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[Evaluation and prognosis of work capacity in rheumatoid arthritis].

Assessment of the functional state, social and psychological status of 82 patients with RA was made with the aid of a modified health assessment questionnaire (HAQ) and individual arthritis impact measurement scales (AIMS). A group of disabled persons exhibited a greater markedness of articular destruction, high activity of the disease and a high functional index, all of them being old persons. Patients with working ability underwent prophylactic medical examination, more intensive therapy with basic drugs. The use of a computer for prognostication of capacity for work has been shown.

Adult↗

[Effect of work of different types and intensity on changes in work capacity].

Changes in the current effort capacity following 4-hrs' performance of six types of work of different intensity and different muscular system engagement, have been evaluated. The studies involved two groups of women. Group I, consisting of 25 women, performed the dynamic, work on cycle-and manual-ergometers (Rr) and two types of static effort resulting from the shift of the load constituting 20% body weight (N) and maintenance of forced posture during manual weaving (T). Group II, consisting of 9 women, performed the dynamic work on cycle ergometer (R) and dynamic-static work, with an additional load, i.e. holding--in one's hand--2,5 kg (R2,5) and 5.0 kg (R5,0). The effort capacity was determined before and after work, basing on an ergometer test. Whatever the type of the previously performed work, the tolerance of fatigue was found to decrease, which was expressed by lower values of oxygen consumption and heart rate at which the women stopped the test effort. The intensity of the previously performed work (% VO2 max) might be estimated from the difference in the average test effort power, respiratory quotient value and amount of oxygen consumed per one power unit. The static load was evidenced by changes in the blood systolic pressure and increased heart rate during the effort test.

Adult↗

Test-retest reliability of the Isernhagen Work Systems Functional Capacity Evaluation in patients with chronic low back pain.

The aim of this study was to investigate test-retest reliability of the Isernhagen Work System Functional Capacity Evaluation (IWS FCE) in a sample of patients (n = 30) suffering from Chronic Low Back Pain (CLBP) and selected for rehabilitation treatment. The IWS FCE consists of 28 tests that reflect work-related activities like lifting, carrying, bending, etc. In this study, a slightly modified IWS FCE was used. Patients were included in the study if they were still at work or were less than 1 year out of work because of CLBP. Participants' mean age was 40 years, the duration of low back pain ranged between 5 and 10 years. Fifteen patients (50%) were out of work for a mean of 17 weeks, and they all received financial compensation. Two FCE sessions were held with a 2-week interval in between. Means per session, 95% confidence intervals of the mean difference, one-way random Intra Class Correlations (ICC), limits of agreement, Cohen's kappa and percentage of absolute agreement were calculated where appropriate. An ICC of 0.75 or more, a kappa value of more than 0.60 and a percentage of absolute agreement of 80% were considered as an acceptable reliability. Tests of the IWC FCE were divided into tests with and tests without an acceptable test-retest reliability on the basis of the kappa values, the percentage of absolute agreement and the ICC values. Fifteen tests (79%) showed an acceptable test-retest reliability based on Kappa values and percentage of absolute agreement. Eleven tests (61%) showed an acceptable test-retest reliability based on ICC values.

Adult↗

Determination of functional aerobic capacity using the microcomputer.

The general interest in the application of exercise testing to evaluate the work capacity or change in the functional ability of individuals has resulted in the development of a variety of non-invasive tests and test protocols such as the Bruce Treadmill Protocol. This paper presents a computer program written in BASIC that determines an individuals functional work capacity and functional age from minutes completed during a Bruce Treadmill incremental exercise test. Results are summarized in tabular as well as graphical format. The use of the Bruce Treadmill protocol in conjunction with this computer program provides another means of efficiently determining the exercise capability and functional status of a patient.

Computer Systems↗