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Impact of Functional Capacity Evaluation on Patient-Reported Functional Ability: An Exploratory Diagnostic
Martin Schindl1, Sylvia Wassipaul2, Tanja Wagner3
1Rehabilitationszentrum Weißer Hof, AUVA, Holzgasse 350, 3400, Klosterneuburg, Austria. martin.schindl@auva.at.
Journal of Occupational Rehabilitation
|February 24, 2019
Summary
Functional capacity evaluations (FCEs) improved patient-reported functional ability after orthopedic trauma. This assessment may offer a therapeutic effect by enabling a more realistic appraisal of work capacity.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Occupational Health
Background:
- Orthopedic trauma and prolonged inactivity significantly impair work capacity.
- Functional capacity evaluation (FCE) guides return-to-work and rehabilitation strategies.
- FCE may influence patients' self-appraisal of functional ability.
Purpose of the Study:
- To evaluate changes in patient-reported functional ability following FCE.
- To assess the impact of FCE on the discrepancy between self-reported ability and objective findings.
Main Methods:
- Diagnostic before-after study.
- 161 trauma patients undergoing interdisciplinary inpatient rehabilitation.
- Spinal Function Sort administered before and after FCE.
Main Results:
- Patient-reported functional ability improved by 14.8 points (95% CI 11.3-18.2).
- The proportion of patients underestimating their functional capacity decreased from 82.6% to 64.6%.
Conclusions:
- FCE performance is associated with improved patient-reported functional ability in trauma patients.
- FCE may have a direct therapeutic benefit by fostering realistic self-appraisal of work capacity.
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