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Related Experiment Videos

Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing.

S G Postema1, R M Bongers2, M F Reneman3

  • 1Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, PO BOX 30001, 9700 RB, Groningen, The Netherlands. S.G.Postema@umcg.nl.

Journal of Occupational Rehabilitation
|April 12, 2017
PubMed
Summary

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This summary is machine-generated.

A new functional capacity evaluation (FCE) for individuals with upper limb absence (ULA) was developed and tested. The FCE-OH showed that individuals with ULA generally have similar functional capacity to two-handed individuals.

Area of Science:

  • Occupational therapy
  • Rehabilitation medicine
  • Biomechanics

Background:

  • Upper limb absence (ULA) presents unique challenges for functional capacity.
  • Existing functional capacity evaluations (FCEs) may not adequately assess individuals with ULA.
  • Understanding the relationship between functional capacity and musculoskeletal complaints (MSC) in ULA is important for rehabilitation.

Purpose of the Study:

  • To develop and pilot test a novel FCE specifically for individuals with ULA.
  • To evaluate the FCE's ability to differentiate functional capacity between individuals with ULA and controls.
  • To investigate the correlation between FCE outcomes and the presence of MSC in individuals with ULA.

Main Methods:

  • Five functional tests were selected and adapted for the FCE-One-Handed (FCE-OH).
Keywords:
Complaints of arms neck shoulderFunctional capacity evaluationOccupational rehabilitationUpper limb amputationValidity

Related Experiment Videos

  • The FCE-OH was pilot tested on 20 adults with ULA and 20 matched controls.
  • Musculoskeletal complaints (MSC) were assessed using a questionnaire.

    • Main Results:

    • Adaptations were necessary for most tests, with the addition of a repetitive overhead lifting test for the non-affected limb.
    • Individuals with above-elbow ULA performed similarly to controls on one-handed overhead lifting but worse on overhead working tasks.
    • No significant differences were found in other tests, and FCE results did not correlate significantly with MSC.

    Conclusions:

    • The FCE-OH is a viable tool for assessing the functional capacity of individuals with ULA.
    • Individuals with ULA demonstrate comparable overall functional capacity to two-handed individuals, though specific task deficits may exist.
    • FCE results in this study were not associated with MSC, suggesting other factors may contribute to pain or discomfort.