Samenvatting
Fysiotherapeuten krijgen vaak de vraag of een cliënt het werk kan hervatten. Voor de beantwoording van die vraag is het nodig inzicht te hebben in de belastbaarheid van de cliënt in relatie tot zijn of haar arbeidsbelasting. In dit hoofdstuk is een methodiek beschreven waarmee fysiotherapeuten de arbeidsbelastbaarheid kunnen vaststellen. Deze methodiek staat bekend onder de naam ‘functional capacity evaluation’ (fce). Na een inleiding over arbeidsbelastbaarheid en methoden om dit te bepalen, wordt in de rest van het hoofdstuk aandacht besteed aan de testeigenschappen van de fce bij mensen met chronische lage-rugklachten. Achtereenvolgens komen aan de orde de veiligheid, betrouwbaarheid, validiteit en de praktische bruikbaarheid. Er zijn weliswaar positieve wetenschappelijke ontwikkelingen, maar er zijn ook nog immer kennishiaten. Met reserve kan gesteld worden dat het gebruik van fce’s geschikt is voor het vaststellen van de arbeidsbelastbaarheid.
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Literatuur
Brouwer S, Dijkstra PU, Gerrits EHJ, Schellekens JMB, Groothoff JW, Geertzen JHB, Göeken LNH. Intra- en interbeoordelaarsbetrouwbaarheid ‘FIS-belastbaarheidspatroon’ en Functionele mogelijkhedenlijst. TBV 2003b;11(12):360-7.
Brouwer S, Reneman MF, Dijkstra PU, Groothoff JW, Schellekens JMH, Göeken LNH. Test-retest reliability of the Isernhagen Work Systems functional capacity evaluation in patients with chronic low back pain. J Occup Rehab 2003a;13(4):207-18.
Frings-Dresen MHW, Sluiter JK. Development of a job-specific FCE protocol: the work demands of hospital nurses as an example. J Occup Rehab 2003;13(4):233-48.
Gardener L, McKenna K. Reliability of occupational therapists in determining safe, maximal lifting capacity. Aus Occup Ther J 1999;46:119.
Gross DP, Battié MC. Reliability of safe maximum lifting determinations of a functional capacity evaluation. Phys Ther 2002;82:364-71.
Gross DP, Battié MC. The construct validity of a kinesiophysical functional capacity evaluation administered within a workers’ compensation environment. J Occup Rehabilitation 2003;13(4):287-95.
Gross DP, Battié MC. The Prognostic Value of Functional Capacity Evaluation in Patients with Chronic Low Back Pain: Part 1. Timely Return to Work. Spine 2004a;29(8):914-9.
Gross DP, Battié MC. The Prognostic Value of Functional Capacity Evaluation in Patients with Chronic Low Back Pain: Part 2. Sustained Recovery. Spine 2004b;29(8):920-4.
IJmker S, Gerrits EHJ, Reneman MF. Upper lifting performance of healthy young adults in Functional Capacity Evaluations; a comparison of two protocols. J Occup Rehabilitation 2003;13(4):297-305.
Isernhagen SJ, Hart DL, Matheson LM. Reliability of independent observer judgments of level of lift effort in a kinesiophysical Functional Capacity Evaluation. Work 1999;12:145-50.
Kuijer W, Brouwer S, Schiphorst Preuper HR, Groothoff JW, Geertzen JHB, Dijkstra PU. Work status and chronic low back pain. Exploring the International Classification of Functioning, Disability and Health. Disabil Rehab 2005, accepted.
Matheson LN, Isernhagen SJ, Hart DL. Relationships among lifting ability, grip force, and return to work. Phys Ther 2002;82:249-56.
Reneman MF, Brouwer S, Speelman-Meinema A, Dijkstra PU, Geertzen JHB, Groothoff JW. Test-retest reliability of the Isernhagen Work Systems functional capacity evaluation in healthy adults. J Occup Rehab 2004;14(4):295-305.
Reneman MF, Bults MMWE, Engbers LH, Mulders KKG, Göeken LNH. Measuring maximum holding times and perception of static elevated work and forward bending in healthy young adults. J Occup Rehab 2001;11:87-97.
Reneman MF, Dijkstra PU, Westmaas M, Göeken LNH. Test-retest reliability of lifting and carrying in a 2-day functional capacity evaluation J Occup Rehab 2002a;12:269-76.
Reneman MF, Fokkens AS, Dijkstra PU, Geertzen JHB, Groothoff JW. Testing lifting capacity: validity of determining effort level by means of observation. Spine 2005a;30(2):E40-6.
Reneman MF, Jaegers SMHJ, Westmaas M, Göeken LNH. The reliability of determining effort level of lifting and carrying in a functional capacity evaluation. WORK 2002b;18:23-7.
Reneman MF, Jorritsma W, Dijkstra SJ, Dijkstra PU. The relationship between kinesiophobia and performance in a Functional Capacity Evaluation. J Occup Rehab 2003;13(4):277-85.
Reneman MF, Jorritsma W, Schellekens JMH, Göeken LNH. Concurrent validity of questionnaire and performance-based disability measurements in patients with chronic non-specific low back pain. J Occup Rehab 2002c;12:119-30.
Reneman MF, Kuijer W, Brouwer S, Dijkstra PU, Geertzen JHB, Groothoff JW. Safety of a Functional Capacity Evaluation in patients with chronic low back pain. Submitted.
Reneman MF, Soer R, Gerrits EHJ. Basis for a fce methodology for patients with Work-Related Upper Limb Disorders. J Occup Rehab 2005b;15(3):353-63.
Rustenburg G, Kuijer PP, Frings-Dresen MH. The concurrent validity of the ERGOS Work Simulator and the Ergo-Kit with respect to maximum lifting capacity. J Occup Rehab 2004;14(2):107-18.
Smith RL. Therapists’ ability to identify safe maximum lifting in low back pain patients during functional capacity evaluation. JOSPT 1994;19:277-81.
US Department of Labor. Dictionary of Occupational Titles, 4th ed. Indianapolis: JIST Works, 1991a.
US Department of Labor. The Revised Handbook for Analyzing Jobs. Indianapolis: JIST Works, 1991b.
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Reneman, M. (2004). Hoofdstuk 18 Arbeidsbelastbaarheid vaststellen. In: Marinus, J., Dijkstra, P., Nijs, J., van Wilgen, C. (eds) Jaarboek fysiotherapie kinesitherapie 2006. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-9666-5_18
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