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

Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review

“…Regarding publication bias, this review found three studies (Gross and Battié 2004, 2005, 2006) that reported that performance-based measures of the Workwell System were not predictive of sustained return to work in patients with chronic low back pain and with upper extremity disorders. However, more studies from the same performance-based measures (Workwell System) and in similar and different patient populations reported also on a significant predictive value for work participation in terms of return to work (Matheson et al 2002; Vowles et al 2004, Streibelt et al 2009) and in terms of temporary disability suspension and claim closure (Gross et al 2004, 2006; Gross and Battié 2005; Branton et al 2010). Therefore, there appears to be no publication bias regarding the most described performance-based measure.…”

“…Moreover, patients are often not blinded to the outcome of the test itself (Reneman and Soer 2010). Gross and Battié (2004, 2006) and Gross et al (2004) adjusted their outcome for the recommendation of the physician and Streibelt et al (2009) for the expectation of the patient. Nevertheless, they still found that a number of performance-based tests were predictive of work participation.…”

“…Although not all studies presented relevant statistics, it seemed that the predictive strength of performance-based measures is higher for non-work participation than for work participation. For instance, for non-work participation, the predictive quality varied between poor (Vowles et al 2004; Streibelt et al 2009), moderate (Bachman et al 2003; Streibelt et al 2009), and good (Kool et al 2002). For work participation, the predictive quality was mostly poor (Gross et al 2004, 2006; Gross and Battié 2006; Gouttebarge et al 2009a).…”

Análise do Comportamento Eletromiográfico dos Músculos Estabilizadores Primários e a Relação com a Capacidade Física Funcional de Indivíduos Assintomáticos

“…A presença de dor, fatores psicológicos e sociais podem diretamente influenciar as respostas da avaliação funcional (46,47) .…”

“…O detalhamento da capacidade funcional deve ser utilizado na reabilitação para o planejamento e monitoramento das intervenções terapêuticas servindo de base para indicar a real capacidade dos indivíduos permitindo a volta ao trabalho e futuras oportunidades de emprego (47,48,49) . Cox (15) (45) .…”