Chen Joseph J
Department of Orthopaedics & Rehabilitation, University of Iowa Hospitals and Clinics, USA.
Iowa Orthop J. 2007;27:121-7.
Function, Impairment, and Disability are words in which many physicians have little interest. Most physicians are trained to deal with structure and physiology and not function and disability. The purpose of this article is to address some of the common questions that many physicians have with the use of functional capacity evaluation and disability and also to provide a unifying model that can explain the medical and societal variables in predicting disability. We will first define the functional capacity evaluation (FCE) and explore the different types available as well as their uses. We will review several studies exploring the validity and reliability of the FCE on healthy and chronic pain patients. We will examine the few studies that look into whether an FCE is predictive of return to work and whether an FCE is predictive of disability. In the second half of this article, we will focus on the Assessment of Disability from the origins of the United States Social Security Administration to a bold new concept, the World Health Organization's International Classification of Function, Disability and Health.
功能、损伤和残疾是许多医生不太感兴趣的词汇。大多数医生接受的培训是处理结构和生理学问题，而非功能和残疾问题。本文的目的是解答许多医生在使用功能能力评估和残疾评估方面的一些常见问题，并提供一个统一的模型，用以解释预测残疾的医学和社会变量。我们将首先定义功能能力评估（FCE），探讨可用的不同类型及其用途。我们将回顾几项研究，这些研究探讨了FCE在健康和慢性疼痛患者中的有效性和可靠性。我们将审视少数研究，这些研究调查了FCE是否能预测重返工作岗位以及FCE是否能预测残疾。在本文的后半部分，我们将重点关注残疾评估，从美国社会保障管理局的起源到一个大胆的新概念，即世界卫生组织的《国际功能、残疾和健康分类》。
