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Titre : | Can Functional Capacity Tests Predict Future Work Capacity in Patients With Whiplash-Associated Disorders? (2014) |
Auteurs : | Maurizio A. Trippolini ; Pieter U. Dijkstra ; Pierre Côté |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/12, 2014) |
Article en page(s) : | p. 2357-2366 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cervicalgie ; Pronostic ; Rééducation et réadaptation ; Reprise du travail |
Mots-clés: | Disability evaluation ; Évaluation de l'incapacité ; Neck pain ; Prognosis ; Return to work ; Whiplash injuries ; Traumatismes cervicaux en coup de fouet |
Résumé : |
Objective To determine whether functional capacity evaluation (FCE) tests predict future work capacity (WC) of patients with whiplash-associated disorders (WADs) grades I and II who did not regain full WC 6 to 12 weeks after injury. Design Prospective cohort study. Setting Rehabilitation center. Participants Workers (N=267) listed on workers' compensation with grade I or II WADs 6 to 12 weeks after injury. Interventions Patients performed 8 work-related FCE tests. Main Outcome Measures WC (0100%) measured at baseline and 1, 3, 6, and 12 months after testing. Correlation coefficients between FCE tests and WC were calculated. A linear mixed-model analysis was used to assess the association between FCE and future WC. Results Mean + SD WC increased over time from 20.8%+27.6% at baseline to 32.3%+38.4%, 51.3%+42.8%, 65.6%+42.2%, and 83.2%+35.0% at the 1-, 3-, 6-, and 12-month follow-ups, respectively. Correlation coefficients between FCE tests and WC ranged from r=.06 (lifting low at 12-mo follow-up) to r=.39 (walking speed at 3mo). Strength of the correlations decreased over time. FCE tests did not predict WC at follow-up. The predictors of WC were ln (time) (β=23.74), mother language (β=5.49), WC at baseline (β=1.01), and self-reported disability (β=−.20). Two interaction terms, ln (time) * WC (β=−.19) and ln (time) * self-reported disability (β=−.21), were significant predictors of WC. Conclusions FCE tests performed within 6 to 12 weeks after WADs injury grades I and II are associated with WC at baseline but do not predict future WC, whereas time course, mother language, WC at baseline, and self-reported disability do predict future WC. Additionally, the interaction between time course WC at baseline and self-reported disability predicted future WC. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314009344 |