Accuracy of distraction based lifting criteria for the identification of insincere effort utilizing the under loading method.

BACKGROUND: Distraction based material handling tests are used to measure effort during functional capacity evaluations. OBJECTIVE: To identify validity of effort using the under loading method with the XRTS Lever Arm. Classification of effort between the two sessions (100% effort and estimated 50%...

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Publicado en:Work Vol. 55; no. 4; pp. 873 - 883
Autores principales: Townsend, Robert, Bell, Shane, Harry, John
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. 2016
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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        atl: Accuracy of distraction based lifting criteria for the identification of insincere effort utilizing the under loading method.
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          Townsend, Robert
          Bell, Shane
          Harry, John
        affil: University of Memphis, Memphis, TN, USA
      sug:
        subj:
          Lifting
          Distraction
          Work Capacity Evaluation Equipment and Supplies
          Reliability and Validity Evaluation
          Task Performance and Analysis
          Human
          Female
          Male
          Adult
          Descriptive Statistics
          Data Analysis Software
          T-Tests
          Power Analysis
          Sensitivity and Specificity
          Confidence Intervals
          Two-Tailed Test
          Laboratories
          Academic Medical Centers United States
          United States
          Adult: 19-44 years
          Female
          Male
      ab: BACKGROUND: Distraction based material handling tests are used to measure effort during functional capacity evaluations. OBJECTIVE: To identify validity of effort using the under loading method with the XRTS Lever Arm. Classification of effort between the two sessions (100% effort and estimated 50% effort) was compared with current validity criteria. METHODS: Fifty healthy and asymptomatic subjects were tested under two conditions (100% effort and an estimated 50% effort). Comparisons were made between percent changes from crate lifts to lever arm lifts from three starting heights (0.25 m, 0.38m and 0.051 m). RESULTS: During the 100% effort sessions, no subject had a mean percent change >20%, a majority of lift comparison >25% or a single lift comparison >30%. The specificity of the current validity criteria is 100%. The under loading method of using the XRTS lever arm was 20% sensitive in identifying an equivocal or invalid test result when subjects gave an estimated 50% effort. CONCLUSIONS: The results indicate the under loading method of distraction based testing is very specific but lacks sensitivity in identifying feigned weakness with asymptomatic, non-injured individuals. The high specificity of the test should eliminate concern of having a false positive for insincere effort during functional testing.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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