Reproducibility of improvements in patient-reported functional ability following functional capacity evaluation.

Cohort study Diagnostic Functional capacity evaluation Rehabilitation Replication Reproducibility Return to work Trauma

Journal

BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565

Informations de publication

Date de publication:
16 Mar 2022
Historique:
received: 30 01 2021
accepted: 03 03 2022
entrez: 17 3 2022
pubmed: 18 3 2022
medline: 19 3 2022
Statut: epublish

Résumé

Performance of functional capacity evaluation (FCE) may affect patients, self-efficacy to complete physical activity tasks. First evidence from a diagnostic before-after study indicates a significant increase of patient-reported functional ability. Our study set out to test the reproducibility of these results. Patients with musculoskeletal trauma and an unclear return to work prognosis were recruited in a trauma rehabilitation center in Lower Austria. We included patient cohorts of three consecutive years (2016: n = 161, 2017: n = 140; 2018: n = 151). Our primary outcome was patient-reported functional ability, measured using the Spinal Function Sort (SFS). SFS scores were assessed before and after performing an FCE to describe the change in patient-reported functional ability (cohort study). We investigated whether the change in SFS scores observed after performing an FCE in our first cohort could be replicated in subsequent cohorts. Demographic data (gender, age and time after trauma) did not differ significantly between the three patient cohorts. Correlation analysis showed highly associated before and after SFS scores in each cohort (2016: r A significant increase in patient-reported functional ability after FCE was found in the original study and the results could be reproduced in two subsequent cohorts.

Sections du résumé

BACKGROUND BACKGROUND
Performance of functional capacity evaluation (FCE) may affect patients, self-efficacy to complete physical activity tasks. First evidence from a diagnostic before-after study indicates a significant increase of patient-reported functional ability. Our study set out to test the reproducibility of these results.
METHODS METHODS
Patients with musculoskeletal trauma and an unclear return to work prognosis were recruited in a trauma rehabilitation center in Lower Austria. We included patient cohorts of three consecutive years (2016: n = 161, 2017: n = 140; 2018: n = 151). Our primary outcome was patient-reported functional ability, measured using the Spinal Function Sort (SFS). SFS scores were assessed before and after performing an FCE to describe the change in patient-reported functional ability (cohort study). We investigated whether the change in SFS scores observed after performing an FCE in our first cohort could be replicated in subsequent cohorts.
RESULTS RESULTS
Demographic data (gender, age and time after trauma) did not differ significantly between the three patient cohorts. Correlation analysis showed highly associated before and after SFS scores in each cohort (2016: r
CONCLUSIONS CONCLUSIONS
A significant increase in patient-reported functional ability after FCE was found in the original study and the results could be reproduced in two subsequent cohorts.

Identifiants

pubmed: 35296299
doi: 10.1186/s12891-022-05208-w
pii: 10.1186/s12891-022-05208-w
pmc: PMC8928652
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

258

Informations de copyright

© 2022. The Author(s).

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Auteurs

Martin Schindl (M)

Rehab Center Weißer Hof, AUVA, Holzgasse 350, Klosterneuburg , A-3400, Austria. martin.schindl@auva.at.

Harald Zipko (H)

FH Campus Wien, Favoritenstrasse 226, Wien, 1100, Austria.

Matthias Bethge (M)

Institute of Epidemiology and Social Medicine, University of Lübeck, Ratzeburger Allee 160, Lübeck, 23562, Germany.

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Classifications MeSH