足部和踝关节损伤的功能能力评估。

Functional Capacity Evaluation for Injuries to the Foot and Ankle.

机构信息

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.

出版信息

Foot Ankle Int. 2019 Nov;40(11):1282-1287. doi: 10.1177/1071100719864694. Epub 2019 Jul 18.

DOI:10.1177/1071100719864694

PMID:31319712

Abstract

BACKGROUND

The functional capacity evaluation (FCE) is used to determine physical ability after treatment of a workplace-related injury. This evaluation is a determinant in the administration of benefits and the decision to return to work (RTW). The purpose of this study was to characterize FCE results and ability to RTW after treatment for workplace-related orthopedic injuries to the foot or ankle.

METHODS

A retrospective medical record review from the practices of 4 orthopedic foot and ankle surgeons was conducted. Inclusion criteria were a workplace-related injury to the foot or ankle, at least 2 years of follow-up, and an associated FCE. The FCE report and clinic notes were used to determine the patient's preinjury job requirement, postinjury FCE-determined ability, specific FCE- or physician-imposed work restrictions, and clearance to RTW. A total of 188 patients met inclusion criteria.

RESULTS

In total, 74.4% of patients had FCE-determined work abilities at or above their preinjury job requirements, and 63.3% of patients were cleared to RTW. The mean time from injury to FCE was 1.9 ± 1.5 years, and the mean time to clearance for RTW was 2.0 ± 1.3 years. A less strenuous preinjury job requirement was positively associated with both the FCE-determined ability meeting the preinjury job requirement ( < .001) and clearance to RTW ( = .034).

CONCLUSION

Two in 3 patients were cleared to RTW following workplace-related injuries to the foot or ankle culminating in an FCE. However, it took a mean of 2 years to achieve this clearance. Patients with more strenuous jobs were less likely to be able to RTW after injury.

LEVEL OF EVIDENCE

Level III, retrospective comparative study.

摘要

背景

功能能力评估（FCE）用于确定与工作场所相关的伤害治疗后的身体能力。这种评估是福利管理和决定重返工作岗位（RTW）的决定因素。本研究的目的是描述与工作相关的足部或踝部骨科损伤治疗后 FCE 结果和 RTW 能力。

方法

对 4 名骨科足踝外科医生的实践进行了回顾性病历回顾。纳入标准为足部或踝部与工作相关的损伤，至少随访 2 年，以及相关的 FCE。FCE 报告和临床记录用于确定患者的受伤前工作要求、受伤后 FCE 确定的能力、特定的 FCE 或医生规定的工作限制以及 RTW 的许可。共有 188 名患者符合纳入标准。

结果

共有 74.4%的患者的 FCE 确定的工作能力达到或超过受伤前的工作要求，63.3%的患者被批准重返工作岗位。从受伤到 FCE 的平均时间为 1.9±1.5 年，从受伤到 RTW 的平均时间为 2.0±1.3 年。受伤前工作要求较低与 FCE 确定的能力满足受伤前工作要求（<.001）和获准重返工作岗位（=.034）呈正相关。