Value of Functional Capacity Evaluation Information in a Clinical Setting for Predicting a Return to Work

Objective: To evaluate the quality of Functional Capacity Evaluation (FCE) information in predicting return to work (RTW).

Design: Prospective cohort Study.

Setting: Inpatient rehabilitation clinic.

Participants: Patients (N=220) with chronic musculoskeletal disorders (MSD) conducting a medical rehabilitation.

Interventions: Not applicable.

Main Outcome Measures: Patients filled in questionnaires at admission and 1-Year follow-up. An FCE was performed on admission. RTW was defined as a combination of employment at 1-year follow-up with a maximum of 6 weeks sick leave because of MSD in the postrehabilitation year. As predictive FCE information, the physical capacity (Dictionary of Occupational Tides categories 1-5), the number of test results not meeting work demands (0-25), and the tester's recommendation of work ability in the actual job (>= 6h/d) were analyzed. Logistic regression models (crude and adjusted for the concurrent predictors employment, preadmission sick leave, and patient's prognosis of RTW) were created to predict RTW.

Results: Complete data were obtained for 145 patients. The sample showed a non-RTW at 1-year follow-up for 37.9%. All FCE information showed significant relations to RTW (r=.28.43; P

Conclusions: There was a significant relation between FCE information and RTW with and without concurrent predictors, but the predictive efficiency is poor. Primarily, the number of failed tests seemed to be of significance for patients with ambiguous RTW prognosis. A first proposal for a prediction rule was discussed.