caa a22 4500 606211276 CHVBK 20210128101037.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10926-014-9533-6 doi (NATIONALLICENCE)springer-10.1007/s10926-014-9533-6 Functional Capacity Evaluation: Performance of Patients with Chronic Non-specific Low Back Pain Without Waddell Signs [Elektronische Daten] [Peter Oesch, Kathrin Meyer, Beatrice Jansen, Jan Kool] Purpose The primary objective of this study is to evaluate the effect of Waddell signs (WS) on Functional Capacity Evaluation (FCE) in patients with chronic non-specific low back pain (CNSLBP) undergoing fitness for work evaluation. If an effect is observed, the secondary objective is to report performance of patients without WS in a standardized 1day FCE protocol. Methods Survey of patients with CNSLBP as their primary complaint, referred for fitness for work evaluation, age between 20 and 60years. Main outcome measures were WS and performance during manual handling assessed with lifting from floor to waist, waist to crown, horizontal and one handed carry; grip strength with Jamar hand held Dynamometer; ambulation with stair climbing and six minute walking test; work postures with elevated work, forward bend standing, kneeling, and sitting. Results 145 male with a mean age of 44.5years (±10.1), and 53 females with a mean age of 43.6years (±11.0) were included. Mean days off work were in male 658 (±1,056) and in female 642 (±886). 33% of all patients presented positive WS. FCE performance in male and female patients with positive and negative WS differed significantly in all comparisons except grip strength of the dominant hand and sitting in female. Performance of patients with negative WS indicated a mean physical capacity corresponding to lightmedium work in females and medium work in males for both age groups. Conclusions WS should be assessed for interpretation of FCE results. Despite long work absence, patients with CNSLBP with negative WS demonstrated a physical capacity corresponding to substantial physical work demands. Springer Science+Business Media New York, 2014 Chronic low back pain nationallicence Work capacity evaluation nationallicence Signs and symptoms nationallicence Performance nationallicence Oesch Peter Kliniken Valens, Valens, Switzerland aut Meyer Kathrin Zurich University Hospital, Zurich, Switzerland aut Jansen Beatrice Rehaklinik Bellikon, Bellikon, Switzerland aut Kool Jan Kliniken Valens, Valens, Switzerland aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/2(2015-06-01), 257-266 1053-0487 25:2<257 2015 25 10926 https://doi.org/10.1007/s10926-014-9533-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-014-9533-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Oesch Peter Kliniken Valens, Valens, Switzerland aut NATIONALLICENCE 700 1- Meyer Kathrin Zurich University Hospital, Zurich, Switzerland aut NATIONALLICENCE 700 1- Jansen Beatrice Rehaklinik Bellikon, Bellikon, Switzerland aut NATIONALLICENCE 700 1- Kool Jan Kliniken Valens, Valens, Switzerland aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/2(2015-06-01), 257-266 1053-0487 25:2<257 2015 25 10926