Reliability of Safe Maximum Lifting Determinations of a Functional Capacity Evaluation

Background and Purpose. Functional capacity evaluations (FCEs) are measurement tools used in predicting readiness to return to work following injury. The interrater and test-retest reliability of determinations of maximal safe lifting during kinesiophysical FCEs were examined in a sample of people w...

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Bibliographic Details
Published inPhysical therapy Vol. 82; no. 4; pp. 364 - 371
Main Authors Gross, Douglas P, Battie, Michele C
Format Journal Article
LanguageEnglish
Published United States American Physical Therapy Association 01.04.2002
Oxford University Press
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ISSN0031-9023
1538-6724
DOI10.1093/ptj/82.4.364

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Summary:Background and Purpose. Functional capacity evaluations (FCEs) are measurement tools used in predicting readiness to return to work following injury. The interrater and test-retest reliability of determinations of maximal safe lifting during kinesiophysical FCEs were examined in a sample of people who were off work and receiving workers' compensation. Subjects. Twenty-eight subjects with low back pain who had plateaued with treatment were enrolled. Five occupational therapists, trained and experienced in kinesiophysical methods, conducted testing. Methods. A repeated-measures design was used, with raters testing subjects simultaneously, yet independently. Subjects were rated on 2 occasions, separated by 2 to 4 days. Analyses included intraclass correlation coefficients (ICCs) and 95% confidence intervals. Results. The ICC values for interrater reliability ranged from .95 to .98. Test-retest values ranged from .78 to .94. Discussion and Conclusion. Inconsistencies in subjects' performance across sessions were the greatest source of FCE measurement variability. Overall, however, test-retest reliability was good and interrater reliability was excellent.
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ISSN:0031-9023
1538-6724
DOI:10.1093/ptj/82.4.364