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Construct Validity of a Kinesiophysical Functional Capacity Evaluation Administered Within a Worker's Compensation Environment

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Abstract

The construct validity of a kinesiophysical Functional Capacity Evaluation (FCE) administered within a worker's compensation context was examined. A cross-sectional study design was employed. Clinical and demographic information on workers' compensation claimants was extracted from a rehabilitation facility's database. Measures of interest were the Isernhagen Work Systems' (Duluth, MN) FCE, the Pain Disability Index (PDI), and a pain visual analogue scale (VAS). A multitrait Pearson correlation matrix was created to observe the pattern of relationships between variables. The sample consisted of 321 subjects with work-related, medically stable low back pain of median duration of 307 days. FCE performance was moderately correlated with the PDI (r = −0.44–0.52) and with the pain VAS (r = 0.34–0.45). Pain intensity was correlated highly with the PDI (r = 0.79). The moderate relationship between FCE and the PDI supports the construct validity of FCE as a functional measure. However, kinesiophysical FCE performance was not unrelated to pain severity ratings as purported.

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References

  1. King,PM, Tuckwell,N, Barrett,TE. A critical review of functional capacity evaluations. Phys Ther 1998; 78: 852-866.

    Google Scholar 

  2. Gibson,L, Strong,J. A review of functional capacity evaluation practice. Work 1997; 9: 3-11.

    Google Scholar 

  3. Innes,E, Straker,L. Validity of work-related assessments. Work 1999; 13: 125-152.

    Google Scholar 

  4. Innes,E, Straker,L. Reliability of work-related assessments. Work 1999; 13: 107-124.

    Google Scholar 

  5. Isernhagen,SJ. Functional capacity evaluation: Rationale, procedure, utility of the kinesiophysical approach. J Occup Rehabil 1992; 2: 157-168.

    Google Scholar 

  6. Isernhagen,SJ. The comprehensive guide to work injury management. Gaithersburg, MD: Aspen Publishers, 1995.

    Google Scholar 

  7. Gross,DP, Battié,MC. Reliability of safe maximum lifting determinations of a functional capacity evaluation. Phys Ther 2002; 82: 364-371.

    Google Scholar 

  8. Reneman,MF, Dijkstra,PU, Westmaas,M, Goeken,LN. Test–retest reliability of lifting and carrying in a 2-day functional capacity evaluation. J Occup Rehabil 2002; 12: 269-275.

    Google Scholar 

  9. Finch,E, Brooks,D, Stratford,P, Mayo,N. Physical rehabilitation outcome measures: A guide to enhanced clinical decision making. Toronto:Canadian Physiotherapy Association, 2002.

  10. Domholdt,E. Physical therapy research: Principles and applications, 2nd edn. Philadelphia, PA: Saunders, 2000.

    Google Scholar 

  11. Hart,DL. Relation between three measures of function in patients with chronic work-related pain syndromes. J Rehabil Outcomes Meas 1998; 2: 1-14.

    Google Scholar 

  12. United States Employment and Training Administration. Dictionary of occupational titles, 2 Vols. Indianapolis, IN: JIST Works, 1991.

  13. Reneman,MF, Jorritsma,W, Schellekens,JM, Goeken,LN. Concurrent validity of questionnaire and performance-based disability measurements in patients with chronic nonspecific low back pain. J Occup Rehabil 2002; 12: 119-129.

    Google Scholar 

  14. Hansson,GA, Balogh,I, Bystrom,JU, Ohlsson,K, Nordander,C, Asterland,P, Sjolander,S, Rylander,L, Winkel,J, Skerfving,S. Questionnaire versus direct technical measurements in assessing postures and movements of the head, upper back, arms and hands. Scand J Work Environ Health 2001; 27: 30-40.

    Google Scholar 

  15. Chibnall,JT, Tait,RC. The Pain Disability Index: Factor structure and normative data. Arch Phys Med Rehabil 1994; 75: 1082-1086.

    Google Scholar 

  16. Gronblad,M, Jarvinen,E, Airaksinen,O, Ruuskanen,M, Hamalainen,H, Kouri,JP. Relationship of subjective disability with pain intensity, pain duration, pain location, and work-related factors in nonoperated patients with chronic low back pain. Clin J Pain 1996; 12: 194-200.

    Google Scholar 

  17. Tait,RC, Chibnall,JT, Krause,S. The Pain Disability Index: Psychometric properties. Pain 1990; 40: 171-182.

    Google Scholar 

  18. Gronblad,M, Hupli,M, Wennerstrand,P, Jarvinen,E, Lukinmaa,A, Kouri,JP, Karaharju,EO. Intercorrelation and test–retest reliability of the Pain Disability Index (PDI) and the Oswestry Disability Questionnaire (ODQ) and their correlation with pain intensity in low back pain patients. Clin J Pain 1993; 9: 189-195.

    Google Scholar 

  19. Gronblad,M, Jarvinen,E, Hurri,H, Hupli,M, Karaharju,EO. Relationship of the Pain Disability Index (PDI) and the Oswestry Disability Questionnaire (ODQ) with three dynamic physical tests in a group of patients with chronic low-back and leg pain. Clin J Pain 1994; 10: 197-203.

    Google Scholar 

  20. Pollard,CA. Preliminary validity study of the pain disability index. Percept Mot Skills 1984; 59: 974.

    Google Scholar 

  21. Gronblad,M, Hurri,H, Kouri,JP. Relationships between spinal mobility, physical performance tests, pain intensity and disability assessments in chronic low back pain patients. Scand J Rehabil Med 1997; 29: 17-24.

    Google Scholar 

  22. Kang,SW, Lee,WN, Moon,JH, Chun,SI. Correlation of spinal mobility with the severity of chronic lower back pain. Yonsei Med J 1995; 36: 37-44.

    Google Scholar 

  23. Andresen,EM. Criteria for assessing the tools of disability outcomes research. Arch Phys Med Rehabil 2000; 81: S15-S20.

    Google Scholar 

  24. Kaplan,GM, Wurtele,SK, Gillis,D. Maximal effort during functional capacity evaluations: An examination of psychological factors. Arch Phys Med Rehabil 1996; 77: 161-164.

    Google Scholar 

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Gross, D.P., Battié, M.C. Construct Validity of a Kinesiophysical Functional Capacity Evaluation Administered Within a Worker's Compensation Environment. J Occup Rehabil 13, 287–295 (2003). https://doi.org/10.1023/A:1026276822721

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  • DOI: https://doi.org/10.1023/A:1026276822721

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