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Reliability and Safety of Functional Capacity Evaluation in Patients with Whiplash Associated Disorders

Introduction Whiplash-associated disorders (WAD) are a burden for both individuals and society. It is recommended to evaluate patients with WAD at risk of chronification to enhance rehabilitation and promote an early return to work. In patients with low back pain (LBP), functional capacity evaluatio...

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Autores principales: Trippolini, M. A., Reneman, M. F., Jansen, B., Dijkstra, P. U., Geertzen, J. H. B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734606/
https://www.ncbi.nlm.nih.gov/pubmed/23179744
http://dx.doi.org/10.1007/s10926-012-9403-z
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author Trippolini, M. A.
Reneman, M. F.
Jansen, B.
Dijkstra, P. U.
Geertzen, J. H. B.
author_facet Trippolini, M. A.
Reneman, M. F.
Jansen, B.
Dijkstra, P. U.
Geertzen, J. H. B.
author_sort Trippolini, M. A.
collection PubMed
description Introduction Whiplash-associated disorders (WAD) are a burden for both individuals and society. It is recommended to evaluate patients with WAD at risk of chronification to enhance rehabilitation and promote an early return to work. In patients with low back pain (LBP), functional capacity evaluation (FCE) contributes to clinical decisions regarding fitness-for-work. FCE should have demonstrated sufficient clinimetric properties. Reliability and safety of FCE for patients with WAD is unknown. Methods Thirty-two participants (11 females and 21 males; mean age 39.6 years) with WAD (Grade I or II) were included. The FCE consisted of 12 tests, including material handling, hand grip strength, repetitive arm movements, static arm activities, walking speed, and a 3 min step test. Overall the FCE duration was 60 min. The test–retest interval was 7 days. Interclass correlations (model 1) (ICCs) and limits of agreement (LoA) were calculated. Safety was assessed by a Pain Response Questionnaire, observation criteria and heart rate monitoring. Results ICCs ranged between 0.57 (3 min step test) and 0.96 (short two-handed carry). LoA relative to mean performance ranged between 15 % (50 m walking test) and 57 % (lifting waist to overhead). Pain reactions after WAD FCE decreased within days. Observations and heart rate measurements fell within the safety criteria. Conclusions The reliability of the WAD FCE was moderate in two tests, good in five tests and excellent in five tests. Safety-criteria were fulfilled. Interpretation at the patient level should be performed with care because LoA were substantial.
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spelling pubmed-37346062013-08-08 Reliability and Safety of Functional Capacity Evaluation in Patients with Whiplash Associated Disorders Trippolini, M. A. Reneman, M. F. Jansen, B. Dijkstra, P. U. Geertzen, J. H. B. J Occup Rehabil Article Introduction Whiplash-associated disorders (WAD) are a burden for both individuals and society. It is recommended to evaluate patients with WAD at risk of chronification to enhance rehabilitation and promote an early return to work. In patients with low back pain (LBP), functional capacity evaluation (FCE) contributes to clinical decisions regarding fitness-for-work. FCE should have demonstrated sufficient clinimetric properties. Reliability and safety of FCE for patients with WAD is unknown. Methods Thirty-two participants (11 females and 21 males; mean age 39.6 years) with WAD (Grade I or II) were included. The FCE consisted of 12 tests, including material handling, hand grip strength, repetitive arm movements, static arm activities, walking speed, and a 3 min step test. Overall the FCE duration was 60 min. The test–retest interval was 7 days. Interclass correlations (model 1) (ICCs) and limits of agreement (LoA) were calculated. Safety was assessed by a Pain Response Questionnaire, observation criteria and heart rate monitoring. Results ICCs ranged between 0.57 (3 min step test) and 0.96 (short two-handed carry). LoA relative to mean performance ranged between 15 % (50 m walking test) and 57 % (lifting waist to overhead). Pain reactions after WAD FCE decreased within days. Observations and heart rate measurements fell within the safety criteria. Conclusions The reliability of the WAD FCE was moderate in two tests, good in five tests and excellent in five tests. Safety-criteria were fulfilled. Interpretation at the patient level should be performed with care because LoA were substantial. Springer US 2012-11-22 2013 /pmc/articles/PMC3734606/ /pubmed/23179744 http://dx.doi.org/10.1007/s10926-012-9403-z Text en © The Author(s) 2012 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Article
Trippolini, M. A.
Reneman, M. F.
Jansen, B.
Dijkstra, P. U.
Geertzen, J. H. B.
Reliability and Safety of Functional Capacity Evaluation in Patients with Whiplash Associated Disorders
title Reliability and Safety of Functional Capacity Evaluation in Patients with Whiplash Associated Disorders
title_full Reliability and Safety of Functional Capacity Evaluation in Patients with Whiplash Associated Disorders
title_fullStr Reliability and Safety of Functional Capacity Evaluation in Patients with Whiplash Associated Disorders
title_full_unstemmed Reliability and Safety of Functional Capacity Evaluation in Patients with Whiplash Associated Disorders
title_short Reliability and Safety of Functional Capacity Evaluation in Patients with Whiplash Associated Disorders
title_sort reliability and safety of functional capacity evaluation in patients with whiplash associated disorders
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734606/
https://www.ncbi.nlm.nih.gov/pubmed/23179744
http://dx.doi.org/10.1007/s10926-012-9403-z
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