如何以更具体、更有效的方式通过功能能力评估方法来评估身体工作能力？

How to assess physical work-ability with Functional Capacity Evaluation methods in a more specific and efficient way?

作者信息

Gouttebarge Vincent, Wind Haije, Kuijer P Paul F M, Sluiter Judith K, Frings-Dresen Monique H W

机构信息

Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Work. 2010;37(1):111-5. doi: 10.3233/WOR-2010-1084.

DOI:10.3233/WOR-2010-1084

PMID:20858993

Abstract

OBJECTIVE

The objective of this paper is to propose a three-step procedure that can be used in the selection of functional tests from any full Functional Capacity Evaluation (FCE) method in order to assess efficiently physical work-ability in workers with musculoskeletal complaints (MSC) and related functional limitations.

METHODS

Recently, some authors have considered the selection of functional tests specific to particular jobs from within a full FCE method. In the present study, based on existing literature and on their own expertise on FCE methods, the authors develop in an analogous manner a conceptual framework for selecting functional tests specific to particular MSCs from within a full FCE method.

RESULTS

The first step is to establish the worker's medical condition and to assign it to one or more defined MSC categories (upper extremity, back, lower extremity). The second step is to identify activities that are restricted by the medical condition (e.g., lifting and bending for MSC of the back). The third and final step is to select functional tests from a full FCE tests battery to permit measurement of the restricted activities identified in Step 2, striving to avoid redundancy by selecting a limited number of tests for each activity under investigation.

CONCLUSIONS

The proposed three-step procedure is a new approach to enhance the efficiency and practicality of FCEs.

摘要

目的

本文的目的是提出一种三步程序，可用于从任何完整的功能能力评估（FCE）方法中选择功能测试，以便有效地评估有肌肉骨骼疾病（MSC）及相关功能受限的工人的身体工作能力。

方法

最近，一些作者考虑从完整的FCE方法中选择特定于特定工作的功能测试。在本研究中，作者基于现有文献以及他们自己在FCE方法方面的专业知识，以类似的方式开发了一个概念框架，用于从完整的FCE方法中选择特定于特定MSC的功能测试。

结果

第一步是确定工人的医疗状况，并将其归入一个或多个已定义的MSC类别（上肢、背部、下肢）。第二步是识别受医疗状况限制的活动（例如，背部MSC的举重和弯腰）。第三步也是最后一步是从完整的FCE测试组中选择功能测试，以允许测量第二步中确定的受限活动，通过为每个正在研究的活动选择有限数量的测试来努力避免冗余。