Objective . To analyse current trends in the structure of disabling mental pathology among adult and child population of the Republic of Belarus for the period of 2015-2024 to identify key problems and ways to improve the system of psychiatric care, medical prevention and rehabilitation. Materials and methods . The study is based on an analysis of data from 29 966 adults (18+) and 10 259 children (<18) newly recognized as disabled due to mental and behavioral disorders. Materials of the database of the Republican Information and Analytical System on Medical Assessment and Rehabilitation of Disabled Persons of the Republic of Belarus were used. Nosological groups are identified according to the 10th revision of the International Classification of Diseases. Statistical processing was carried out using Microsoft Excel, absolute, relative and intensive indicators were calculated taking into account demographic data of the National Statistical Committee of the Republic of Belarus. Results . The average annual level of primary disability related to mental and behavioral disorders was 3.96 per 10,000 people among the adult population of the Republic of Belarus. The largest proportion of disability falls on the age groups of 80-89 years old (29.8%), 70-79 years old (18.7%) and 60-69 years old (9.8%). The leading cause of primary disability is organic mental disorders (77.0% in 2024), mainly vascular and mixed dementia (49.0%), and Alzheimer’s disease (7.0%). Primary disability in this group increased over 10 years from 2254 cases in 2015 to 2652 in 2024. Vascular dementia predominates in the Republic of Belarus due to the high prevalence of cardiovascular diseases, late diagnosis, and influence of environmental factors and bad habits. Since 2019, the leading cause of primary disability in children is autism spectrum disorders (ASD). Over 10 years, the number of ASD cases has increased 6-fold (from 221 in 2015 to 1298 in 2024), and primary disability rates have increased from 1.38 to 6.32 per 10,000 children. The increase of disability among adults with ASD is projected to increase: by the end of 2023, 256 patients over the age of 18 were registered, 85% of whom have severe disabilities (I and II disability group). Conclusion . The structure of disabling mental pathology in the Republic of Belarus is characterized with predominance of vascular dementia, that requires strengthen prevention of cardiovascular diseases and early prevention of cognitive disorders. Disabilities due to ASD are rapidly increasing in children, creating a need for the development of medical, social, and occupational rehabilitation programs for adult patients. Counteracting the identified trends is seen in the introduction of advanced diagnostic methods, prevention of cardiovascular diseases and promotion of a healthy lifestyle, development of a support system for patients with ASD at all stages of life. The obtained data are relevant for the adaptation of the State policy in the field of mental health and social protection.

This study compared return-to-work (RTW) outcomes among Norwegian patients with musculoskeletal or common mental disorders participating in a 4-week inpatient or 3-month outpatient occupational rehabilitation program, examining associations between program type, pre-intervention sick-leave duration, and RTW. An observational cohort (n = 857) was categorized into five pre-intervention benefit groups, including Group 1 (partial benefits for ≥ 6weeks) and Group 2 (90-100% benefits for 6weeks through 5months). Primary outcome was time to stable RTW (first month without sickness benefits); secondary outcome was cumulative work participation over 24months. RTW hazard varied by group and time. During the first 3months, outpatients in Group 1 had a threefold higher hazard of stable RTW than inpatients (HR = 3.61, p = .03). Between 3 and 10months, the pattern reversed, favoring inpatients (outpatient HR = 0.68, p = .01). After 10months, outpatients again had higher RTW hazards, significant only in Group 1. In Group 2, no outpatients achieved RTW during the first 3months; furthermore, between 3 and 10months, inpatients had a significantly higher RTW hazard (outpatient HR = 0.38, p = .02). Median months worked over 24months was 18.1 for outpatients vs. 12.8 for inpatients in Group 1 (p = .08), and 0.6 vs. 5.3 in Group 2 (p = .04). Pre-intervention sick-leave duration strongly influences RTW. Program effectiveness is time- and subgroup dependent. Patients with remaining work attachment (partial benefits) may benefit more from outpatient care, while those on full-time benefits for moderate durations benefit more from intensive inpatient programs, suggesting a need for stratified allocation. Current controlled trials https://doi.org/10.1186/ISRCTN12033424 , 15.10.2014, retrospectively registered.

Man-in-the-Barrel Syndrome (MIBS) is a neurological condition characterized by weakness in both upper limbs while face, neck and lower limbs remain unaffected. MIBS can result from cervical cord contusion in the absence of fracture with upper limb corticospinal tracts being especially vulnerable to central cord injury. We report the case of a 35-year-old male who presented with sudden bilateral upper limb weakness after he fell from a height of approximately two meters. Neurological examination revealed motor power in both upper limbs at 2/5 while lower limbs were normal, with exaggerated deep tendon reflexes in the upper limbs. Plantar reflexes were bilaterally upgoing. MRI scan revealed T2 hyperintense signals in the cervical spinal cord, consistent with cervical cord contusion. Based on clinical and radiological findings, a diagnosis of MIBS secondary to cervical cord contusion was made. He was started on intravenous methylprednisolone for five days resulting in notable improvement. Physical and occupational rehabilitation were initiated. This case highlights the importance of recognizing MIBS as a potential complication of spinal trauma, enabling prompt treatment and rehabilitation. Early steroid therapy and rehabilitation may significantly improve outcomes.

Introduction: Breast Cancer (BC) survivorship requires continuous management of various physical, functional, and psychosocial challenges that survivors often experience. Long-term care compliance is frequently compromised due to the demands of time and financial investment, and most available care systems in India are still predominantly in-person. Technology-based interventions can be a viable solution to help survivors attain a better quality of life. Need of the study: There is a notable lack of comprehensive research focused on the use of telehealth services in rehabilitative management, education, and awareness initiatives for Breast Cancer Survivors (BCS) in India. This gap highlights the need to investigate how telecommunication technologies can effectively support these individuals in managing their health, receiving educational resources, and increasing awareness about their condition. By exploring the benefits and challenges associated with telehealth services, one can develop tailored support systems that address the unique needs of BCS in the Indian context. Aim: To design a mobile Healthcare Program (m-HCP) and determine the efficacy of this newly developed text messagebased m-HCP in managing fatigue, life satisfaction, and occupational performance. Materials and Methods: A quasi-experimental study will be conducted at Amity University, Noida, Uttar Pradesh, India, from June 2023 to December 2025. Patients will be recruited from NGOCansupport, New Delhi, India. Participants will receive educational messages for nine weeks and will have pre- and postintervention assessments for the levels of fatigue, occupational performance, and life satisfaction, along with feedback on the effectiveness and utility of the text-messagebased m-HCP. Statistical analysis will be conducted using a paired t-test (parametric test) or a Wilcoxon signed-rank test (non parametric test), with a statistically significant difference defined as a p-value≤0.05.

This pilot study presents the design and evaluation of a personalized 3D-printed ergonomic pen grip aimed at reducing hand fatigue and improving grip efficiency during writing tasks. A custom pen grip was developed by creating a three-point grasp mould from the dominant hand of a healthy adult, which was digitized via 3D scanning, refined using CAD software, and printed using PLA filament with fused deposition modelling (FDM) technology. The participant completed writing tasks under three different conditions: at rest, after writing with the ergonomic grip, and after writing without it. Grip and pinch strengths were assessed using a hydraulic hand dynamometer and pinch meter. Findings revealed that the decrease in grip strength was smaller after writing with the ergonomic grip compared to the no-device condition. The participant reported less finger fatigue and greater comfort, although writing time was slightly longer when using the device. These results underscore the potential utility of personalized 3D-printed assistive devices in occupational rehabilitation, particularly for individuals experiencing hand fatigue or diminished grip capacity.

Multidimensional burden of low back pain: A prospective cross sectional study of patient-reported outcomes and sociodemographic factors at a tertiary neurosurgical center

ObjectivePerform a cost-utility analysis for return-to-work interventions with missing health-related quality-of-life (HRQoL) data while transparently demonstrating the impact of different methods of handling missing data on outcomes.MethodsThe costs and quality-adjusted life-years over a 2-year period were estimated for 2 return-to-work interventions, inpatient multimodal occupational rehabilitation (I-MORE) and outpatient acceptance and commitment therapy (O-ACT), using a healthcare perspective and a limited societal perspective. Four methods were used to handle the missing HRQoL data: complete case analysis, single imputation, multiple imputation, and linear mixed models. The cost-effectiveness outcomes were expressed as incremental net monetary benefit.ResultsThe average incremental quality-adjusted life-years comparing I-MORE with O-ACT ranged between –0.001 and 0.330 depending on missingness method. From a healthcare perspective, I-MORE was consistently not cost-effective (incremental net monetary benefits ranged from –€7,094 to –€9,363) while from a limited societal perspective, I-MORE was consistently cost-effective (incremental net monetary benefits ranged from €1,293 to €16,277).ConclusionWhile cost-effectiveness findings remained consistent within each analytical perspective, the choice of different missingness methods led to variations in incremental quality-adjusted life-years. Multiple imputation is recommended to handle missing HRQoL data as it is transparent and flexible. However, a thorough investigation of the missing data mechanism should still be conducted.

The Stroke Life Support Central Health Alliance, Registry & Technology Enabled caRe (SLS CHARTER) Programme addresses stroke patients’ rehabilitation needs through timely evaluation and intervention, but it has not been evaluated. This study evaluated the programme’s outcomes over 6 months. The primary outcome was Post Stroke Checklist (PSC) usage per SLS participant. For the final analysis, 206 SLS and 55 control participants from a public healthcare institution in Singapore were included. Secondary economic outcomes included healthcare utilisation and return to work (RTW). Multivariate analyses, adjusted for demographics and clinical factors, used gamma-log link and Poisson regression for healthcare utilisation, and logistic and Cox regression for RTW outcomes, to evaluate associations with intervention status. PSC usage increased from 50.5% 1-month post stroke to 86.9% 6-month post stroke; mean utilisation rose from 1.76 to 4.25. SLS participants reported longer lengths of stay (LOS) in certain rehabilitation institution and less day care visits. Additionally, there was varying RTW for different patient subgroups. Our findings suggest the SLS CHARTER Programme increases PSC usage, which is useful to guide future care coordination programmes. Identification of patients at risk of poorer RTW, for proactive occupational rehabilitation, may help to reduce the economic burden of stroke.Supplementary InformationThe online version contains supplementary material available at 10.1038/s41598-025-27343-9.

BackgroundLong-term unemployment is associated with various health risks and low health literacy. Occupational rehabilitation organizations that employ individuals with a history of long-term unemployment may be ideal settings for promoting health literacy. The purpose of this study was to develop and test an intervention to enhance health literacy in this setting.MethodsThe intervention was developed using the steps of the Intervention Mapping protocol. It focused on nutrition, physical activity, and mental health literacy, and included both problem-based learning and practical activities. The intervention was tested using a single-arm pre-post design. Health literacy was assessed at the individual level using the European Health Literacy Scale (HLS-EU-Q16) for general health literacy, the Newest Vital Sign test for functional health literacy, and domain-specific literacies for food, physical activity and mental health literacy. Additionally, structured interviews were conducted with social workers and management staff in the participating organizations to evaluate organizational readiness for change, covering domains such as knowledge of existing efforts, leadership support, implementation climate, health literacy of participants, and available resources. Changes in individual outcome parameters over time were analyzed using paired t-tests. Regression models were used to assess the association between participation in the intervention activities and changes in outcomes.ResultsA total of nine organizations participated in the study. The organizational readiness assessment revealed an increase in management support, though a slight decline in the implementation climate was noted. A total of 171 participants (65% men; mean age = 51.9 years, SD = 9.9) were included in the baseline assessment, and 110 were included in the six-month follow-up. Approximately 50% of participants took part in the intervention activities. Positive trends over time were observed for food literacy and mental health literacy, but not for other outcomes. No clear pattern emerged in the relationship between participation in the intervention activities and changes in the outcome variables.ConclusionThis study revealed small improvements in proximal outcome variables indicating feasibility and potential impact. However, more research is necessary to determine the effectiveness of this novel problem-based learning intervention.Supplementary InformationThe online version contains supplementary material available at 10.1186/s12889-025-25313-4.

IntroductionPrevious studies have demonstrated that impulsivity is positively correlated with excessive smartphone use, indicating the involvement of frontal lobe circuits. This study examined excessive smartphone use, impulsivity, and mental wellbeing in patients with acquired brain injury (ABI) before and after occupational rehabilitation treatment, and control participants.ProcedureParticipants consisted of 44 patients with ABI [10 patients with orbitofrontal syndrome (OFS) and 34 without OFS] and 69 control participants with no history of brain injury. The procedure included a smartphone application that tracked daily smartphone use and frequency of device unlocks, computerized tasks that evaluated impulsive choice (Delay Discounting Task), impulsive action or response inhibition (the ability to stop an already-initiated action—the Go/No-Go task), and questionnaires measuring excessive smartphone use, obsessive–compulsive symptoms [Yale–Brown Obsessive–Compulsive Scale (YBOCS)], impulsivity [Barratt Impulsiveness Scale (BIS-11), which measures non-planning, motor and attention impulsivity], and mental wellbeing [Depression, Anxiety, and Stress Scale (DASS-21), which measures depression, anxiety, and stress]. Data were collected at two time points: baseline (T1) and 5 months later (T2).ResultsAt baseline (T1), patients with ABI and OFS exhibited higher impulsive action, indicated by more commission errors on the Go/No-Go task, excessive smartphone use, and higher ratings of depression compared with control participants. Secondly, patients with ABI without OFS showed higher trait attention-impulsivity ratings compared with control participants. After treatment (T2), patients with ABI showed improved impulsive choice, indicated by improved delay discounting, but no improvement in smartphone use.DiscussionBrain injury, particularly in frontal regions, is associated with impulsiveness and excessive smartphone use. Patients with ABI showed an improvement in delay discounting after treatment, which is likely due to occupational therapy and training in control of impulsivity. It is recommended that specific treatment program for excessive smartphone use will be developed for patients with ABI.

Background. Given the risks of long-term disability and job loss in workers on sick leave, quick return-to-work is a primary focus of occupational rehabilitation across health fields. This study sought to identify the return-to-work obstacles and self-efficacy beliefs that predict sick leave duration after kidney transplantation. Given a lack of instruments, the Return-to-Work Obstacles and Self-Efficacy Scale was adapted for Solid Organ Transplantation (ROSES-SOT). Methods. Workers on sick leave recruited across 3 Canadian health centers were administered the ROSES-SOT 0.5–7.3 mo postkidney transplantation (n = 62). Half of the sample was administered the tool again 2 wk later (reliability over time). Workers were then called, and return-to-work dates were collected up to 1 y posttransplantation. Cronbach’s alpha coefficients were calculated (internal consistency), and univariable and multivariable linear regression analyses were performed on sick leave duration. Control variables were age, gender, ethnicity, education, income, disability benefits coverage, manual work, complications, comorbidities, donor, physical and mental health status, and stress about returning to work during the COVID-19 pandemic. Results. The face and content validity of the ROSES-SOT were assessed and deemed satisfactory. Eight of 10 ROSES-SOT dimensions demonstrated satisfactory reliability. COVID-related stress, job demands, fear of relapse, loss of motivation, and organizational injustice predicted sick leave duration. COVID-related stress and organizational injustice remained multivariable predictors. Conclusions. The ROSES-SOT showed adequate reliability and predictive value. Self-efficacy and perceived obstacles could be intervention targets when providing return-to-work support after kidney transplantation. Future studies could investigate the replicability of findings for other transplant types.

This study evaluated the long-term outcomes of surgery for chronic pancreatitis (Frey's procedure and longitudinal pancreaticojejunostomy), focusing on pain relief, endocrine and exocrine insufficiency, and postoperative quality of life. This was a single-centre prospective longitudinal study using a prospectively maintained database of patients who underwent surgery for chronic pancreatitis between January 2016 and December 2022, with follow-up continued through December 2024. The primary outcome was pain relief, assessed using the Izbicki pain score at 12 months, with descriptive reporting at 24 months. Secondary outcomes included postoperative quality of life (SF-36), endocrine and exocrine function, nutritional status, and occupational rehabilitation. Fifty-seven patients (38 Frey's, 19 LPJ; median age 30y) were included, with a median follow-up of 41 months (range 25-108). Idiopathic chronic pancreatitis was the most common etiology (63%). At 12 months, 75% achieved complete pain relief (Izbicki ≤10), and improvements were sustained at 24 months. SF-36 scores showed significant improvements across all domains, particularly pain and general health. New-onset exocrine insufficiency developed in 20% and endocrine insufficiency in 7%. Nearly 95% of patients returned to normal work and daily activities. Both Frey's procedure and LPJ provided durable pain relief and improved quality of life. Surgical selection should be guided by pancreatic morphology to optimize long-term pain outcomes.

Validation of a screening tool to assess prevention and rehabilitation needs in over-45s (screening 45+) Objective: The “Flexirentengesetz” (“Flexible Retirement Act”) provides for the pilot implementation of a work-related health check for insured individuals aged 45 and older through so-called “Ü45-Check” (“check-up 45+”) model projects. However, there has been a lack of validated short-form instruments for the multidimensional assessment of needs for rehabilitation and preventive services. The “screening 45+” aims to close this gap. The aim of the study was the psychometric validation of the screening 45+ and the determination of the prevalence of recommendations among different groups of insured individuals: (1) those without use of services of the German Pension Insurance (DRV), (2) those approved for medical rehabilitation (LMR), and (3) those approved for occupational rehabilitation (LTA). Methods: For this cross-sectional study, a stratified sample of n = 15,000 insured persons from the DRV Bund, DRV Berlin-Brandenburg, and DRV Central Germany was drawn and asked to complete the screening 45+ and validation instruments. Descriptive analyses were conducted on psychometric properties, and the prevalence of recommendations according to the screening 45+, stratified by the different insured groups. Results: The psychometric properties – including missing data rates, internal consistency, homogeneity, and criterion validity – can be described overall as good. Whereas only 2.8 % of insured individuals without use of services of the DRV showed a need for rehabilitation, this was the case for 37.2 % of those approved for LMR and 80.8 % of those approved for LTA according to the screening 45+. Conclusion: The screening-45+ enables clear differentiation between various groups of insured individuals based on their level of impairment. It is a practical, psychometrically validated short-form instrument that could be integrated into the planned work-related health check (“Ü45-Check”) for the structured identification of rehabilitation and prevention needs. Keywords: screening – prevention – rehabilitation – German Pension Insurance

It is well established that posttraumatic stress disorder is highly prevalent among military personnel who have sustained combat-related injuries. The consequences of combat trauma for both mental and physical health can affect the long-term quality of life of veterans. Research confirms the need for psychological rehabilitation of military personnel, which should begin during combat operations and continue throughout peacetime. This review provides a current perspective on the impact of combat trauma on the physical and mental health of military personnel, as well as the main challenges associated with the reintegration of demobilized soldiers and veterans into civilian life and professions. Feelings of social isolation and difficulties in maintaining relationships are associated with a higher risk of developing posttraumatic stress disorder symptoms. Studies have shown that veterans of the armed forces with mental disorders experience fewer reintegration difficulties when supported socially and when their quality of life is higher. It may be necessary to intensify the development of additional social programs for occupational retraining and rehabilitation of military personnel. These programs should promote social resilience, develop new social skills, and expand social connections, thereby alleviating symptoms of adjustment dysphoria and improving overall quality of life.

To explore the working experiences of individuals with bipolar disorder (BD). This study was conducted using a qualitative phenomenological design. Personal in-depth interviews were conducted with 10 individuals diagnosed with BD who were actively employed. Data were collected face-to-face through semi-structured interviews and examined using content analysis. Four main themes and eight subthemes were revealed. Themes were Current (subthemes: stigmatization, mobbing), Rudder (subthemes: social rhythm, symptom management), Sail (subthemes: coworkers, family), and Anchor (sub-themes: career development, empowerment). Individuals with BD can be supported by increasing the number of sheltered workplaces and enhancing regulations made by the state for their employment. Increased efforts for occupational rehabilitation could provide functional recovery and a satisfactory life for this population.

BACKGROUND: Hand grip strength (HGS), wrist range of motion (ROM), and mean upper arm circumference (MUAC) are vital indicators of muscle strength, joint flexibility, and body composition, frequently utilized in assessing physical capabilities and health. AIMS: This study aimed to investigate disparities in HGS and wrist ROM among females in various occupations, and to explore the relationship between these variables, MUAC, and body mass index (BMI). Settings and Design: The study involved 90 individuals from Bulandshahr, Dankaur, and nearby villages, employing a handheld dynamometer and goniometer for HGS and wrist ROM measurements, respectively. Anthropometric measurements including MUAC, height, weight, and BMI were also recorded. METHOD: Statistical analysis included comparisons of HGS, wrist ROM, MUAC, and BMI across different occupational groups, as well as correlation analyses between these variables. RESULT: While HGS showed little variation among farmers, house-helps, and teachers, significant differences were observed in wrist ROM and MUAC. Positive correlations were found between HGS and BMI, as well as HGS and MUAC, particularly notable among farmers. CONCLUSION: This study underscores the importance of HGS assessment in occupational health and rehabilitation programs, highlighting its relevance in evaluating physical fitness and overall well-being among female workers. Keywords: Hand Grip Strength, Wrist ROM, MUAC, BMI

Art provides a space for expression and personal growth, promoting well-being and reducing stigma, particularly for individuals with mental illness. Museums have shifted to create inclusive experiences for marginalized groups. This study aimed to explore the experiences of people with mental illness who participated in an Art and Museum Intervention program, examining the meanings they attributed to social participation and meaningful occupations through art. A qualitative descriptive study was conducted with 18 participants from a Psychosocial and Occupational Rehabilitation Center in A Coruña, Spain, using purposeful sampling. Data were gathered through focus groups, in-depth interviews, and participant observation, followed by thematic analysis. Participants actively engaged in the study, sharing their experiences of art as a means of social integration. The collaboration between the museum and the rehabilitation center ensured a community-based approach. Two main themes emerged: (1) Art as an agent of socialization, including teamwork, building support networks, community integration, and overcoming stigma; and (2) Well-being and empowerment through meaningful occupation, with subthemes of positive emotions, empowerment, and art as a meaningful activity. The study highlights how museum-led art interventions enhance well-being and social participation, positioning art as a valuable tool in mental health recovery and community inclusion.

Purpose This article investigates how promotional strategies used by work inclusion organizations reflect broader shifts in the role of work within occupational rehabilitation and active labor market policies (ALMPs). By situating the analysis in the historical trajectory from sheltered workshops to governance-oriented models of inclusion, the study examines how branding practices, viewed through the lens of brand society theory, reshape representations of work and welfare in the Scandinavian context. Design/methodology/approach A multimodal critical discourse analysis is conducted on promotional materials from two prominent organizations, Samhall (Sweden) and Work and Inclusion (Norway). The analysis is grounded in historical and theoretical perspectives, particularly the evolution of work in occupational rehabilitation and the concept of the brand society. Findings The findings indicate that promotional materials adopt corporate aesthetics and idealized portrayals of work, aligning with branding logics. The use of personal confessions as a branding tool raises ethical questions related to authenticity and agency. While promoting inclusion, these materials also reinforce support for national welfare state models. Originality/value This study contributes to the understanding of how branding practices intersect with work inclusion policy in Scandinavian welfare contexts. It offers an original theoretical synthesis of brand society and multimodal discourse analysis applied to ALMP implementation.

This study aimed to explore the effect of eye-tracking technology-based visual scanning training on recovery from unilateral spatial neglect after stroke. Stroke patients with unilateral spatial neglect (n = 48) from Beijing Bo'ai Hospital were recruited and randomly divided into an eye-tracking technology-based visual scanning training group (n = 24) and a conventional visual scanning training group (n = 24). The training regimen was 30 min/session, 1 session/day, and 5 days/week. The experimental group received visual scanning training via eye-tracking technology for 15 min and conventional unilateral spatial neglect training for 15 min. The control group received conventional unilateral spatial neglect training for 30 min. Both groups received conventional drug therapy and underwent conventional occupational rehabilitation. The Behaviour Inattention Test-Conventional Group (BIT-C), the Catherine Bergego Scale (CBS), and the Modified Barthel Index (MBI) were used to assess recovery from unilateral spatial neglect and to evaluate activities of daily living (ADLs) before and after treatment. The Mini-Mental State Examination (MMSE) was used to assess cognitive function before and after treatment. The results suggested that eye-tracking technology-based visual scanning training is more effective than conventional training in terms of alleviating unilateral spatial neglect and reducing the severity of neglect in ADLs. However, compared with conventional training, eye-tracking technology-based visual scanning training did not significantly increase ADL or MMSE scores.

Instrumental work diagnostic examinations can be used for capability assessment in evaluating work suitability, job selection, complex and occupational rehabilitation, and career counselling. According to the literature, assessments performed with work simulators and the International Classification of Functioning, Disability and Health (ICF) are suitable for monitoring changes in functional capacity. We propose that instrumental work diagnostic measurements - specifically, measurements conducted on the ErgoScope work simulator - along with the ICF, can be effectively used for the objective assessment of functional capacity and tracking changes over time. At the request of an insurance company, a targeted examination was performed using the ErgoScope work simulator to determine the extent of force exertion. The measurement plan, evaluation of results, and ICF coding were prepared based on a methodology developed in our previous research with qualified assessors. The measurement results were recorded in an examination report. The examined individual was able to complete all tasks. If there was a difference in exertion between the two hands, the right hand/arm was always weaker. Based on our experience, determining ICF qualifiers requires not only measurement data but also precise, documented observations from the examiner. Our study suggests that the measurement results obtained from ErgoScope work simulator examinations, along with ICF categories assigned by qualified assessors, are suitable for tracking changes in functional capacity. This methodology supports medical professionals in insurance medicine and occupational health services in making objective, data-driven decisions.