Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, PO BOX 30001, 9700 RB, Groningen, The Netherlands.
Center of Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
J Occup Rehabil. 2018 Mar;28(1):158-169. doi: 10.1007/s10926-017-9703-4.
Purpose To develop and pilot test a functional capacity evaluation (FCE) for individuals with upper limb absence (ULA) due to reduction deficiency or amputation, and to examine the relationship between FCE results and presence of musculoskeletal complaints (MSC). Method Five tests (overhead lifting, overhead working, repetitive reaching, fingertip dexterity, and handgrip strength) were selected and adapted if necessary. The newly developed FCE, called FCE-One-Handed (FCE-OH), was pilot tested in 20 adults individuals with ULA, and 20 matched controls. MSC were assessed via a questionnaire. Results Adaptations were considered necessary for all tests, except the handgrip strength test. The repetitive overhead lifting test of the non-affected limb was added. On the overhead lifting test, individuals with above-elbow ULA (ten males), performed similar to controls using one hand. When lifting bimanually using the prosthesis, a trend for lower lifting capacity of individuals with below-elbow ULA (seven males, three females) was observed compared to controls. On the overhead working test, individuals with above-elbow ULA performed worse compared to controls. Other tests showed no significant differences between groups. Relationships between FCE results and presence of MSC were non-significant. Conclusion The FCE-OH can be used to test functional capacity of one-handed individuals. Individuals with ULA generally showed similar functional capacity as two-handed individuals. FCE results were not related to MSC. It was discussed that a higher physical load on the non-affected limb might reflect a relative deficit of functional capacity.
目的 为上肢缺失（ULA）患者（因减少缺失或截肢导致）开发并初步测试一种功能能力评估（FCE），并研究 FCE 结果与肌肉骨骼投诉（MSC）之间的关系。
方法 选择了 5 项测试（头顶举物、头顶作业、重复伸手、指尖灵巧度和手握力），如果需要则进行改编。新开发的 FCE 称为单手 FCE（FCE-OH），在 20 名上肢缺失的成年人和 20 名匹配的对照者中进行了初步测试。通过问卷评估 MSC。
结果 除手握力测试外，所有测试均认为需要进行改编。添加了非受累侧的重复头顶举物测试。在上臂 ULA（10 名男性）的头顶举物测试中，单手使用与对照组相似。当使用假肢进行双臂举物时，与对照组相比，下臂 ULA（7 名男性，3 名女性）的举物能力有下降趋势。在头顶作业测试中，上肢缺失患者的表现不如对照组。其他测试中，组间无显著差异。FCE 结果与 MSC 之间的关系无统计学意义。
结论 FCE-OH 可用于测试单手个体的功能能力。上肢缺失患者的功能能力一般与双手个体相似。FCE 结果与 MSC 无关。有人讨论说，非受累侧的物理负荷较高可能反映了功能能力的相对不足。
