Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review

作者：Kuijer P P F M^*; Gouttebarge V; Brouwer S; Reneman M F; Frings Dresen M H W

来源：International Archives of Occupational and Environmental Health, 2012, 85(2): 109-123.

DOI：10.1007/s00420-011-0659-y

• Functional capacity
• Low back
• Upper extremity
• Lower extremity
• Work ability
• Predictive validity

Assessments of whether patients with musculoskeletal disorders (MSDs) can participate in work mainly consist of case history, physical examinations, and self-reports. Performance-based measures might add value in these assessments. This study answers the question: how well do performance-based measures predict work participation in patients with MSDs? %26lt;br%26gt;A systematic literature search was performed to obtain longitudinal studies that used reliable performance-based measures to predict work participation in patients with MSDs. The following five sources of information were used to retrieve relevant studies: PubMed, Embase, AMA Guide to the Evaluation of Functional Ability, references of the included papers, and the expertise and personal file of the authors. A quality assessment specific for prognostic studies and an evidence synthesis were performed. %26lt;br%26gt;Of the 1,230 retrieved studies, eighteen fulfilled the inclusion criteria. The studies included 4,113 patients, and the median follow-up period was 12 months. Twelve studies took possible confounders into account. Five studies were of good quality and thirteen of moderate quality. Two good-quality and all thirteen moderate-quality studies (83%) reported that performance-based measures were predictive of work participation. Two good-quality studies (11%) reported both an association and no association between performance-based measures and work participation. One good-quality study (6%) found no effect. A performance-based lifting test was used in fourteen studies and appeared to be predictive of work participation in thirteen studies. %26lt;br%26gt;Strong evidence exists that a number of performance-based measures are predictive of work participation in patients with MSDs, especially lifting tests. Overall, the explained variance was modest.

• 出版日期2012-2