testes funcionais
testes funcionais
Definição
Testes funcionais são testes que medem o nível de função de um indivíduo e a capacidade de realizar tarefas funcionais ou relacionadas ao trabalho de maneira segura e confiável.26
Dados importantes
A avaliação dos testes funcionais consiste em uma bateria abrangente de testes baseados em desempenho para tentar fornecer ao fisioterapeuta informações detalhadas sobre as capacidades do paciente para executar o seu trabalho e suas atividades da vida diária.2-25
Os testes funcionais são um componente essencial na fisioterapia, auxiliando na garantia da qualidade da intervenção, melhoria contínua da qualidade, análise de custo/benefício, educação e pesquisa.28
Porém, é importante ressaltar que estudos sugerem que a maioria dos testes clínicos para a coluna vertebral com precisão diagnóstica aceitável são para diagnósticos não críticos como, por exemplo, hérnia de disco ou outros danos estruturais.29
Função
Na fisioterapia, esse instrumento é comumente usado para definir objetivos, para desenvolver intervenções terapêuticas específicas e para monitorar alterações clínicas.27
Os testes funcionais podem ser melhores quando realizados pelo fisioterapeuta responsável pelo tratamento durante o atendimento, pois os resultados podem ser comparados com observações anteriores, direcionar o tratamento, ajudar a avaliar o progresso e fornecer informações úteis sobre a função física do paciente.1
Ver também: diagnóstico, testes especiais
REFERÊNCIAS
1 Hegmann, K. T., Travis, R., Belcourt, R. M., Donelson, R., Eskay-Auerbach, M., Galper, J., Haldeman, S., Hooper, P. D., Lessenger, J. E., Mayer, T., Mueller, K. L., Murphy, D. R., Tellin, W. G., Thiese, M. S., & Weiss, M. S. (2019). Diagnostic Tests for Low Back Disorders. Journal of occupational and environmental medicine, 61(4), e155–e168. https://doi.org/10.1097/JOM.0000000000001551
2. Abdel-Moty, E., Fishbain, D. A., Khalil, T. M., Sadek, S., Cutler, R., Rosomoff, R. S., & Rosomoff, H. L. (1993). Functional capacity and residual functional capacity and their utility in measuring work capacity. The Clinical journal of pain, 9(3), 168–173. https://doi.org/10.1097/00002508-199309000-00003
3. Chan, G., Tan, V., & Koh, D. (2000). Ageing and fitness to work. Occupational medicine (Oxford, England), 50(7), 483–491. https://doi.org/10.1093/occmed/50.7.483
4. Gouttebarge, V., Wind, H., Kuijer, P. P., & Frings-Dresen, M. H. (2004). Reliability and validity of Functional Capacity Evaluation methods: a systematic review with reference to Blankenship system, Ergos work simulator, Ergo-Kit and Isernhagen work system. International archives of occupational and environmental health, 77(8), 527–537. https://doi.org/10.1007/s00420-004-0549-7
5. Gross, D. P., & Battié, M. C. (2005). Functional capacity evaluation performance does not predict sustained return to work in claimants with chronic back pain. Journal of occupational rehabilitation, 15(3), 285–294. https://doi.org/10.1007/s10926-005-5937-7
6. Gross, D. P., Battié, M. C., & Asante, A. (2006). Development and validation of a short-form functional capacity evaluation for use in claimants with low back disorders. Journal of occupational rehabilitation, 16(1), 53–62. https://doi.org/10.1007/s10926-005-9008-x
7. Ilmarinen, J., Tuomi, K., Eskelinen, L., Nygård, C. H., Huuhtanen, P., & Klockars, M. (1991). Background and objectives of the Finnish research project on aging workers in municipal occupations. Scandinavian journal of work, environment & health, 17 Suppl 1, 7–11.
8. Jones, T., & Kumar, S. (2003). Functional capacity evaluation of manual materials handlers: a review. Disability and rehabilitation, 25(4-5), 179–191. https://doi.org/10.1080/0963828021000030864
9. Kaplan GM, Wurtele SK, Gillis D. Maximal effort during functional capacity evaluations: an examination of psychological factors. Arch Phys Med Rehabil. 1996;77:161–164. https://doi.org/10.1016/S0003-9993(96)90161-6
10. King, P. M., Tuckwell, N., & Barrett, T. E. (1998). A critical review of functional capacity evaluations. Physical therapy, 78(8), 852–866. https://doi.org/10.1093/ptj/78.8.852
11. Kuijer, P. P., Gouttebarge, V., Brouwer, S., Reneman, M. F., & Frings-Dresen, M. H. (2012). Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review. International archives of occupational and environmental health, 85(2), 109–123. https://doi.org/10.1007/s00420-011-0659-y
12. Mahmud, N., Schonstein, E., Schaafsma, F., Lehtola, M. M., Fassier, J-B., Verbeek, J. H., & Reneman, M. F. (2010). Functional capacity evaluations for the prevention of occupational re-injuries in injured workers. Cochrane Database of Systematic Reviews, (7), Art. No. CD007290-. [007290]. https://doi.org/(...)651858.CD007290.pub2
13. Marfeo, E. E., Haley, S. M., Jette, A. M., Eisen, S. V., Ni, P., Bogusz, K., Meterko, M., McDonough, C. M., Chan, L., Brandt, D. E., & Rasch, E. K. (2013). Conceptual foundation for measures of physical function and behavioral health function for Social Security work disability evaluation. Archives of physical medicine and rehabilitation, 94(9), 1645–1652.e2. https://doi.org/10.1016/j.apmr.2013.03.015
14. Mayer, T. G., Gatchel, R. J., Mayer, H., Kishino, N. D., Keeley, J., & Mooney, V. (1987). A prospective two-year study of functional restoration in industrial low back injury. An objective assessment procedure. JAMA, 258(13), 1763–1767.
15. McFadden, S., MacDonald, A., Fogarty, A., Le, S., & Merritt, B. K. (2010). Vocational assessment: a review of the literature from an occupation-based perspective. Scandinavian journal of occupational therapy, 17(1), 43–48. https://doi.org/10.1080/11038120903096633
16. Oesch, P., Meyer, K., Bachmann, S., Hagen, K. B., & Vøllestad, N. K. (2012). Comparison of two methods for interpreting lifting performance during functional capacity evaluation. Physical therapy, 92(9), 1130–1140. https://doi.org/10.2522/ptj.20110473
17. Reneman, M. F., Kool, J., Oesch, P., Geertzen, J. H., Battié, M. C., & Gross, D. P. (2006). Material handling performance of patients with chronic low back pain during functional capacity evaluation: a comparison between three countries. Disability and rehabilitation, 28(18), 1143–1149. https://doi.org/10.1080/09638280600551427
18. Spanjer, J., Groothoff, J. W., & Brouwer, S. (2011). Instruments used to assess functional limitations in workers applying for disability benefit: a systematic review. Disability and rehabilitation, 33(23-24), 2143–2150. https://doi.org/10.3109/09638288.2011.570413
19. Tramposh A. K. (1992). The functional capacity evaluation: measuring maximal work abilities. Occupational medicine (Philadelphia, Pa.), 7(1), 113–124.
20. Tuomi, K., Ilmarinen, J., Martikainen, R., Aalto, L., & Klockars, M. (1997). Aging, work, life-style and work ability among Finnish municipal workers in 1981-1992. Scandinavian journal of work, environment & health, 23 Suppl 1, 58–65.
21. van Abbema, R., Lakke, S. E., Reneman, M. F., van der Schans, C. P., van Haastert, C. J., Geertzen, J. H., & Wittink, H. (2011). Factors associated with functional capacity test results in patients with non-specific chronic low back pain: a systematic review. Journal of occupational rehabilitation, 21(4), 455–473. https://doi.org/10.1007/s10926-011-9306-4
22. Wind, H., Gouttebarge, V., Kuijer, P. P., Sluiter, J. K., & Frings-Dresen, M. H. (2009). Effect of Functional Capacity Evaluation information on the judgment of physicians about physical work ability in the context of disability claims. International archives of occupational and environmental health, 82(9), 1087–1096. https://doi.org/10.1007/s00420-009-0423-8
23. Gibson, L., & Strong, J. (2005). Safety issues in functional capacity evaluation: findings from a trial of a new approach for evaluating clients with chronic back pain. Journal of occupational rehabilitation, 15(2), 237–251. https://doi.org/10.1007/s10926-005-1222-z
24. Gibson, L., Strong, J., & Wallace, A. (2005). Functional capacity evaluation as a performance measure: evidence for a new approach for clients with chronic back pain. The Clinical journal of pain, 21(3), 207–215. https://doi.org/10.1097/00002508-200505000-00003
25. Spanjer, J., Krol, B., Brouwer, S., Popping, R., Groothoff, J. W., & van der Klink, J. J. (2010). Reliability and validity of the Disability Assessment Structured Interview (DASI): a tool for assessing functional limitations in claimants. Journal of occupational rehabilitation, 20(1), 33–40. https://doi.org/10.1007/s10926-009-9203-2
26. Applegate WB, Blass JP, Williams TF. Instruments for the functional assessment of older patients. The New England Journal of Medicine. 1990 Apr;322(17):1207-1214. DOI: 10.1056/nejm199004263221707.
27. Chen J. J. (2007). Functional capacity evaluation & disability. The Iowa orthopaedic journal, 27, 121–127.
28. Ring H. (2007). Functional assessment in rehabilitation medicine: clinical applications. Europa medicophysica, 43(4), 551–555.
29 Cook, C., & Hegedus, E. (2011). Diagnostic utility of clinical tests for spinal dysfunction. Manual therapy, 16(1), 21–25. https://doi.org/10.1016/j.math.2010.07.004
2. Abdel-Moty, E., Fishbain, D. A., Khalil, T. M., Sadek, S., Cutler, R., Rosomoff, R. S., & Rosomoff, H. L. (1993). Functional capacity and residual functional capacity and their utility in measuring work capacity. The Clinical journal of pain, 9(3), 168–173. https://doi.org/10.1097/00002508-199309000-00003
3. Chan, G., Tan, V., & Koh, D. (2000). Ageing and fitness to work. Occupational medicine (Oxford, England), 50(7), 483–491. https://doi.org/10.1093/occmed/50.7.483
4. Gouttebarge, V., Wind, H., Kuijer, P. P., & Frings-Dresen, M. H. (2004). Reliability and validity of Functional Capacity Evaluation methods: a systematic review with reference to Blankenship system, Ergos work simulator, Ergo-Kit and Isernhagen work system. International archives of occupational and environmental health, 77(8), 527–537. https://doi.org/10.1007/s00420-004-0549-7
5. Gross, D. P., & Battié, M. C. (2005). Functional capacity evaluation performance does not predict sustained return to work in claimants with chronic back pain. Journal of occupational rehabilitation, 15(3), 285–294. https://doi.org/10.1007/s10926-005-5937-7
6. Gross, D. P., Battié, M. C., & Asante, A. (2006). Development and validation of a short-form functional capacity evaluation for use in claimants with low back disorders. Journal of occupational rehabilitation, 16(1), 53–62. https://doi.org/10.1007/s10926-005-9008-x
7. Ilmarinen, J., Tuomi, K., Eskelinen, L., Nygård, C. H., Huuhtanen, P., & Klockars, M. (1991). Background and objectives of the Finnish research project on aging workers in municipal occupations. Scandinavian journal of work, environment & health, 17 Suppl 1, 7–11.
8. Jones, T., & Kumar, S. (2003). Functional capacity evaluation of manual materials handlers: a review. Disability and rehabilitation, 25(4-5), 179–191. https://doi.org/10.1080/0963828021000030864
9. Kaplan GM, Wurtele SK, Gillis D. Maximal effort during functional capacity evaluations: an examination of psychological factors. Arch Phys Med Rehabil. 1996;77:161–164. https://doi.org/10.1016/S0003-9993(96)90161-6
10. King, P. M., Tuckwell, N., & Barrett, T. E. (1998). A critical review of functional capacity evaluations. Physical therapy, 78(8), 852–866. https://doi.org/10.1093/ptj/78.8.852
11. Kuijer, P. P., Gouttebarge, V., Brouwer, S., Reneman, M. F., & Frings-Dresen, M. H. (2012). Are performance-based measures predictive of work participation in patients with musculoskeletal disorders? A systematic review. International archives of occupational and environmental health, 85(2), 109–123. https://doi.org/10.1007/s00420-011-0659-y
12. Mahmud, N., Schonstein, E., Schaafsma, F., Lehtola, M. M., Fassier, J-B., Verbeek, J. H., & Reneman, M. F. (2010). Functional capacity evaluations for the prevention of occupational re-injuries in injured workers. Cochrane Database of Systematic Reviews, (7), Art. No. CD007290-. [007290]. https://doi.org/(...)651858.CD007290.pub2
13. Marfeo, E. E., Haley, S. M., Jette, A. M., Eisen, S. V., Ni, P., Bogusz, K., Meterko, M., McDonough, C. M., Chan, L., Brandt, D. E., & Rasch, E. K. (2013). Conceptual foundation for measures of physical function and behavioral health function for Social Security work disability evaluation. Archives of physical medicine and rehabilitation, 94(9), 1645–1652.e2. https://doi.org/10.1016/j.apmr.2013.03.015
14. Mayer, T. G., Gatchel, R. J., Mayer, H., Kishino, N. D., Keeley, J., & Mooney, V. (1987). A prospective two-year study of functional restoration in industrial low back injury. An objective assessment procedure. JAMA, 258(13), 1763–1767.
15. McFadden, S., MacDonald, A., Fogarty, A., Le, S., & Merritt, B. K. (2010). Vocational assessment: a review of the literature from an occupation-based perspective. Scandinavian journal of occupational therapy, 17(1), 43–48. https://doi.org/10.1080/11038120903096633
16. Oesch, P., Meyer, K., Bachmann, S., Hagen, K. B., & Vøllestad, N. K. (2012). Comparison of two methods for interpreting lifting performance during functional capacity evaluation. Physical therapy, 92(9), 1130–1140. https://doi.org/10.2522/ptj.20110473
17. Reneman, M. F., Kool, J., Oesch, P., Geertzen, J. H., Battié, M. C., & Gross, D. P. (2006). Material handling performance of patients with chronic low back pain during functional capacity evaluation: a comparison between three countries. Disability and rehabilitation, 28(18), 1143–1149. https://doi.org/10.1080/09638280600551427
18. Spanjer, J., Groothoff, J. W., & Brouwer, S. (2011). Instruments used to assess functional limitations in workers applying for disability benefit: a systematic review. Disability and rehabilitation, 33(23-24), 2143–2150. https://doi.org/10.3109/09638288.2011.570413
19. Tramposh A. K. (1992). The functional capacity evaluation: measuring maximal work abilities. Occupational medicine (Philadelphia, Pa.), 7(1), 113–124.
20. Tuomi, K., Ilmarinen, J., Martikainen, R., Aalto, L., & Klockars, M. (1997). Aging, work, life-style and work ability among Finnish municipal workers in 1981-1992. Scandinavian journal of work, environment & health, 23 Suppl 1, 58–65.
21. van Abbema, R., Lakke, S. E., Reneman, M. F., van der Schans, C. P., van Haastert, C. J., Geertzen, J. H., & Wittink, H. (2011). Factors associated with functional capacity test results in patients with non-specific chronic low back pain: a systematic review. Journal of occupational rehabilitation, 21(4), 455–473. https://doi.org/10.1007/s10926-011-9306-4
22. Wind, H., Gouttebarge, V., Kuijer, P. P., Sluiter, J. K., & Frings-Dresen, M. H. (2009). Effect of Functional Capacity Evaluation information on the judgment of physicians about physical work ability in the context of disability claims. International archives of occupational and environmental health, 82(9), 1087–1096. https://doi.org/10.1007/s00420-009-0423-8
23. Gibson, L., & Strong, J. (2005). Safety issues in functional capacity evaluation: findings from a trial of a new approach for evaluating clients with chronic back pain. Journal of occupational rehabilitation, 15(2), 237–251. https://doi.org/10.1007/s10926-005-1222-z
24. Gibson, L., Strong, J., & Wallace, A. (2005). Functional capacity evaluation as a performance measure: evidence for a new approach for clients with chronic back pain. The Clinical journal of pain, 21(3), 207–215. https://doi.org/10.1097/00002508-200505000-00003
25. Spanjer, J., Krol, B., Brouwer, S., Popping, R., Groothoff, J. W., & van der Klink, J. J. (2010). Reliability and validity of the Disability Assessment Structured Interview (DASI): a tool for assessing functional limitations in claimants. Journal of occupational rehabilitation, 20(1), 33–40. https://doi.org/10.1007/s10926-009-9203-2
26. Applegate WB, Blass JP, Williams TF. Instruments for the functional assessment of older patients. The New England Journal of Medicine. 1990 Apr;322(17):1207-1214. DOI: 10.1056/nejm199004263221707.
27. Chen J. J. (2007). Functional capacity evaluation & disability. The Iowa orthopaedic journal, 27, 121–127.
28. Ring H. (2007). Functional assessment in rehabilitation medicine: clinical applications. Europa medicophysica, 43(4), 551–555.
29 Cook, C., & Hegedus, E. (2011). Diagnostic utility of clinical tests for spinal dysfunction. Manual therapy, 16(1), 21–25. https://doi.org/10.1016/j.math.2010.07.004