Linguistic validation, validity and reliability of the British English versions of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and QuickDASH in people with rheumatoid arthritis

Hammond, Alison; Prior, Yeliz; Tyson, Sarah

doi:10.1186/s12891-018-2032-8

Cited by 45 publications

(40 citation statements)

References 41 publications

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“…The functional capacity of the upper extremity in individuals with RA is associated with the muscle strength and endurance of the upper extremity. A decrease in strength and endurance negatively affects functional capacity . Therefore, the evaluation of endurance can be considered necessary and important.…”

Section: Discussionmentioning

confidence: 99%

“…All items are answered on a 5‐point Likert scale ([a]: no difficulty, [b]: mild difficulty, [c]: moderate difficulty, [d]: excessive difficulty [e]: cannot perform). According to the results of the DASH, each section is scored 0‐100 (0: no disability, 100: maximum disability) Thirty‐second push‐up test: Subjects perform push‐ups for 30 seconds on a timed start command.…”

Section: Methodsmentioning

confidence: 99%

“…Pain, loss of range of motion, decreased grip strength, and decreased muscle strength are the main factors leading to loss of function and disability in patients with RA. Hand and upper extremity functions are frequently affected in patients with RA; function deteriorates as the disease progresses and affects independence . In comparative studies, it has been reported that the functional capacity of the upper extremities of RA patients is lower than that of healthy individuals .…”

Section: Introductionmentioning

confidence: 99%

“…However, these measurement methods do not give sufficient information about upper extremity muscular performance. Rehabilitation programs aim to develop upper extremity function, so there is a need for valid and reliable methods to determine upper extremity problems in RA patients and to measure the effectiveness of treatment …”

Section: Introductionmentioning

confidence: 99%

“…Although there are many methods based on patient reporting to evaluate upper extremity functions in RA, there is no specific observation‐based performance test for patients with RA. As far as we know, most performance tests used for the upper extremity are more difficult and are advanced tests for athletes or healthy individuals, and are therefore not suitable for RA patients.…”

Section: Introductionmentioning

confidence: 99%

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Validity and reliability of the unsupported upper‐limb exercise test in individuals with rheumatoid arthritis

2019

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Background Rheumatoid arthritis (RA) is a chronic disease which affects the performance of the upper extremities. There is no method to evaluate the specific upper extremity endurance of individuals with this disease. The unsupported upper‐limb exercise test (UULEX) is a performance test that evaluates upper extremity performance (functionality and endurance). Aim The aim of this study was to examine the reliability and validity of UULEX and the minimal detectable change (MDC) in individuals with RA. Methods and Materials The study included 71 patients (15 male, 56 female) with a mean age of 52.15 ± 10.11 years. The intraclass correlation coefficient (ICC) was used to assess the reliability of UULEX. MDC estimates were calculated using baseline data. Correlations of UULEX with the Disability of Arm, Shoulder and Hand Questionnaire (DASH), Health Assessment Questionnaire (HAQ), 30‐second push‐up test and 6 pegboard ring test (6PBRT) were assessed for concurrent validity. Results The level, weight and duration scores of the UULEX test were found to be excellent for intra‐rater reliability (ICC = 0.922, 0.960, 0.958). Intra‐rater MDC values were determined to be 0.35, 2.04, and 0.80 seconds, respectively. Moderate‐excellent correlations were found between UULEX and DASH, HAQ, 30‐second push‐up test and 6PBRT (P < .05). Conclusion The results of this study showed that UULEX test is a valid and reliable method for the assessment of upper extremity performance in individuals with RA.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Validity and reliability of the unsupported upper‐limb exercise test in individuals with rheumatoid arthritis

2019

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Short‐Term Effects of Occupational Therapy on Hand Function and Pain in Patients With Carpometacarpal Osteoarthritis: Secondary Analyses From a Randomized Controlled Trial

Tveter

Østerås

Nossum

et al. 2022

Arthritis Care & Research

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Objective. To assess the short-term effects of multimodal occupational therapy on pain and hand function in patients referred for surgical consultation due to first carpometacarpal (CMC1) joint osteoarthritis (OA).Methods. In this randomized controlled trial, patients with CMC1 joint OA referred for surgical consultation at 3 rheumatology departments were randomized to 3 months multimodal occupational therapy (including patient education, hand exercises, orthoses, and assistive devices) or usual treatment (OA information). Pain was measured on a numeric rating scale from 0 to 10 (0 = no pain). Function included grip and pinch strength (Newtons), range-of-motion (palmar and CMC1 joint abduction [ ]; flexion deficit in digits 2-5 [mm]), and self-reported Measure of Activity Performance of the Hand (MAP-Hand; range 1-4, 1 = no activity limitation) and short version of the Disability of the Arm, Shoulder, and Hand (QuickDASH; range 0-100, 0 = no disability). Between-group difference was assessed with follow-up values as dependent variables and group as an independent variable, adjusted for baseline values and time to follow-up.Results. Among 180 patients (mean AE SD age 63 AE 8 years; 81% women), 170 completed the short-term followup assessment (3-4 months after baseline). Compared to usual treatment, occupational therapy yielded significantly improved pain at rest (−1.4 [95% confidence interval (95% CI) −0.7, −2.0]; P < 0.001), pain following grip strength (−1.1 [−0.5, −1.7]; P = 0.001), grip strength (23.4 [95% CI 7.5, 39.3]; P = 0.004), MAP-Hand score (−0.18 [95% CI −0.09, −0.28]; P = 0.001), and QuickDASH score (−8.1 [95% CI −4.6, −11.5]; P < 0.001).Conclusion. The multimodal occupational therapy intervention had significant short-term effects on pain, grip strength, and hand function in patients with CMC1 joint OA.ClinicalTrials.gov identifier: NCT01794754.

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Validity and interpretability of the QuickDASH in the assessment of hand disability in rheumatoid arthritis

et al. 2018

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Linguistic validation, validity and reliability of the British English versions of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and QuickDASH in people with rheumatoid arthritis

Cited by 45 publications

References 41 publications

Validity and reliability of the unsupported upper‐limb exercise test in individuals with rheumatoid arthritis

Validity and reliability of the unsupported upper‐limb exercise test in individuals with rheumatoid arthritis

Short‐Term Effects of Occupational Therapy on Hand Function and Pain in Patients With Carpometacarpal Osteoarthritis: Secondary Analyses From a Randomized Controlled Trial

Validity and interpretability of the QuickDASH in the assessment of hand disability in rheumatoid arthritis

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