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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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
Subjects:
Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.03056
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author Ru HUANG
Xunwen LU
Yanwen XU
Huiling ZHOU
author_facet Ru HUANG
Xunwen LU
Yanwen XU
Huiling ZHOU
author_sort Ru HUANG
collection DOAJ
description 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.
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series 康复学报
spelling doaj-art-b7df9983bbbb4dd5a131ca21500e3cf52025-01-14T10:04:32ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282019-06-01295659,6523129440Application of Functional Capacity Evaluation in Return-to-work Ability Assessment of Work-related Injury Patients with Local FacturesRu HUANGXunwen LUYanwen XUHuiling ZHOUObjective: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.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.03056fracturepainfunctional capacity evaluationpredictive validityreturn-to-work
spellingShingle Ru HUANG
Xunwen LU
Yanwen XU
Huiling ZHOU
Application of Functional Capacity Evaluation in Return-to-work Ability Assessment of Work-related Injury Patients with Local Factures
康复学报
fracture
pain
functional capacity evaluation
predictive validity
return-to-work
title Application of Functional Capacity Evaluation in Return-to-work Ability Assessment of Work-related Injury Patients with Local Factures
title_full Application of Functional Capacity Evaluation in Return-to-work Ability Assessment of Work-related Injury Patients with Local Factures
title_fullStr Application of Functional Capacity Evaluation in Return-to-work Ability Assessment of Work-related Injury Patients with Local Factures
title_full_unstemmed Application of Functional Capacity Evaluation in Return-to-work Ability Assessment of Work-related Injury Patients with Local Factures
title_short Application of Functional Capacity Evaluation in Return-to-work Ability Assessment of Work-related Injury Patients with Local Factures
title_sort application of functional capacity evaluation in return to work ability assessment of work related injury patients with local factures
topic fracture
pain
functional capacity evaluation
predictive validity
return-to-work
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2019.03056
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AT yanwenxu applicationoffunctionalcapacityevaluationinreturntoworkabilityassessmentofworkrelatedinjurypatientswithlocalfactures
AT huilingzhou applicationoffunctionalcapacityevaluationinreturntoworkabilityassessmentofworkrelatedinjurypatientswithlocalfactures