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Technological interventions in Functional Capacity Evaluations: An insight into current applications.

Nake Bhupal1, Laura Bures1, Emika Peterson1

  • 1Department of Occupational Therapy. Faculty of Rehabilitation Medicine. University of Alberta, Edmonton, AB. Canada.

Work (Reading, Mass.)
|June 14, 2024
PubMed
Summary

Information and communication technologies (ICT) show potential to improve functional capacity evaluations (FCEs) for return-to-work decisions. Current ICT integration is limited, highlighting a need for standardized, objective technological approaches in FCE.

Keywords:
Information technologyartificial intelligencebio-mechanicsmachine learningrehabilitationreturn to workwork

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Area of Science:

  • Occupational Health
  • Rehabilitation Technology
  • Biomedical Engineering

Background:

  • Functional Capacity Evaluation (FCE) is vital for return-to-work decisions.
  • Clinician-based FCE interpretation introduces variability and bias.
  • Technological advancements like AI offer potential for consistent and precise FCE results.

Purpose of the Study:

  • To review the application of information and communication technologies (ICT) in physical FCEs.
  • To assess ICT use specifically for return-to-work assessments.

Main Methods:

  • Systematic literature search adhering to PRISMA guidelines across five databases.
  • Dual independent reviews for study extraction, including specifics, populations, and technologies.
  • Identification and analysis of studies employing ICT in FCE.

Main Results:

  • Nine studies utilized ICT in FCEs, employing tools like EMG, heart rate monitors, cameras, and motion detectors.
  • Technologies were at a moderate readiness level (TRL 5-6) and often used in combination.
  • Focus was on technology application within protocols, not direct usability or feasibility evaluation.

Conclusions:

  • Limited integration of ICT in current FCE practices was observed.
  • High reliance on clinician observation in FCE poses consistency and cost-effectiveness challenges.
  • A standardized technological approach with objective metrics is needed to streamline FCE and improve outcomes.