Functional Capacity Evaluation in Subjects with Early Osteoarthritis of Hip and/or Knee; is Two-Day Testing Needed?

Ittersum, Miriam W. van; Bieleman, Hendrik J.; Reneman, Michiel F.; Oosterveld, Frits G. J.; Groothoff, Johan W.; Schans, van der Cornelis

doi:10.1007/s10926-009-9179-y

Cited by 11 publications

(16 citation statements)

References 24 publications

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“…This is in contrast to previous FCE reliability studies [14, 16, 38] where mainly native citizens participated. Results of interventions may vary considerably between native and non-native patients [47], but to our knowledge, this has never been the subject of a study in a setting similar to ours (performance testing, reliability, agreement, safety).…”

Section: Discussioncontrasting

confidence: 66%

“…Healthy volunteers [15], patients with chronic LBP [14] or patients with osteoarthritis of hip and/or knee [16] showed smaller variability in this FCE test compared to the WAD FCE. The following reasons may explain these differing results.…”

Section: Discussionmentioning

confidence: 99%

“…chronic phase of the illness. The study of osteoarthritis patients [16] involved conducting the retest study 1 day after the first test session, therefore a lower variability may be explained by recall bias due to the limited time between the two test sessions. As expected from WAD patients suffering from pain in the neck region, larger LoA scores were observed in the tests affecting the upper body regions i.e.…”

Section: Discussionmentioning

confidence: 99%

“…The range of clinical experience covered a wide range of experience (from very low to extensive) encountered in clinical daily practice. Contrary to previous reliability studies where very experienced clinicians performed the FCE tests [6, 16, 37], our sample of assessors covered a wider range of working experience and age. This might strengthen the generalizations of the results of this study.…”

Section: Discussionmentioning

confidence: 99%

“…During the past decade, measurement properties of FCEs such as reliability, validity and safety have been determined [13]. However, these measurement properties have mainly been investigated in patients with LBP [14] and, to a lesser extent, in healthy subjects [15] and patients with the early stages of osteoarthritis of knees and hips [16], work-related upper limb disorders [17], and work-related neck disorders [18]. Moreover, there is a lack of knowledge on measurement error of FCE, which seriously limits clinical decision making.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2012

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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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