRND）患者的功能能力方面具有内容效度。
对流行病学综述文献进行回顾，以确定WRND的身体危险因素。
发现有证据表明身体危险因素在WRND的发展中起作用。身体危险因素与重复性动作、用力动作、不良姿势以及颈部或颈部/肩部区域的静态收缩有关。基于所确定的危险因素设计了一种FCE。选择了八项测试以涵盖所有危险因素：重复性侧方伸展、重复性过头伸展、静态过头工作、前位搬运、向前静态颈部弯曲、过头举和颈部力量测试。通过提供FCE的基本原理、具体目标和操作定义，确定了该FCE的内容效度。
需要进一步研究以确定颈部FCE的可靠性和有效性的其他方面。
