Abstract
Background  Neck pain is a common musculoskeletal complaint and a relationship with reduced
 work-related functional capacity is assumed. A validated instrument to test functional capacity of 
patients with neck pain is unavailable. The objective of this study was to develop a Functional Capacity 
Evaluation (FCE), which is content valid for determining functional capacity in patients with work related 
neck disorders (WRND). 
Methods  A review of epidemiological review literature was conducted to identify physical risk factors for WRND. 
Results  Evidence was found that physical risk factors contribute in development of WRND. Physical risk factors
 were related to repetitive movements, forceful movements, awkward positions and static contractions of the neck 
or the neck/shoulder region. An FCE was designed based on the risk factors identified. Eight tests were selected 
to cover all risk factors: repetitive side reaching, repetitive reaching overhead, static overhead work, front carry, 
forward static bend neck, overhead lift and the neck strength test. Content validity of this FCE was established 
by providing the rationale, specific objectives and operational definitions of the FCE. 
Conclusions  Further research is needed to establish reliability and other aspects of validity of the neck-FCE.