A Shortened Upper Extremity Functional Capacity Evaluation for Patients with Complaints of Hand, Wrist, Forearm, and Elbow: Composition and Assessment of Construct Validity and Test-Retest Reliability.

IF 2.1 3区医学 Q1 REHABILITATION

Journal of Occupational Rehabilitation Pub Date : 2025-05-19 DOI:10.1007/s10926-025-10298-z

Redmar J Berduszek, Rienk Dekker, Corry K van der Sluis, Michiel F Reneman

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引用次数: 0

Abstract

Purpose: Upper extremity functional capacity evaluation (UE-FCE) contains tests covering aspects of upper extremity functioning. UE-FCE tests usually consist of multiple repeated trials. Shortened UE-FCEs with less trials per test have been proposed but never tested in patients. The aims of this study were (1) to compose a shortened UE-FCE (fewer trials per test) and (2) to assess construct validity and test-retest reliability when applied in patients with nontraumatic musculoskeletal complaints of the hand, wrist, forearm, and elbow.

Methods: Participants performed a UE-FCE, with original full-length tests, twice (1 to 3 weeks apart). A shortened UE-FCE, with fewer trials per test, was composed based on the agreement (ICC ≥ 0.90) between shortened and original UE-FCE tests. Consequently, construct validity and test-retest reliability of the shortened UE-FCE tests were assessed.

Results: UE-FCEs were performed by 45 participants. The proposed shortened UE-FCE included one-trial tests for hand grip and finger strength (instead of three-trial tests), two-trial tests for fingertip and hand/forearm dexterity (instead of three-trial and four-trial tests, respectively). Overhead lifting and working tests were already one-trial tests and remain unchanged. Construct validity was demonstrated for hand grip strength of the left hand, overhead lifting, and overhead working, but not for hand grip strength of the right hand, finger strength, fingertip dexterity and hand and forearm dexterity. Test-retest reliability was above 0.70 for all tests, except for fingertip dexterity of the dominant hand (0.59).

Conclusion: The shortened UE-FCE with fewer trials per test agreed strongly with the original UE-FCE. Using the shortened UE-FCE could save 18 min. Construct validity differed per UE-FCE test. Test-retest reliability was sufficient for all UE-FCE tests except fingertip dexterity of the dominant hand.

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手、腕、前臂和肘部主诉患者上肢功能能力的缩短评估：构念效度和重测信度的组成和评估。

目的：上肢功能能力评估（UE-FCE）包含涵盖上肢功能各方面的测试。UE-FCE测试通常由多个重复试验组成。缩短ue - fce，每次试验较少，但从未在患者中进行过试验。本研究的目的是：(1)编写一个缩短的UE-FCE（每次测试更少的试验）；(2)评估在手、腕、前臂和肘部非创伤性肌肉骨骼疾病患者中的结构效度和重测信度。方法：参与者进行UE-FCE，并进行原始全长测试，两次（间隔1至3周）。根据缩短的UE-FCE和原始UE-FCE试验之间的一致性（ICC≥0.90）组成缩短的UE-FCE，每个试验的试验数较少。因此，我们评估了缩短的UE-FCE测验的构念效度和重测信度。结果：45名受试者进行了ue - fce。拟议的缩短UE-FCE包括手部握力和手指力量的一次试验测试（而不是三次试验测试），指尖和手/前臂灵活性的两次试验测试（而不是分别进行三次试验和四次试验测试）。架空吊装和工作试验已经是一次试验，并保持不变。建构效度在左手握持力、头顶举力和头顶工作上被证实，但在右手握持力、手指力量、指尖灵巧度、手和前臂灵巧度上不被证实。除优势手指尖灵巧度（0.59）外，其余测试的重测信度均在0.70以上。结论：缩短的UE-FCE与原始的UE-FCE有较强的一致性。采用缩短后的UE-FCE可节省18分钟，各UE-FCE的构效度存在差异。除优势手指尖灵巧度外，所有UE-FCE测试的重测信度均足够。

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来源期刊

Journal of Occupational Rehabilitation Multiple-

CiteScore

5.80

自引率

12.10%

发文量

期刊介绍： The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law. A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.