Inter-rater reliability and predictive validity of a new functional capacity evaluation for chronic back pain

慢性背痛新功能能力评估的评估者间可靠性和预测有效性

• 批准号: nhmrc : 142931
• 负责人: Dr Heather Podlich
• 金额: $ 7.05万
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2001
• 资助国家: 澳大利亚
• 起止时间: 2001-01-01 至 2003-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/inter-rater-reliability-chronic-pain/81984
• 关键词: Inter; rater; reliability; predictive; validity

Back pain costs the Australian community tens of billions of dollars. Back pain is one of the main causes of work injury and lost time from work. The longer a person is off work, the harder it is to get them back to work. Workers' compensation systems around Australia aim at getting the injured worker with back pain back to work as soon as possible. One of the difficulties in this process is determining what the person with back pain can physically do in the workplace. An evaluation technique, called functional capacity evaluation (known as FCE), is one method used to find out what the person with back pain physically can and cannot do. In a FCE, a trained health professional such as an occupational therapist, observes the person performing a range of physical activities like the ones he or she may have to perform in a job. The therapist closely observes the person performing activities such as lifting, carrying, kneeling, crouching, balancing, and walking and notes any limitations in the person's ability to complete the activities. The therapist makes comments about what difficulties the person may have on the job and recommendations about how these could be reduced or eliminated. The information gained from these evaluations can be valuable for the treating doctor in deciding whether the person is ready to go back to work and what duties the person can and cannot do on the job. Because of such value they provide, FCE is commonly used in rehabilitation programs endorsed by workers' compensation systems around Australia. This widespread use and endorsement of FCE occurs despite limited research on the soundness of the ratings made from these evaluations. There is a need to see whether recommendations made from FCEs are consistent between therapists (i.e. reliable) and to see if the FCE accurately predicts the person's physical capacity for work. This research will examine these issues with injured workers with back pain.

背痛使澳大利亚社区数万美元。背痛是造成工伤的主要原因之一，下班时间浪费。一个人下班的时间越长，让他们重返工作岗位越难。澳大利亚各地的工人薪酬系统旨在使受伤的工人背痛重返工作。在此过程中，困难之一是确定背部疼痛的人在工作场所可以做什么。一种评估技术，称为功能能力评估（称为FCE），是一种用于找出背部疼痛的人身体上可以做和不能做什么的方法。在FCE中，诸如职业治疗师之类的受过训练的卫生专业人员，观察了从事一系列体育活动的人，例如他或她可能必须在工作中进行的活动。治疗师仔细观察执行活动的人，例如举重，跪下，蹲下，平衡和步行，并指出该人完成活动能力的任何限制。治疗师对这个人在工作中可能遇到的困难以及有关如何减少或消除这些困难的评论。从这些评估中获得的信息对于治疗医生决定该人是否准备重新上班以及该人在工作中可以做什么职责，这可能是有价值的。由于它们提供了这种价值，FCE通常用于澳大利亚工人补偿系统认可的康复计划。尽管对这些评估的评分的合理性有限，但这种广泛使用和认可的FCE仍会发生。需要查看FCE提出的建议在治疗师（即可靠）之间是否一致，并查看FCE是否准确地预测了该人的身体工作能力。这项研究将与背痛受伤的工人一起研究这些问题。