Italian Version of the Disability of the Arm, Shoulder and Hand (dash) Questionnaire. Cross-Cultural Adaptation and Validation

Padua, R.; Padua, Luca; Ceccarelli, E.; Romanini, Emilio; Zanoli, Gustavo; Amadio, Peter C.; Campi, A.

doi:10.1016/s0266-7681(02)00303-0

Cited by 192 publications

(138 citation statements)

References 21 publications

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“…Finally, we cannot exclude that some specific (linguistic, cultural, or technical) characteristics of the Italian version of the DASH and QuickDASH might have influenced results, although these versions were the ones suggested by the DASH website, 20 obtained by means of a thorough forward/backward-translation process, 29 and further checked through a pilot test and expert analysis, without finding any major problem.…”

Section: Key Points Findingsmentioning

confidence: 99%

Minimal Clinically Important Difference of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH) and Its Shortened Version (QuickDASH)

Franchignoni¹,

Vercelli²,

Giordano³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

657

374

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Study Design Prospective, single-group observational design. Objectives To determine the minimal clinically important difference (MCID) for the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure and its shortened version (QuickDASH) in patients with upper-limb musculoskeletal disorders, using a triangulation of distribution- and anchor-based approaches. Background Meaningful threshold change values of outcome tools are crucial for the clinical decision-making process. Methods The DASH and QuickDASH were administered to 255 patients (mean ± SD age, 49 ± 15 years; 156 women) before and after a physical therapy program. The external anchor administered after the program was a 7-point global rating of change scale. Results The test-retest reliability of the DASH and QuickDASH was high (intraclass correlation coefficient model 2,1 = 0.93 and 0.91, respectively; n = 30). The minimum detectable change at the 90% confidence level was 10.81 points for the DASH and 12.85 points for the QuickDASH. After triangulation of these results with those of the mean-change approach and receiver-operating-characteristic-curve analysis, the following MCID values were selected: 10.83 points for the DASH (sensitivity, 82%; specificity, 74%) and 15.91 points for the QuickDASH (sensitivity, 79%; specificity, 75%). After treatment, the MCID threshold was reached/surpassed by 61% of subjects using the DASH and 57% using the QuickDASH. Conclusion The MCID values from this study for the DASH (10.83 points) and the QuickDASH (15.91 points) could represent the lower boundary for a range of MCID values (reasonably useful for different populations and contextual characteristics). The upper boundary may be represented by the 15 points for the DASH and 20 points for the QuickDASH proposed by the DASH website. J Orthop Sports Phys Ther 2014;44(1):30–39. Epub 30 October 2013. doi:10.2519/jospt.2014.4893

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Section: Key Points Findingsmentioning

confidence: 99%

Minimal Clinically Important Difference of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH) and Its Shortened Version (QuickDASH)

Franchignoni¹,

Vercelli²,

Giordano³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

657

374

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“…3,40 The DASH questionnaire was introduced by the American Academy of Orthopaedic Surgeons as an upper extremity-specific outcome measure. 28 The core of the DASH questionnaire (part B) is a 30-item disability/symptom scale determining the patient's upper extremity function during the previous week.…”

Section: Questionnairesmentioning

confidence: 99%

“…For the purposes of this study, we used the cross-culturally adapted and validated Italian version of the DASH. 40 The SF-36 48,49 consists of 36 questions related to the general health status of the patient. There are 8 health concept subscales (physical function, role physi- …”

Section: Questionnairesmentioning

confidence: 99%

Cross-cultural Adaptation and Measurement Properties of an Italian Version of the Western Ontario Shoulder Instability Index (WOSI)

Cacchio¹,

Paoloni²,

Griffin³

et al. 2012

J Orthop Sports Phys Ther

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Shoulder instability can be defined as the inability to maintain the normal position of the humeral head on the glenoid during upperlimb movements, which causes apprehension and/or pain.11 Acute traumatic anterior dislocation is the most common cause of shoulder instability. Shoulder instability may not manifest during clinical examination. The symptoms are typically intermittent and variable, thus an accurate assessment of symptoms over time and life circumstances is required to accurately portray the functional impact.Several instruments have been developed to determine the effects of shoulder instability. However, the majority of instability outcome measures consist of physician-rated questionnaires based on clinical information that does not convey T T STUDY DESIGN: Clinical measurement study. T T OBJECTIVES:To translate and cross-culturally adapt the Western Ontario Shoulder Instability Index (WOSI) into Italian, and to evaluate its measurement properties in patients with shoulder instability secondary to a first-time traumatic anterior dislocation. T T BACKGROUND:The WOSI was developed for English-speaking patients. To date, no Italian version of the WOSI exists. T T METHODS:The WOSI was cross-culturally adapted to Italian according to established guidelines. Sixty-four (16 women, 48 men) patients with unilateral shoulder anterior instability were prospectively recruited for the purposes of this study. Internal consistency, test-retest reliability, construct validity, and responsiveness of the WOSI were evaluated. T T CONCLUSION:The Italian version of the WOSI is a valid, reliable, and responsive tool that can be used to measure function in Italian-speaking patients with shoulder instability due to a first-time traumatic anterior dislocation.

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“…In our questionnaire, we shunted respondents who did not report pain or discomfort in shoulders, arms, or hands within the past week around the DASH and they received the lowest DASH score. We omitted item 21 concerning sexual activities, which we thought was not socially acceptable in the context of our mailed questionnaire (33,34). The score was scaled from 0-100 with greater disability reflected by a higher score.…”

Section: Outcome Measuresmentioning

confidence: 99%

Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle

Svendsen¹,

Johnsen²,

Fuglsang-Frederiksen³

et al. 2013

Scand J Work Environ Health

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Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle by Svendsen SW, Johnsen B, Fuglsang-Frederiksen A, Frost P Little is known on prognostic factors for ulnar neuropathy confirmed by nerve conduction studies (NCS) and ulnar neuropathy-like symptoms with normal ulnar nerve NCS. Negative prognostic factors included high occupational force requirements, current smoking, obesity, and abnormal NCS. Reduction of high occupational force requirements, smoking, and obesity might improve prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms. Original article Scand J Work Environ Health. 2013;39(5):506-514. doi:10.5271/sjweh.3352 Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle Objective The aim of this paper was to identify prognostic factors for severity of symptoms and disability among patients with ulnar neuropathy confirmed by nerve conduction studies (NCS) or ulnar neuropathy-like symptoms with normal ulnar nerve NCS. Affiliation MethodsWe conducted a cohort study based on a matched case-referent study. In 2008, we mailed a questionnaire to 1179 patients who were examined by NCS for suspected ulnar neuropathy at the age of ≥18-<65 years, [2001][2002][2003][2004][2005][2006][2007]. Potential prognostic factors included occupational biomechanical exposures, lifestyle factors, and NCS result. Outcomes were severity of symptoms and disability according to questionnaire scores. Referents delivered reference values. We used ordinal logistic regression. ResultsThe proportion who responded was 61%, comprising 324 patients with ulnar neuropathy and 396 with ulnar neuropathy-like symptoms. At follow-up, both patient groups had more severe symptoms and disability than age-and sex-matched referents. Abnormal NCS indicated a poorer prognosis regarding symptom severity [odds ratio (OR) 1.44, 95% confidence interval (95% CI) 1.01-2.01], but not disability (OR 0.78, 95% CI 0.57-1.08). High occupational force requirements indicated a poorer prognosis regarding both symptom severity (OR 1.78, 95% CI 1.10-2.88) and disability (OR 1.66, 95% CI 1.06-2.59). Other negative prognostic factors for both outcomes were current smoking, obesity, distal upper-extremity fractures, female sex, and a recent NCS date (suggesting improvement over time).Conclusions NCS confirmation of ulnar neuropathy identified patients with a poorer prognosis regarding symptoms. A negative impact of high occupational force requirements, current smoking, and obesity on both outcomes suggested that reduction of these factors might improve prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms.

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Italian Version of the Disability of the Arm, Shoulder and Hand (dash) Questionnaire. Cross-Cultural Adaptation and Validation

Cited by 192 publications

References 21 publications

Minimal Clinically Important Difference of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH) and Its Shortened Version (QuickDASH)

Minimal Clinically Important Difference of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH) and Its Shortened Version (QuickDASH)

Cross-cultural Adaptation and Measurement Properties of an Italian Version of the Western Ontario Shoulder Instability Index (WOSI)

Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle

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