Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 429-434 , March 2009

Value of Functional Capacity Evaluation Information in a Clinical Setting for Predicting Return to Work

  • Marco Streibelt, PhD

      Affiliations

    • Department of Health Care Research and Quality Management in Rehabilitation, Charité University Berlin, Germany
    • Corresponding Author InformationReprint requests to Marco Streibelt, PhD, Dept of Health Care Research and Quality Management in Rehabilitation, Charité University Berlin, Luisenstr 13a, D-10098 Berlin, Germany
    • ,
  • Carsten Blume, Dip

      Affiliations

    • Department of Health Care Research and Quality Management in Rehabilitation, Charité University Berlin, Germany
    • ,
  • Karsten Thren, PhD

      Affiliations

    • Klinik Niedersachsen Bad Nenndorf, Germany
    • ,
  • Michiel F. Reneman, PhD

      Affiliations

    • Center for Rehabilitation, University Medical Center Groningen, University of Groningen, The Netherlands
    • ,
  • Werner Mueller-Fahrnow, MD, PhD

      Affiliations

    • Department of Health Care Research and Quality Management in Rehabilitation, Charité University Berlin, Germany
    • Deceased.

References 

  1. Maniadakis N, Gray A. The economic burden of back pain in the UK. Pain. 2000;84:95–103
  2. van Tulder MW, Koes BW, Bouter LM. A cost-of-illness study of back pain in the Netherlands. Pain. 1995;62:233–240
  3. Frymoyer JW, Cats-Baril WL. An overview of the incidences and costs of low back pain. Orthop Clin North Am. 1991;22:263–271
  4. Crook J, Moldofsky H, Shannon H. Determinants of disability after a work related musculetal injury. J Rheumatol. 1998;25:1570–1577
  5. Burdorf A, Naaktgeboren B, Post W. Prognostic factors for musculoskeletal sickness absence and return to work among welders and metal workers. Occup Environ Med. 1998;55:490–495
  6. Mau M, Merkesdal S, Busche T, Bauer J. [Prognosis of labour force participation after multidisciplinary outpatient and inpatient rehabilitation for chronic back pain] [German]. Rehabilitation (Stuttg). 2002;41:160–166
  7. Turner JA, Franklin G, Fulton-Kehoe D, et al. Prediction of chronic disability in work-related musculoskeletal disorders: a prospective, population-based study. BMC Musculoskelet Disord. 2004;5:14
  8. Schonstein E, Kenny DT, Keating J, Koes BW. Work conditioning, work hardening and functional restoration for workers with back and neck pain. Cochrane Database Syst Rev. 2003;1:CD001822
  9. Guzman I, Esmail H, Karjalainen T, Malmivaara R, Irvin P, Bombardier P. Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain. Cochrane Database Syst Rev. 2002;1:CD000963
  10. Harten JA. Functional capacity evaluation. Occup Med. 1998;13:209–213
  11. Menard M, Gorman D. Work capacity evaluation. N Z Med J. 2000;113:335–337
  12. Jette A. Functional capacity evaluation: an empirical approach. Arch Phys Med Rehabil. 1980;61:85–89
  13. Smith S, Cunningham S, Weinberg R. The predictive validity of the functional capacities evaluation. Am J Occup Ther. 1986;40:564–567
  14. Verband Deutscher Rentenversicherungsträger (VDR). FCE-Studie: FCE-Systeme zur Beurteilung der arbeitsbezogenen Leistungsfähigkeit. Bestandsaufnahme und Experteneinschätzung. Frankfurt/Main: DRV-Schriften; 2003;
  15. Reneman M, Brouwer S, Meinema A, Dijkstra P, Geertzen J, Groothoff J. Test-retest reliability of the Isernhagen Work Systems Functional Capacity Evaluation in healthy adults. J Occup Rehabil. 2004;14:295–305
  16. Reneman M, Dijkstra P, Westmaas M, Göken L. Test-retest reliability of lifting and carrying in a 2-day functional capacity evaluation. J Occup Rehabil. 2002;12:269–275
  17. Brouwer S, Reneman M, Dijkstra P, Groothoff J, Schellekens J, Göeken L. Test-retest reliability of the Isernhagen Work Systems Functional Capacity Evaluation in patients with chronic low back pain. J Occup Rehabil. 2003;13:207–218
  18. Durand MJ, Loisel P, Poitras S, Mercier R, Stock SR, Lemaire J. The interrater reliability of a functional capacity evaluation: the physical work performance evaluation. J Occup Rehabil. 2004;14:119–129
  19. Asante AK, Brintnell ES, Gross DP. Functional self-efficacy beliefs influence functional capacity evaluation. J Occup Rehabil. 2007;17:73–82
  20. Reneman MF, Jorritsma W, Schellekens JM, Goeken LN. Concurrent validity of questionnaire and performance-based disability measurements in patients with chronic nonspecific low back pain. J Occup Rehabil. 2002;12:119–129
  21. Gross D, Battié M. Construct validity of a kinesiophysical functional capacity evaluation administered within a worker's compensation environment. J Occup Rehabil. 2003;13:287–295
  22. Streibelt M, Hansmeier T, Müller-Fahrnow W. [Effects of work-related medical rehabilitation in patients with musculoskeletal disorders] [German]. Rehabilitation (Stuttg). 2006;45:161–171
  23. Gouttebarge V, Wind H, Kuijer P, Frings-Dresen M. Reliability and validity of Functional Capacity Evaluation methods: a systematic review with reference to Blankenship System, Ergos work simulator, Ergo-Kit and Isernhagen work system. Int Arch Occup Environ Health. 2004;77:527–537
  24. Gross DP, Battie MC, Cassidy JD. The prognostic value of functional capacity evaluation in patients with chronic low back pain: part 1: timely return to work. Spine. 2004;29:914–919
  25. Gross D, Battié M. Does functional capacity evaluation predict recovery in workers' compensation claimants with upper extremity disorders?. Occup Environ Med. 2006;63:404–410
  26. Gross D, Battié M. The prognostic value of functional capacity evaluation in patients with chronic low back pain: part 2: sustained recovery. Spine. 2004;29:920–924
  27. Gross D, Battié M. Functional capacity evaluation performance does not predict sustained return to work in claimants with chronic back pain. J Occup Rehabil. 2005;15:285–294
  28. Cutler RB, Fishbain DA, Steele-Rosomoff R, Rosomoff HL. Relationships between functional capacity measures and baseline psychological measures in chronic pain patients. J Occup Rehabil. 2003;13:249–258
  29. Matheson LN, Isernhagen SJ, Hart DL. Relationships among lifting ability, grip force, and return to work. Phys Ther. 2002;82:249–256
  30. Bürger W, Dietsche S, Morfeld M, Koch U. [Multiperspective estimates on the probability of patient return to work following orthopaedic rehabilitation: findings and predictive relevance] [German]. Rehabilitation (Stuttg). 2001;40:217–225
  31. Kuijer W, Groothoff J, Brouwer S, Geertzen J, Dijkstra P. Prediction of sickness absence in patients with chronic low back pain: a systematic review. J Occup Rehabil. 2006;16:430–458
  32. Reneman M, Kool J, Oesch P, Geertzen J, Battié M, Gross D. Material handling performance of patients with chronic low back pain during functional capacity evaluation: a comparison between three countries. Disabil Rehabil. 2006;28:1143–1149
  33. Streibelt M. Aktivität und Teilhabe (Ein Beitrag zur Wirksamkeit berufsbezogener Maßnahmen in der medizinischen Rehabilitation der Rentenversicherung). Pabst Science Publishers; 2007;Lengerich et al
  34. Reneman MF, Kuijer W, Brouwer S. Item validity of the physical demands from the Dictionary of Occupational Titles for FCE of clients with chronic back pain. Work. 2006;26:229;author reply 231-3
  35. Kersnovske S, Gibson L, Strong J. Item validity of the physical demands from the Dictionary of Occupational Titles for functional capacity evaluation of clients with chronic back pain. Work. 2005;24:157–169
  36. Ware J, Sherbourne C. The MOS 36-item short-form health survey (SF-36), I: conceptual framework and item selection. Med Care. 1992;30:473–483
  37. Tait RC, Chibnall JT, Krause S. The Pain Disability Index: psychometric properties. Pain. 1990;40:171–182
  38. Jensen MP, Turner JA, Romano JM, Fisher LD. Comparative reliability and validity of chronic pain intensity measures. Pain. 1999;83:157–162
  39. Reneman MF, Joling CI, Soer EL, Goeken LN. Functional capacity evaluation: ecological validity of three static endurance tests. Work. 2001;16:227–234
  40. Steenstra IA, Verbeek J, Heymans M, Bongers P. Prognostic factors for duration of sick leave in patients sick listed with acute low back pain: a systematic review of the literature. Occup Environ Med. 2005;62:851–860
  41. World Health Organization. International classification of functioning, disability and health. Geneva: World Health Organization; 2001;
  42. Dionne C, Bourbonnais R, Frémont P, Rossignol M, Stock S, Larocque I. A clinical return-to-work rule for patients with back pain. CMAJ. 2005;172:1559–1567
  43. Hosmer D, Lemeshow S. Applied logistic regression. New York: John Wiley & Sons; 1989;
  44. Menard S. Applied logistic regression analysis (Series on quantitative applications in the social sciences, series no. 07-106). ed. Thousands Oaks: Paper Sage University; 1995;
  45. Gross D, Battié M, Asante A. Evaluation of a short-form Functional Capacity Evaluation: less may be best. J Occup Rehabil. 2007;17:422–435

 Supported by the Erwin-Roever-Foundation.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)01667-5

doi: 10.1016/j.apmr.2008.08.218

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 429-434 , March 2009

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