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[Use of the disability classification "Residual work capacity for part-time work" in an area of Croatia].

A retrospective evaluation of disability was carried out in a group of workers with residual work capacity for part-time work from the region of Slavonski Brod over a ten-year period. The evaluation comprised disability assessment, estimation of the reliability of primary diagnosis with respect to disability assessment, and determination of the period between the assessment of residual work ability for part-time work and retirement due to disability. The disability category "residual work capacity for part-time work" was assigned to 1,029 persons, and was most frequently caused by cardiovascular diseases. Disability pension was based mostly on the diagnoses of mental disorders and cardiovascular diseases and was received by 1,365 persons. With part-time workers who had their residual work ability assessed on the basis of cardiovascular diseases and mental disorders, working part-time was only a temporary, short-term solution, because as soon as within a year, after a regular check-up, they were given disability pension owing to deterioration of primary disease. On the other hand, workers with diseases of the locomotor system as primary diagnosis, who had worked part-time for several years, often had disability pension granted because of some other disease. A detailed analysis among 426 still active workers with residual work capacity showed disability to have been assessed mostly on the ground of diseases of the locomotor system. Functional disorders were usually light to moderate, and working conditions often inappropriate. It is considered that the categories "residual work capacity with full-time work at a more appropriate workplace", with a change of occupation or without it, and "altered work capacity" would have been better applicable in the majority of cases.

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[Physical work capacity of electronics workers (the assembling and checking of printed circuit boards)].

The physical capacity for work of electronic workers that assembly and check up the printed was determined. The physical capacity for work of the female assembly-workers is assessed to be moderate and that of the operators-very good. A reduction of the maximum oxygen consumption with 0.375 ml/kg per year was established in the female assembly-workers, in the age group 21-40. The results obtained are discussed in connection with the unfavourable effect of the reduced motor activity during work, taken as base for the elaboration of measures for the improvement of the physical capacity for work.

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Factors influencing results of functional capacity evaluations in workers' compensation claimants with low back pain.

BACKGROUND AND PURPOSE: Physical and psychosocial factors are hypothesized to influence performance-based assessment. The purpose of this study was to evaluate the association between performance on the Isernhagen Work System Functional Capacity Evaluation (IWS-FCE) and various clinical and psychosocial factors. SUBJECTS: The sample consisted of 170 workers' compensation claimants who were undergoing functional capacity evaluations (FCEs) for low back injuries. METHODS: In this cross-sectional study, claimants completed a battery of work-related measures, including the IWS-FCE, the Pain Disability Index (PDI), a workplace organizational policies and practices scale, and a recovery expectations questionnaire. Functional capacity evaluation performance indicators were the number of tasks in which subjects did not meet work demands and weight lifted on the floor-to-waist lift. Analysis included multivariable regression. RESULTS: Only the PDI, pain intensity, age, and sex independently contributed to floor-to-waist lift performance. The PDI, pain intensity, and duration of injury contributed to the number of failed tasks. DISCUSSION AND CONCLUSION: The results indicate that performance on FCEs is influenced by physical factors, perceptions of disability, and pain intensity. However, perceptions of workplace organizational policies and procedures were not associated with FCE results for workers' compensation claimants with chronic back pain disability. Functional capacity evaluations should be considered behavioral tests influenced by multiple factors, including physical ability, beliefs, and perceptions.

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Upper lifting performance of healthy young adults in functional capacity evaluations: a comparison of two protocols.

The objectives of this study were to explore the concurrent validity of test results of upper lifting tasks of the Ergo-Kit FCE and the Isernhagen Work Systems (IWS) FCE. Seventy-one healthy young adults performed 5 upper lifting tests with at least 5 min of rest in between. The lifting tests included 3 standard protocols and 2 modified protocols. Three criteria for concurrent validity were established: 1) Pearson correlation higher than .75, 2) nonsignificant two-tailed t test, and 3) mean difference smaller than 5 kg. The results showed that none of the criteria were met for the standard protocols. For the modified protocols criteria 2 and 3 were not met. Individual differences larger than 10 kg were found for both standard and modified protocols. It was concluded that the standard protocols for upper lifting tasks of the Ergo-Kit FCE and the IWS FCE do not meet the criteria for concurrent validity and can, therefore, not be used interchangeably.

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Sustaining and improving working capacity--programme description and two years follow-up.

In 1991 the Social Insurance Institution Rehabilitation Act introduced a working capacity sustaining and improving training programme (TYK). The goal of this programme is to sustain the physio-psycho-social competences of older workers and employees by creating a chain of in-house rehabilitation phases and training phases at the workplace. We describe the programme in its early state of implementation. Two years after entering the programme 17 patients were working, six were on sick leave, three were out of work, 16 were on pension, and six patients could not be retrieved.

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