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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| Published in | Physical therapy Vol. 82; no. 4; pp. 364 - 371 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
United States
American Physical Therapy Association
01.04.2002
Oxford University Press |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0031-9023 1538-6724 |
| DOI | 10.1093/ptj/82.4.364 |
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| Abstract | 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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| AbstractList | 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.BACKGROUND AND PURPOSEFunctional 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.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.SUBJECTSTwenty-eight subjects with low back pain who had plateaued with treatment were enrolled. Five occupational therapists, trained and experienced in kinesiophysical methods, conducted testing.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.METHODSA 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.The ICC values for interrater reliability ranged from.95 to.98. Test-retest values ranged from.78 to.94.RESULTSThe ICC values for interrater reliability ranged from.95 to.98. Test-retest values ranged from.78 to.94.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.DISCUSSION AND CONCLUSIONInconsistencies 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. 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. 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. 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. 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. The ICC values for interrater reliability ranged from.95 to.98. Test-retest values ranged from.78 to.94. 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. 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. 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. [Gross DP, Battie MC. Reliability of safe maximum lifting determinations of a functional capacity evaluation. Key Words: Functional capacity evaluation, Low back pain, Reliability, Occupational rehabilitation. 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. 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. 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. The ICC values for interrater reliability ranged from .95 to .98. Test-retest values ranged from .78 to .94. 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. |
| Audience | Professional |
| Author | Michele C Battié Douglas P Gross |
| Author_xml | – sequence: 1 fullname: Gross, Douglas P – sequence: 2 fullname: Battie, Michele C |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/11922852$$D View this record in MEDLINE/PubMed |
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| Copyright | COPYRIGHT 2002 Oxford University Press Copyright American Physical Therapy Association Apr 2002 |
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| References_xml | – volume: 13 start-page: 125 year: 1999 ident: 2019123108075900600_R7 article-title: Validity of work-related assessments publication-title: Work – volume: 73 start-page: 386 year: 1993 ident: 2019123108075900600_R19 article-title: The application of generalizability theory to reliability assessment: an illustration using isometric force measurements publication-title: Phys Ther doi: 10.1093/ptj/73.6.386 – volume: 18 start-page: 682 year: 1993 ident: 2019123108075900600_R15 article-title: Guidelines for functional capacity evaluations of people with medical conditions publication-title: J Orthop Sports Phys Ther doi: 10.2519/jospt.1993.18.6.682 – volume: 12 start-page: 145 year: 1999 ident: 2019123108075900600_R4 article-title: Reliability of independent observer judgments of level of lift in kinesiophysical Functional Capacity Evaluation publication-title: Work – volume: 69 start-page: 276 year: 1989 ident: 2019123108075900600_R21 article-title: Generalizability of grip strength measurements in patients with tennis elbow publication-title: Phys Ther doi: 10.1093/ptj/69.4.276 – volume-title: Foundations of Clinical Research: Applications to Practice year: 2000 ident: 2019123108075900600_R18 – volume: 13 start-page: 107 year: 1999 ident: 2019123108075900600_R6 article-title: Reliability of work-related assessments publication-title: Work – volume: 36 start-page: 997 year: 1994 ident: 2019123108075900600_R13 article-title: Reliability and validity of a newly developed test of physical work performance publication-title: J Occup Med – volume: 19 start-page: 277 year: 1994 ident: 2019123108075900600_R14 article-title: Therapist's ability to identify safe maximum lifting in low back pain patients during functional capacity evaluation publication-title: J Orthop Sports Phys Ther doi: 10.2519/jospt.1994.19.5.277 – volume: 23 start-page: 2003 year: 1998 ident: 2019123108075900600_R16 article-title: Outcome measures for low back pain research: a proposal for standardized use publication-title: Spine doi: 10.1097/00007632-199809150-00018 – volume-title: Generalizability Theory: A Primer year: 1991 ident: 2019123108075900600_R20 – volume-title: Functional Capacity Evaluation Manual year: 1997 ident: 2019123108075900600_R17 – volume: 2 start-page: 157 year: 1992 ident: 2019123108075900600_R5 article-title: Functional capacity evaluation: rationale, procedure, utility of the kinesiophysical approach publication-title: J Occup Rehabil doi: 10.1007/BF01077187 – volume: 67 start-page: 245 year: 1986 ident: 2019123108075900600_R8 article-title: Disability scales: assessment of reliability publication-title: Arch Phys Med Rehabil – volume: 47 start-page: 203 year: 1993 ident: 2019123108075900600_R9 article-title: Work evaluations: critique of the state of the art of functional assessment of work publication-title: Am J Occup Ther doi: 10.5014/ajot.47.3.203 – volume: 1 start-page: 37 year: 1991 ident: 2019123108075900600_R11 article-title: Functional capacity evaluation in work disability publication-title: Work – volume: 25 start-page: 1S issue: 4 suppl year: 2000 ident: 2019123108075900600_R1 article-title: The role of activity in the therapeutic management of back pain: report of the International Paris Task Force on Back Pain publication-title: Spine doi: 10.1097/00007632-200002151-00001 – volume-title: Occupational Health Guidelines for the Management of Low Back Pain at Work: Evidence Review year: 2000 ident: 2019123108075900600_R2 – volume: 9 start-page: 3 year: 1997 ident: 2019123108075900600_R3 article-title: A review of functional capacity evaluation practice publication-title: Work doi: 10.3233/WOR-1997-9102 – volume: 78 start-page: 852 year: 1998 ident: 2019123108075900600_R10 article-title: A critical review of functional capacity evaluations publication-title: Phys Ther doi: 10.1093/ptj/78.8.852 – volume: 33 start-page: 159 year: 1977 ident: 2019123108075900600_R22 article-title: The measurement of observer agreement for categorical data publication-title: Biometrics doi: 10.2307/2529310 – volume: 46 start-page: 110 year: 1999 ident: 2019123108075900600_R12 article-title: Reliability of occupational therapists in determining safe, maximal lifting capacity publication-title: Australian Occupational Therapy Journal doi: 10.1046/j.1440-1630.1999.00184.x |
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| Snippet | Background and Purpose. Functional capacity evaluations (FCEs) are measurement tools used in predicting readiness to return to work following injury. The... Functional capacity evaluations (FCEs) are measurement tools used in predicting readiness to return to work following injury. The interrater and test-retest... BACKGROUND AND PURPOSE: Functional capacity evaluations (FCEs) are measurement tools used in predicting readiness to return to work following injury. The... |
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| SubjectTerms | Adult Aged Back pain Backache Biomechanical Phenomena Care and treatment Disability Evaluation Female Humans Lifting and carrying Low Back Pain - physiopathology Low Back Pain - rehabilitation Male Middle Aged Occupational therapy Physical therapy Physical Therapy Modalities - standards Physiological aspects Practice Reproducibility of Results Safety Therapeutics, Physiological Weight Lifting Work measurement Workers compensation |
| Title | Reliability of Safe Maximum Lifting Determinations of a Functional Capacity Evaluation |
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