Objective evaluation of functional capacity: medical, occupational, and legal settings
Clinicians are called upon to perform objective evaluation of functional capacity in a variety of treatment and evaluation settings. To assist the clinician in selecting the appropriate testing methods for assessment of functional capacity in different settings, a survey of available techniques is p...
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| Published in: | The journal of orthopaedic and sports physical therapy Vol. 19; no. 5; pp. 249 - 260 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
01-05-1994
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| Subjects: | |
| Online Access: | Get full text |
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| Abstract | Clinicians are called upon to perform objective evaluation of functional capacity in a variety of treatment and evaluation settings. To assist the clinician in selecting the appropriate testing methods for assessment of functional capacity in different settings, a survey of available techniques is presented. It is structured around the goals of treatment as the patient progresses from the stage of acute injury or disease through early postacute care to long-term rehabilitation. The role of the clinician in treatment of the patient is contrasted to the role of the clinician in evaluation of the patient for reasons other than making clinical decisions. In particular, the specific demands of workers fitness and risk evaluation are described. The goal-related differences in the design and the correct use of clinical dynamometers vs. work simulators are presented. The key concepts are the professional role of the clinician, reliability of measurements, and validity in the sense of the decisions one is justified in making based on the results of these measurements in a particular context. |
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| AbstractList | Clinicians are called upon to perform objective evaluation of functional capacity in a variety of treatment and evaluation settings. To assist the clinician in selecting the appropriate testing methods for assessment of functional capacity in different settings, a survey of available techniques is presented. It is structured around the goals of treatment as the patient progresses from the stage of acute injury or disease through early postacute care to long-term rehabilitation. The role of the clinician in treatment of the patient is contrasted to the role of the clinician in evaluation of the patient for reasons other than making clinical decisions. In particular, the specific demands of workers fitness and risk evaluation are described. The goal-related differences in the design and the correct use of clinical dynamometers vs. work simulators are presented. The key concepts are the professional role of the clinician, reliability of measurements, and validity in the sense of the decisions one is justified in making based on the results of these measurements in a particular context. |
| Author | Menard, M R Hoens, A M |
| Author_xml | – sequence: 1 givenname: M R surname: Menard fullname: Menard, M R organization: Department of Medicine, St. Paul's Hospital, Vancouver, British Columbia, Canada – sequence: 2 givenname: A M surname: Hoens fullname: Hoens, A M |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/8199618$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1056/NEJM199307083290213 10.1093/ptj/63.8.1248 10.1097/00007632-199206000-00001 10.1177/109019817800600107 10.1016/0003-9993(91)90008-7 10.1097/00007632-199109000-00004 10.1001/archneur.1992.00530280040020 10.1249/00005768-199307000-00018 10.1056/NEJM199307013290113 10.1016/0003-9993(92)90007-J 10.1097/00007632-199206000-00004 10.1097/00002060-199104000-00011 10.1001/archinte.1986.00360190097013 10.1056/NEJM195805152582005 10.1001/jama.1990.03450190056028 10.1249/00005768-199301000-00015 10.1016/S0004-9514(14)60524-9 10.1097/00043764-199308000-00011 10.1097/00043764-198005000-00006 |
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| References | p_49 p_23 p_26 p_48 Vock P (p_46) 1985; 20 Haley SM (p_19) 1991; 72 Derr PC (p_9) 1988; 3 Waddell C (p_47) 1980; 9 Kulig K (p_33) 1984; 12 Coldberg C (p_15) 1991; 70 p_20 p_21 p_40 Sinacore RR (p_42) 1983; 63 p_34 p_13 p_35 p_14 Bascom R (p_3) 1992; 6 p_8 Silverstein B (p_41) 1991; 72 Milner-Brown HS (p_36) 1986; 67 Keith RA (p_29) 1992; 73 Ilmarinen I (p_27) 1991; 135 Management (p_51) 1993; 5 Cady LD (p_5); 21 Evans RL (p_12) 1991; 72 Granger CV (p_17) 1990; 1 Hoens AM (p_25) 1990; 36 p_31 p_32 Broadhead WE (p_4); 264 Cuyatt CH (p_18) 1986; 134 Dusik LA (p_11) 1993; 35 |
| References_xml | – ident: p_26 doi: 10.1056/NEJM199307083290213 – volume: 63 start-page: 1248 year: 1983 ident: p_42 publication-title: Phys Ther doi: 10.1093/ptj/63.8.1248 contributor: fullname: Sinacore RR – volume: 6 start-page: 325 year: 1992 ident: p_3 publication-title: Phys Med Rehabil StateArt Rev contributor: fullname: Bascom R – ident: p_48 doi: 10.1097/00007632-199206000-00001 – ident: p_49 doi: 10.1177/109019817800600107 – volume: 3 start-page: 193 year: 1988 ident: p_9 publication-title: Occup Med State Art Rev contributor: fullname: Derr PC – ident: p_14 doi: 10.1016/0003-9993(91)90008-7 – ident: p_23 doi: 10.1097/00007632-199109000-00004 – ident: p_40 doi: 10.1001/archneur.1992.00530280040020 – ident: p_13 doi: 10.1249/00005768-199307000-00018 – ident: p_35 doi: 10.1056/NEJM199307013290113 – volume: 135 year: 1991 ident: p_27 publication-title: Scand J Work Environ Health 17(S1) contributor: fullname: Ilmarinen I – ident: p_31 doi: 10.1016/0003-9993(92)90007-J – volume: 134 start-page: 889 year: 1986 ident: p_18 publication-title: Can Med Assoc I contributor: fullname: Cuyatt CH – volume: 9 start-page: 17 issue: 1 year: 1980 ident: p_47 publication-title: Spine contributor: fullname: Waddell C – volume: 73 start-page: 52 year: 1992 ident: p_29 publication-title: Arch Phys Med Rehabil contributor: fullname: Keith RA – ident: p_8 doi: 10.1097/00007632-199206000-00004 – volume: 72 start-page: 63 year: 1991 ident: p_41 publication-title: Arch Phys Med Rehabil contributor: fullname: Silverstein B – volume: 5 start-page: 71 year: 1993 ident: p_51 publication-title: Economist Iune contributor: fullname: Management – volume: 67 start-page: 530 year: 1986 ident: p_36 publication-title: Arch Phys Med Rehabil contributor: fullname: Milner-Brown HS – volume: 72 start-page: 144 year: 1991 ident: p_12 publication-title: Arch Phys Med Rehabil contributor: fullname: Evans RL – volume: 72 start-page: 359 year: 1991 ident: p_19 publication-title: Arch Phys Med Rehabil contributor: fullname: Haley SM – volume: 70 start-page: 107 year: 1991 ident: p_15 publication-title: Am JPhys Med Rehabil doi: 10.1097/00002060-199104000-00011 contributor: fullname: Coldberg C – ident: p_34 doi: 10.1001/archinte.1986.00360190097013 – volume: 12 start-page: 17 issue: 4 year: 1984 ident: p_33 publication-title: Exerc Sports Sci Rev contributor: fullname: Kulig K – ident: p_20 doi: 10.1056/NEJM195805152582005 – volume: 264 start-page: 2524 ident: p_4 publication-title: JAMA doi: 10.1001/jama.1990.03450190056028 contributor: fullname: Broadhead WE – ident: p_21 doi: 10.1249/00005768-199301000-00015 – volume: 20 start-page: 486491 year: 1985 ident: p_46 publication-title: Invest Radio1 contributor: fullname: Vock P – volume: 36 start-page: 163 year: 1990 ident: p_25 publication-title: Aust J Physiother doi: 10.1016/S0004-9514(14)60524-9 contributor: fullname: Hoens AM – volume: 35 start-page: 759 year: 1993 ident: p_11 publication-title: J Occup Med doi: 10.1097/00043764-199308000-00011 contributor: fullname: Dusik LA – ident: p_32 doi: 10.1097/00043764-198005000-00006 – volume: 1 start-page: 870 year: 1990 ident: p_17 publication-title: Arch Phys Med Rehabil7 contributor: fullname: Granger CV – volume: 21 start-page: 269 ident: p_5 publication-title: Occup Med contributor: fullname: Cady LD |
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| SubjectTerms | Cardiovascular Physiological Phenomena Clinical Competence Ergometry Humans Physical Fitness Rehabilitation, Vocational - standards Reproducibility of Results Work Capacity Evaluation Workers' Compensation - legislation & jurisprudence |
| Title | Objective evaluation of functional capacity: medical, occupational, and legal settings |
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