使用特定工作的功能能力评估来预测桡骨远端骨折患者的工作回归情况。
Use of job-specific functional capacity evaluation to predict the return to work of patients with a distal radius fracture.
机构信息
Ergonomics and Human Performance Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
出版信息
Am J Occup Ther. 2011 Jul-Aug;65(4):445-52. doi: 10.5014/ajot.2011.001057.
OBJECTIVE
We examined the predictive validity of a job-specific functional capacity evaluation (FCE) in relation to the return to work of patients with a distal radius fracture.
METHOD
Return-to-work recommendations for 194 participants with a distal radius fracture were based on FCE performance. Three months after the evaluation, participants were contacted to ascertain their employment status to examine the predictive validity of each FCE-based rating.
RESULTS
The recommendation return to previous job (94.83%) was correct more often than the recommendations do not work at the moment (60.47%), change job (52.63%), and return to previous job with modifications (9.38%). A longer period from injury to FCE and compensable injury reduces the predictive ability of job-specific FCE.
CONCLUSION
Job-specific FCE shows a better predictive validity in relation to the return to work of patients with a specific injury, such as a distal radius fracture, than of patients with a nonspecific injury.
目的
我们研究了特定工作的功能能力评估（FCE）与桡骨远端骨折患者重返工作岗位之间的预测效度。
方法
根据 FCE 表现，为 194 名桡骨远端骨折患者制定了重返工作岗位的建议。在评估后 3 个月，联系参与者以确定他们的就业状况，以检验基于每项 FCE 的评分的预测效度。
结果
推荐返回原工作（94.83%）的准确性高于目前不工作（60.47%）、换工作（52.63%）和返回原工作但需调整（9.38%）。从受伤到 FCE 的时间较长和可赔偿的损伤会降低特定工作 FCE 的预测能力。
结论
与非特异性损伤的患者相比，特定工作的 FCE 对特定损伤（如桡骨远端骨折）患者的工作恢复具有更好的预测效度。
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