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Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing
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,...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820400/ https://www.ncbi.nlm.nih.gov/pubmed/28397018 http://dx.doi.org/10.1007/s10926-017-9703-4 |
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author | Postema, S. G. Bongers, R. M. Reneman, M. F. van der Sluis, C. K. |
author_facet | Postema, S. G. Bongers, R. M. Reneman, M. F. van der Sluis, C. K. |
author_sort | Postema, S. G. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5820400 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-58204002018-02-27 Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing Postema, S. G. Bongers, R. M. Reneman, M. F. van der Sluis, C. K. J Occup Rehabil Article 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. Springer US 2017-04-10 2018 /pmc/articles/PMC5820400/ /pubmed/28397018 http://dx.doi.org/10.1007/s10926-017-9703-4 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Article Postema, S. G. Bongers, R. M. Reneman, M. F. van der Sluis, C. K. Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing |
title | Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing |
title_full | Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing |
title_fullStr | Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing |
title_full_unstemmed | Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing |
title_short | Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing |
title_sort | functional capacity evaluation in upper limb reduction deficiency and amputation: development and pilot testing |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820400/ https://www.ncbi.nlm.nih.gov/pubmed/28397018 http://dx.doi.org/10.1007/s10926-017-9703-4 |
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