Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review
Assessments of whether patients with musculoskeletal disorders (MSDs) can participate in work mainly consist of case history, physical examinations, and self-reports. Performance-based measures might add value in these assessments. This study answers the question: how well do performance-based measures predict work participation in patients with MSDs?
A systematic literature search was performed to obtain longitudinal studies that used reliable performance-based measures to predict work participation in patients with MSDs. The following five sources of information were used to retrieve relevant studies: PubMed, Embase, AMA Guide to the Evaluation of Functional Ability, references of the included papers, and the expertise and personal file of the authors. A quality assessment specific for prognostic studies and an evidence synthesis were performed.
Of the 1,230 retrieved studies, eighteen fulfilled the inclusion criteria. The studies included 4,113 patients, and the median follow-up period was 12 months. Twelve studies took possible confounders into account. Five studies were of good quality and thirteen of moderate quality. Two good-quality and all thirteen moderate-quality studies (83%) reported that performance-based measures were predictive of work participation. Two good-quality studies (11%) reported both an association and no association between performance-based measures and work participation. One good-quality study (6%) found no effect. A performance-based lifting test was used in fourteen studies and appeared to be predictive of work participation in thirteen studies.
Strong evidence exists that a number of performance-based measures are predictive of work participation in patients with MSDs, especially lifting tests. Overall, the explained variance was modest.
- Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
International Archives of Occupational and Environmental Health
Volume 85, Issue 2 , pp 109-123
- Cover Date
- Print ISSN
- Online ISSN
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- Functional capacity
- Low back
- Upper extremity
- Lower extremity
- Work ability
- Predictive validity
- Industry Sectors
- Author Affiliations
- 1. Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
- 2. Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
- 3. Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands