Berduszek Redmar J, Dekker Rienk, van der Sluis Corry K, Reneman Michiel F
Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands.
J Occup Rehabil. 2025 May 19. doi: 10.1007/s10926-025-10298-z.
Upper extremity functional capacity evaluation (UE-FCE) contains tests covering aspects of upper extremity functioning. UE-FCE tests usually consist of multiple repeated trials. Shortened UE-FCEs with less trials per test have been proposed but never tested in patients. The aims of this study were (1) to compose a shortened UE-FCE (fewer trials per test) and (2) to assess construct validity and test-retest reliability when applied in patients with nontraumatic musculoskeletal complaints of the hand, wrist, forearm, and elbow.
Participants performed a UE-FCE, with original full-length tests, twice (1 to 3 weeks apart). A shortened UE-FCE, with fewer trials per test, was composed based on the agreement (ICC ≥ 0.90) between shortened and original UE-FCE tests. Consequently, construct validity and test-retest reliability of the shortened UE-FCE tests were assessed.
UE-FCEs were performed by 45 participants. The proposed shortened UE-FCE included one-trial tests for hand grip and finger strength (instead of three-trial tests), two-trial tests for fingertip and hand/forearm dexterity (instead of three-trial and four-trial tests, respectively). Overhead lifting and working tests were already one-trial tests and remain unchanged. Construct validity was demonstrated for hand grip strength of the left hand, overhead lifting, and overhead working, but not for hand grip strength of the right hand, finger strength, fingertip dexterity and hand and forearm dexterity. Test-retest reliability was above 0.70 for all tests, except for fingertip dexterity of the dominant hand (0.59).
The shortened UE-FCE with fewer trials per test agreed strongly with the original UE-FCE. Using the shortened UE-FCE could save 18 min. Construct validity differed per UE-FCE test. Test-retest reliability was sufficient for all UE-FCE tests except fingertip dexterity of the dominant hand.
上肢功能能力评估（UE-FCE）包含了涵盖上肢功能各方面的测试。UE-FCE测试通常由多次重复试验组成。有人提出了每次测试试验次数较少的简化版UE-FCE，但从未在患者中进行过测试。本研究的目的是：（1）编制一个简化版UE-FCE（每次测试试验次数更少）；（2）评估将其应用于手部、腕部、前臂和肘部非创伤性肌肉骨骼疾病患者时的结构效度和重测信度。
参与者进行了两次UE-FCE，采用原始的完整测试（间隔1至3周）。基于简化版和原始UE-FCE测试之间的一致性（组内相关系数[ICC]≥0.90），编制了每次测试试验次数更少的简化版UE-FCE。随后，评估了简化版UE-FCE测试的结构效度和重测信度。
45名参与者进行了UE-FCE测试。提议的简化版UE-FCE包括握力和手指力量的单次试验测试（而非三次试验测试），指尖和手/前臂灵巧性的两次试验测试（分别取代三次试验和四次试验测试）。 overhead lifting和工作测试已经是单次试验测试，保持不变。左手握力、 overhead lifting和 overhead working的结构效度得到了验证，但右手握力、手指力量、指尖灵巧性以及手和前臂灵巧性的结构效度未得到验证。除优势手指尖灵巧性（0.59）外，所有测试的重测信度均高于0.70。
每次测试试验次数更少的简化版UE-FCE与原始UE-FCE高度一致。使用简化版UE-FCE可节省18分钟。不同的UE-FCE测试结构效度有所不同。除优势手指尖灵巧性外，所有UE-FCE测试的重测信度都足够。
