Improved Functional Capacity Evaluation Performance Predicts Successful Return to Work One Year After Completing a Functional Restoration Rehabilitation Program

Fore, Lisa; Perez, Yoheli; Neblett, Randy; Asih, Sali Rahadi; Mayer, Tom G.; Gatchel, Robert J.

doi:10.1016/j.pmrj.2014.09.013

Cited by 15 publications

(10 citation statements)

References 73 publications

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“…Upon entry into the FRP, patients with CMPD were also administered a musculoskeletal examination and a Functional Capacity Evaluation (FCE) . As part of the FCE, all patients participated in a Progressive Isoinertial Lifting Evaluation (PILE).…”

Section: Methodsmentioning

confidence: 99%

“…The PILE uses a standardized protocol involving increases in load increments being lifted in a box from the floor, with fixed distances, repetitions, and time limits, creating a motion‐time measurement . Previous studies have found that a relatively large percentage of patients with CMPD, tested at the time of admission to the FRP, demonstrated no success on this lifting task and were unable to generate any force at all . In the present study, patients with CMPD who demonstrated no lifting success on the PILE were coded with “zero” scores.…”

Section: Methodsmentioning

confidence: 99%

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The Fear‐avoidance Components Scale (FACS): Development and Psychometric Evaluation of a New Measure of Pain‐related Fear Avoidance

et al. 2015

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Pain-related fear avoidance (FA), a common problem for patients with painful medical conditions, involves pain-related catastrophizing cognitions, hypervigilance, and avoidance behaviors, which can ultimately lead to decreased functioning, depression, and disability. Several patient-reported instruments have been developed to measure FA, but they have been criticized for limited construct validity, inadequate item specificity, lack of cutoff scores, and missing important FA components. The Fear-Avoidance Components Scale (FACS) is a new patient-reported measure designed to comprehensively evaluate FA in patients with painful medical conditions. It combines important components of FA found in prior FA scales, while trying to correct some of their deficiencies, within a framework of the most current FA model. Psychometric evaluation of the FACS found high internal consistency (α = 0.92) and high test/retest reliability (r = 0.90-0.94, P < 0.01). FACS scores differentiated between 2 separate chronic pain patient samples and a nonpatient comparison group. When clinically relevant severity levels were created, FACS severity scores were highly associated with FA-related patient-reported psychosocial and objective lifting performance variables. These results suggest that the FACS is a psychometrically strong and reliable measure that can help healthcare providers assess FA-related barriers to function and recovery.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The Fear‐avoidance Components Scale (FACS): Development and Psychometric Evaluation of a New Measure of Pain‐related Fear Avoidance

et al. 2015

Self Cite

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“…There is growing research on the reliability, validity, and clinical utility of FCEs in different occupational patient populations. 25,75,213,214 For example, in a cohort of 354 patients with chronic occupational musculoskeletal disorders, FCE scores were responsive to a functional restoration program and predicted successful return to work 1 year after rehabilitation. 75 Although performance-based measures provide objective information, they do not capture one's functioning in the context of their work, home, or community environment.…”

Section: Assessment Of Physical Functionmentioning

confidence: 99%

Assessment of Psychosocial and Functional Impact of Chronic Pain

Turk

Fillingim

Ohrbach

et al. 2016

The Journal of Pain

272

198

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“…As per regular clinical procedures, participants were allowed to terminate the lifting capacity test at any given moment and clinicians were instructed to stop the test if any (risk of) unsafety occurred. The reliability and predictive validity of this test are sufficient [3,4,[8][9][10][11].…”

Section: Dependent Variablementioning

confidence: 99%

“…One of the main goals of VR is to improve functional capacity for a successful return to work. Functional capacity evaluations (FCEs) are batteries of tests that may be used to predict return to work, determine aspects of disability, and guide suitable intervention approaches [3][4][5][6][7][8][9][10][11], reasons for which they are used in VR. One of the best FCE tests to predict return to work is a lifting capacity test [3].…”

Section: Introductionmentioning

confidence: 99%

Lifting capacity is associated with central sensitization and non-organic signs in patients with chronic back pain

Echeita

Wurff

Killen

et al. 2020

Disability and Rehabilitation

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Purpose: To analyze the associations between lifting capacity, and central sensitization (CS) and nonorganic signs (NOS) in patients with chronic back pain (CBP) attending vocational rehabilitation. Materials and methods: Cross-sectional observational multicenter study among patients with CBP undergoing a return to work assessment within care as usual. Main analyses: step 1: partial correlation between lifting capacity, and CS, NOS, and additional variables; step 2: multiple regression in stepwise forward method for dependent variable lifting capacity, and for independent variables CS and NOS, and additional variables significant (p < 0.05) at step 1. All analyses were controlled for sex. Results: Fifty-six patients of mean age 42.5 years and 59% women participated in the study. Correlations between lifting capacity and CS and NOS were r ¼ -0.53 and r ¼ -0.50, respectively. CS and NOS, as well as age and sex, contributed significantly to the final regression model, which explained 57.6% of variance. Conclusions: After controlling for confounders, CS and NOS were negatively associated with lifting capacity in patients with CBP. Explained variance was substantially higher than previously reported studies. ä IMPLICATIONS FOR REHABILITATION The identification of central sensitization and non-organic signs (NOS) in patients with chronic back pain can alert clinicians about central nervous system being in a hypersensitive state and about pain behavior. Central sensitization and NOS are relevant determinants of lifting capacity. Better understanding of the factors affecting lifting capacity lead to better design and tailoring of interventions, resulting in optimized vocational rehabilitation programs and faster return to work. ARTICLE HISTORY

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Improved Functional Capacity Evaluation Performance Predicts Successful Return to Work One Year After Completing a Functional Restoration Rehabilitation Program

Abstract: FCE scores were responsive to functional restoration treatment, and the associated discharge PDLs predicted work return after treatment completion and work retention 1 year later.

Cited by 15 publications

References 73 publications

The Fear‐avoidance Components Scale (FACS): Development and Psychometric Evaluation of a New Measure of Pain‐related Fear Avoidance

The Fear‐avoidance Components Scale (FACS): Development and Psychometric Evaluation of a New Measure of Pain‐related Fear Avoidance

Assessment of Psychosocial and Functional Impact of Chronic Pain

Lifting capacity is associated with central sensitization and non-organic signs in patients with chronic back pain

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