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Linking the Spinal Function Sort and Functional Capacity Evaluation Tests to the International Classification of Functioning, Disability and Health Core Set of Vocational Rehabilitation

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Abstract

Purpose The International Classification of Functioning, Disability and Health (ICF) Comprehensive Core Set for Vocational Rehabilitation (CSVR) is a shortlist of functioning domains developed for use with people of working age that experience limitation in their work-related functional capacity. Functional capacity can be measured by, for example, Spinal Function Sort pictorial questionnaire and Functional Capacity Evaluation tests such as the: Complete Minnesota Dexterity Test, grip strength test, pushing, pulling, progressive iso-inertial lifting and carrying. However, these tests have not yet been linked to the CSVR. The objective of this study was to evaluate the extent to which the Spinal Function Sort and Functional Capacity Evaluation tests could be mapped to the ICF categories of the CSVR. Methods Two raters independently performed the linking of the Spinal Function Sort and the Functional Capacity Evaluation related tests to the CSVR according to established ICF linking rules. If an item could not accurately be linked to a CSVR category, the item was linked to the most fitting ICF category. Disagreements were resolved in a consensus meeting. Interrater agreement between raters was expressed in percentage agreement. Results The Spinal Function Sort and Functional Capacity Evaluation tests described a total of 39 unique ICF categories, out of which only six (15%) came from the CSVR. Interrater agreement ranged between 17 and 91%. Conclusions The study found six categories including vestibular functions, muscle power functions, writing, lifting and carrying objects, fine hand use and hand and arm use within the CSVR using the Spinal Function Sort and The Complete Minnesota Dexterity Test. With the rest of the items, the CSVR was considered too broad.

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Appendix 1

Appendix 1

Comprehensive ICF core set of vocational rehabilitation

ICF code

ICF category title

Activities and participation (40)

 

 d155

Acquiring skills

 d160

Focusing attention

 d163

Thinking

 d166

Reading

 d170

Writing

 d172

Calculating

 d175

Solving problems

 d177

Making decisions

 d210

Undertaking a single task

 d220

Undertaking multiple tasks

 d230

Carrying out daily routine

 d240

Handling stress and other psychological demands

 d310

Communicating with—receiving—spoken messages

 d315

Communicating with—receiving—nonverbal messages

 d350

Conversation

 d360

Using communication devices and techniques

 d410

Changing basic body position

 d415

Maintaining a body position

 d430

Lifting and carrying objects

 d440

Fine hand use

 d445

Hand and arm use

 d445

Nand and arm use

 d450

Walking

 d455

Moving around

 d465

Moving around using equipment

 d470

Using transportation

 d475

Driving

 d530

Toileting

 d540

Dressing

 d570

Looking after one's health

 d710

Basic interpersonal interactions

 d720

Complex interpersonal interactions

 d740

Formal relationships

 d820

School education

 d825

Vocational training

 d830

Higher education

 d840

Apprenticeship (work preparation)

 d845

Acquiring, keeping and terminating a job

 d850

Remunerative employment

 d855

Non-remunerative employment

 d870

Economic self-sufficiency

Environmental factors (33)

 

 e11001

Drugs

 e115

Products and technology for personal use in daily living

 e120

Products and technology for personal index and outdoor mobility and transportation

 e125

Products and technology for communication

 e130

Products and technology or education

 e135

Products and technology for employment

 e150

Design, construction and building products and technology or buildings for public use

 e155

Design, construction and building products and technology or buildings for public use

 e225

Climate

 e240

Light

 e250

Sound

 e260

Air quality

 e310

Immediate family

 e320

Friends

 e325

Acquaintances, peers, colleagues, neighbours and community members

 e330

People in positions of authority

 e340

Personal care providers and Personal assistants

 e355

Health professionals

 e360

Other professionals

 e430

Individual attitudes of people In positions of authority

 e450

Individual attitudes of health professionals

 e460

Societal attitudes

 e465

Social norms, practices and ideologies

 e525

Housing services, systems and policies

 e535

Communications, services, systems and policies

 e550

Legal services, systems and policies

 e555

Assoastions and organisational services, systems and policies

 e565

Economic services, systems and policies

 e570

Social security services, systems and policies

 e580

Health services, systems and policies

 e585

Education and training services, systems and policies

 e590

Labour and employment services, systems and policies

 b210

Seeing functions

 b230

Hearing functions

 b235

Vestibular functions

 b280

Sensation of pain

 b455

Exercise tolerance functions b730 Muscle power functions

 b730

Muscle power functions

 b740

Muscle endurance functions b810 Protective functions of the skin

 b810

Protective functions of the skin

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Lassfolk, M., Escorpizo, R., Korniloff, K. et al. Linking the Spinal Function Sort and Functional Capacity Evaluation Tests to the International Classification of Functioning, Disability and Health Core Set of Vocational Rehabilitation. J Occup Rehabil 31, 166–174 (2021). https://doi.org/10.1007/s10926-020-09905-y

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