Reliability and agreement of Neck Functional Capacity Evaluation tests in patients with chronic multifactorial neck pain

Publication date: Available online 31 December 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): M.F. Reneman, M. Roelofs, H.R. Schiphorst Preuper
ObjectiveTo analyze test-retest reliability and agreement, and to explore safety of Neck Functional Capacity Evaluation tests (Neck-FCE) in patients with chronic multifactorial neck pain.Designtest-retest; 2 FCE sessions were held with a 2 week interval.Settinguniversity based outpatient rehabilitation center.Participantsn=18 participants, 14 females, mean age of 34 years.Interventionsnot applicable.Main Outcome MeasureThe Neck-FCE protocol consists of 6 tests: lifting waist to overhead (kg), two-handed carrying (kg), overhead working (s), bending and overhead reaching (s), and repetitive side reaching (left and right) (s). Intraclass Correlation Coefficients (ICCs) and limits of agreement (LoA). ICC point estimates between 0.75 and 0.90 was considered as good and >0.90 was considered as excellent reliability.ResultsICC point estimates ranged between 0.39 and 0.96. Ratios of the LoA ranged between 32.0% and 56.5%. Mean NRS pain scores in neck and shoulder 24-hours after the test were respectively 6.7 (SD 2.6) and 6.3 (SD 3.0).ConclusionBased on ICC point estimates and 95%CI, it was concluded that that 3 tests had excellent reliability and 3 had poor reliability. LoA were substantial in all 6 tests. Safety was confirmed.



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