Matching FCE activities and work demands: an explorative study.
OBJECTIVE
to explore to what extent the standardized Isernhagen Work Systems Functional Capacity Evaluation (IWS FCE) can be matched with observed work demands in workers with chronic low back pain, and, secondly, to explore whether this match can predict sick leave in the year after rehabilitation treatment.


METHODS
An explorative prognostic cohort study with a one-year follow-up (four, eight and twelve months after baseline) was performed (n = 18). Demographics, back complaints and FCE performance were assessed at baseline. In addition, a workplace assessment (WPA) was performed. Eleven FCE activities were matched with work demands. Sick leave associated with low back pain and physical and psychosocial work demands were assessed during follow-up.


RESULTS
Seven activities could be directly matched with WPA data. (Carrying, pushing, pulling, crouching, kneeling, static forward bending, and dynamic bending and rotating.) For some workers, difficulties existed in matching three of the activities (pushing, pulling and crouching). One activity (lifting) could indirectly be matched with WPA data. One activity (walking) could not be matched with WPA data. Two activities (sitting, standing) were excluded from analyses due to practical limitations. No relation was found between FCE performance, work demands, and sick leave during follow-up.


CONCLUSIONS
Seven FCE activities could be directly matched with work demands. However, not all observed work demands could be matched with IWS FCE activities in the eighteen occupations studied. This quantitative and standardized way of assessing work-related disability is not sufficient to predict work ability and sick leave at the present time.
Kuijer
W
W
Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. w.kuijer@rev.umcg.nl
Brouwer
S
S
Reneman
M F
MF
Dijkstra
P U
PU
Groothoff
J W
JW
Schellekens
J M H
JM
Geertzen
J H B
JH
D000328:Adult; D006804:Ergonomics; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000503:physiopathology / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009784:Occupational Diseases / Q000503:physiopathology / Q000534:rehabilitation*; D010865:Pilot Projects; D011187:Posture; D011379:Prognosis; D011446:Prospective Studies; D018582:Sick Leave; D011795:Surveys and Questionnaires; D013647:Task Performance and Analysis; D014938:Work Capacity Evaluation; D016526:Workload; D017132:Workplace