DASH work module in workers with hand-arm vibration syndrome

House, Ron; Wills, Michael; Liss, Gary M.; Switzer-McIntyre, Sharon; Lander, Lina; Jiang, Depeng

doi:10.1093/occmed/kqs135

Cited by 15 publications

(5 citation statements)

References 9 publications

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“…The strong correlation observed between the 1-year recall modified QuickDASH and DASH-W (r=0.76) is consistent with the findings of Fan et al, comparing the standard QuickDASH and DASH Work module (r=0.63) in active workers with UE symptoms and clinical cases for UE MSD [19] and those of House et al comparing the full DASH and DASH-W in workers with hand-arm vibration syndrome (r=0.64) [22]. In another study that compared the full Boston Carpal Tunnel Questionnaire (BCTQ), from which the FSS is taken, stronger correlations were observed between the BCTQ and the full DASH, than with measures of overall health such as the SF-36, from which the SF-8 was developed [25].…”

Section: Discussionsupporting

confidence: 84%

Functional Measures Developed for Clinical Populations Identified Impairment Among Active Workers with Upper Extremity Disorders

et al. 2015

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Purpose Few studies have explored measures of function across a range of health outcomes in a general working population. Using four upper extremity (UE) case definitions from the scientific literature, we described the performance of functional measures of work, activities of daily living, and overall health. Methods A sample of 573 workers completed several functional measures: modified recall versions of the QuickDASH, Levine Functional Status Scale (FSS), DASH Work module (DASH-W), and standard SF-8 physical component score. We determined case status based on four UE case definitions: 1) UE symptoms, 2) UE musculoskeletal disorders (MSD), 3) carpal tunnel syndrome (CTS), and 4) work limitations due to UE symptoms. We calculated effect sizes for each case definition to show the magnitude of the differences that were detected between cases and non-cases for each case definition on each functional measure. Sensitivity and specificity analyses showed how well each measure identified functional impairments across the UE case definitions. Results All measures discriminated between cases and non-cases for each case definition with the largest effect sizes for CTS and work limitations, particularly for the modified FSS and DASH-W measures. Specificity was high and sensitivity was low for outcomes of UE symptoms and UE MSD in all measures. Sensitivity was high for CTS and work limitations. Conclusions Functional measures developed specifically for use in clinical, treatment-seeking populations may identify mild levels of impairment in relatively healthy, active working populations, but measures performed better among workers with CTS or those reporting limitations at work.

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Section: Discussionsupporting

confidence: 84%

Functional Measures Developed for Clinical Populations Identified Impairment Among Active Workers with Upper Extremity Disorders

et al. 2015

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“…This is recognized by several authors as a number of studies published over the last decade describe symptoms and clinical outcome related to disability [15-19]. It is apparent that many HAVS patients experience considerable disability both at work and in their spare time [20,21]. One instrument used in these studies is the self-administered: The disabilities of the arm, shoulder and hand questionnaire (DASH).…”

Section: Introductionmentioning

confidence: 99%

Upper limb disability in Norwegian workers with hand-arm vibration syndrome

Buhaug

Moen

Irgens

2014

Journal of Occupational Medicine and Toxicology

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BackgroundHand-arm vibration syndrome (HAVS) is a well-known disease among workers using hand-held vibrating tools. These patients experience major symptoms from their upper limbs. However, there are few studies on disability in this patient group. In this study we wanted to describe the disability of HAVS patients.MethodsAll HAVS patients diagnosed at Haukeland University Hospital in Bergen, Norway in a five-year period were invited. The disabilities of the arm, shoulder and hand (DASH) questionnaire was sent by mail. Clinical data were extracted from their hospital journals. Descriptive statistics and regression analyses were performed.ResultsThirty-eight patients were recruited. Mean DASH score was 41.2, while the mean of a normal population is 10. Ability to perform tasks related to work and everyday life was affected in these patients. We found a significant association between the DASH score, hand grip strength and tendinitis, also after adjustment for age and smoking in pack-years.ConclusionHAVS patients demonstrate a high level of upper limb disability as assessed by the DASH score. Ability to perform tasks related to work and everyday life was affected. We found a significant association between the DASH score, hand grip strength and tendinitis. This should be focused upon in future research.

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“…The DASH-score averages observed in our population were overall lower than those observed in other populations of workers suffering from MSDs. 8,[23][24][25] This can be explained by the fact that our population was recruited through occupational medicine and mainly consisted of still working people at baseline. Conversely, the DASH and DASH-work scores observed in our population were overall higher than in general populations of workers (not specifically diagnosed with a MSD).…”

Section: Discussionmentioning

confidence: 99%

Functional incapacity related to rotator cuff syndrome in workers. Is it influenced by social characteristics and medical management?

Champagne

Bodin

Fouquet

et al. 2019

Journal of Hand Therapy

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DASH work module in workers with hand-arm vibration syndrome

Abstract: Workers with HAVS reported significant upper extremity work-related disability as measured by the DASH-W questionnaire, and the upper extremity pain score made the largest contribution to the DASH-W scores in these subjects.

Cited by 15 publications

References 9 publications

Functional Measures Developed for Clinical Populations Identified Impairment Among Active Workers with Upper Extremity Disorders

Functional Measures Developed for Clinical Populations Identified Impairment Among Active Workers with Upper Extremity Disorders

Upper limb disability in Norwegian workers with hand-arm vibration syndrome

Functional incapacity related to rotator cuff syndrome in workers. Is it influenced by social characteristics and medical management?

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