Bibliographische Angaben zur Publikation
Repeatability and Safety of the Functional Capacity Evaluation-One-Handed for Individuals with Upper Limb Reduction Deficiency and Amputation
Postema, S. G.; Bongers, Paulien M.; van der Sluis, C. K. [u. a.]
Journal of Occupational Rehabilitation, 2018, Volume 28 (Number 3), Seite 475-485, Dordrecht: Springer Niederlande, ISSN: 1053-0487 (Print); 1573-3688 (Online)
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To assess repeatability and safety of the functional capacity evaluation-one-handed (FCE-OH), a FCE-OH individuals, consisting of eight items.
The FCE-OH protocol was administered twice to 23 individuals with upper limb absence (87 % male; median age 46 years; median 2 days between sessions). To examine repeatability, test-retest reliability and agreement were assessed with the intraclass correlations coefficient (ICC) and limits of agreement (LoA), respectively. Reliability was considered acceptable when ICC-values were ?0.75. Widths of LoA of four tests were compared with those of healthy adults. Safety and pain response were assessed with a questionnaire.
After controlling for stability of construct, ICC-values ranged between 0.23 and 0.96, and widths of LoA ranged between 16 and 79 %. Intertrial (learning) effects were present in three test items. No serious adverse reactions were reported. A pain response was reported by 30 % of the participants.
Good or excellent reliability was observed in five tests, while three items showed poor or moderate test-retest reliability. Interpretation of agreement was possible for four tests, of which three showed widths of LoA similar to those reported in healthy adults. Learning effects were present; therefore, interpretation at the individual level should be performed with care. As the CI of several items were wide, confirmation of results in a larger sample is warranted. Safety was confirmed.
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Journal of Occupational Rehabilitation
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