Application of Functional Capacity Evaluation in Return-to-work Ability Assessment of Work-related Injury Patients with Local Factures

Objective:To explore the predictive validity of Functional Capacity Evaluation(FCE)on the employment status of work-related injured patients at different injured sites, and to explore the effect of pain on the predictive validity.Methods:A total of 300 work-related injuries were divided into three g...

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Bibliographic Details
Main Authors: Ru HUANG, Xunwen LU, Yanwen XU, Huiling ZHOU
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2019-06-01
Series:康复学报
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Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.03056
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Summary:Objective:To explore the predictive validity of Functional Capacity Evaluation(FCE)on the employment status of work-related injured patients at different injured sites, and to explore the effect of pain on the predictive validity.Methods:A total of 300 work-related injuries were divided into three groups base on the injured sites: group One, upper extremity fractures patients; group Two, lower extremity fractures patients; group Three, trunk fractures patients. Base on the FCE and the pain-related assessments, participants who would leave hospital soon received recommendations of return-to-work(It includes four kinds of suggestions:1.Return to previous job; 2.Return to previous job but adjust task; 3.Do the other job; 4.Do not return to work). After three months, participants were contacted by telephone to ascertain their employment status and to observe the <italic>Kappa</italic> of actual employment and FCE assessment for patients. At the same time, we explored the effect of pain on the predictive validity of FCE.Results:There were all significant relationships between recommendations of return-to-work and employment rate within three months for all patients(group One:<italic>Kappa</italic>=0.428,<italic>P</italic>&lt;0.05;group Two:<italic>Kappa</italic>=0.384,<italic>P</italic>&lt;0.05;group Three:<italic>Kappa</italic>=0.280,<italic>P</italic>&lt;0.05). The VAS scores of three groups were(1.3±1.9),(1.9±1.6),(2.6±1.6)respectively. The pain had the effect on the predictive validity of FCE about lower extremity fractures patients and trunk fractures patients(<italic>P</italic>&lt;0.05).Conclusion:FCE is an effective assessment tool about return-to-work. If lower extremity fractures patients and trunk fractures patients are painful, they can't be evaluated by FCE only, they can be evaluated by FCE and other pain-based psychosocial factors.
ISSN:2096-0328