Basis for a functional capacity evaluation methodology for patients with work-related neck disorders.
BACKGROUND
Neck pain is a common musculoskeletal complaint and a relationship with reduced work-related functional capacity is assumed. A validated instrument to test functional capacity of patients with neck pain is unavailable. The objective of this study was to develop a Functional Capacity Evaluation (FCE), which is content valid for determining functional capacity in patients with work related neck disorders (WRND).


METHODS
A review of epidemiological review literature was conducted to identify physical risk factors for WRND.


RESULTS
Evidence was found that physical risk factors contribute in development of WRND. Physical risk factors were related to repetitive movements, forceful movements, awkward positions and static contractions of the neck or the neck/shoulder region. An FCE was designed based on the risk factors identified. Eight tests were selected to cover all risk factors: repetitive side reaching, repetitive reaching overhead, static overhead work, front carry, forward static bend neck, overhead lift and the neck strength test. Content validity of this FCE was established by providing the rationale, specific objectives and operational definitions of the FCE.


CONCLUSIONS
Further research is needed to establish reliability and other aspects of validity of the neck-FCE.
Reesink
David D
DD
University Center ProMotion Groningen, P. O. Box 247, 9700 AE, Groningen, The Netherlands. info@ucpromotiongroningen.nl
Jorritsma
Wim
W
Reneman
Michiel F
MF
D006801:Humans; D019838:Neck Injuries / Q000145:classification / Q000534:rehabilitation*; D019547:Neck Pain / Q000145:classification / Q000534:rehabilitation*; D009426:Netherlands; D009784:Occupational Diseases / Q000145:classification / Q000175:diagnosis / Q000534:rehabilitation*; D015203:Reproducibility of Results; D018582:Sick Leave; D014938:Work Capacity Evaluation