ArticleJournal of occupational rehabilitation2014
Reliability of clinician rated physical effort determination during functional capacity evaluation in patients with chronic musculoskeletal pain.
Article in Journal of occupational rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- The reliability of WorkWell Systems Functional Capacity Evaluation: a systematic review.BMC musculoskeletal disorders · 2014Pooled it
- Article
- Comparative Analysis of Ventilatory Responses during Stress Tests in Patients with Chronic Pain: Implications for Therapeutic Interventions.Journal of functional morphology and kinesiology · 2024Article
- Towards the Use of 2D Video-Based Markerless Motion Capture to Measure and Parameterize Movement During Functional Capacity Evaluation.Journal of occupational rehabilitation · 2021Article
- Functional Capacity Evaluation in Different Societal Contexts: Results of a Multicountry Study.Journal of occupational rehabilitation · 2019Article
- Development and Validation of a Pain Behavior Assessment in Patients with Chronic Low Back Pain.Journal of occupational rehabilitation · 2016Article
- Functional Capacity Evaluation Research: Report from the Second International Functional Capacity Evaluation Research Meeting.Journal of occupational rehabilitation · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFunctional capacity evaluation (FCE) can be used to make clinical decisions regarding fitness-for-work. During FCE the evaluator attempts to assess the amount of physical effort of the patient. The aim of this study is to analyze the reliability of physical effort determination using observational criteria during FCE.
methodsTwenty-one raters assessed physical effort in 18 video-recorded FCE tests independently on two occasions, 10 months apart. Physical effort was rated on a categorical four-point physical effort determination scale (PED) based on the Isernhagen criteria, and a dichotomous submaximal effort determination scale (SED). Cohen's Kappa, squared weighted Kappa and % agreement were calculated.
resultsKappa values for intra-rater reliability of PED and SED for all FCE tests were 0.49 and 0.68 respectively. Kappa values for inter-rater reliability of PED for all FCE tests in the first and the second session were 0.51, and 0.72, and for SED Kappa values were 0.68 and 0.77 respectively. The inter-rater reliability of PED ranged from κ = 0.02 to κ = 0.99 between FCE tests. Acceptable reliability scores (κ > 0.60, agreement ≥80 %) for each FCE test were observed in 38 % of scores for PED and 67 % for SED. On average material handling tests had a higher reliability than postural tolerance and ambulatory tests.
conclusionDichotomous ratings of submaximal effort are more reliable than categorical criteria to determine physical effort in FCE tests. Regular education and training may improve the reliability of observational criteria for effort determination.
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