Reliability and validity of Duruoz Hand Index in carpal tunnel syndrome

Abstract

Objectives: The aim of this study is to investigate the reliability and validity of Duruoz Hand Index (DHI) in patients with carpal tunnel syndrome (CTS). Patients and methods: A total of 55 patients (50 females, 5 males; mean age 51.0±10.2 years: range, 30 to 73 years) aged ≥18 years who were admitted to the outpatient clinic of a rehabilitation hospital between December 2010 and December 2012 with the diagnosis of CTS both clinically and electrophysiologically were included in this study. All patients completed DHI at baseline and repeated after a week interval. The Boston Questionnaire (BQ) and Health Assessment Questionnaire Disability Index (HAQ-DI) were filled out at baseline. And the internal consistency reliability was tested using the Cronbach's alpha. For the test-retest reliability, intraclass correlation coefficients (ICC) were calculated. The correlations between the DHI and both BQ and HAQ-DI were investigated for the construct validity. Results: Of the patients, 41 (74.5%) were housewives. Carpal tunnel syndrome was bilateral in 29 patients (52.7%). The Mean Body Mass Index was 31.2±5.5 kg/m 2. The mean symptom duration was 22.8±23.7 months. The mean DHI scores for the first and second evaluations were 23.25±20.64 and 20.45±20.07, respectively. The mean BQ symptom severity and functional status scores were 2.87±0.80 and 2.72±1.03, respectively. The mean HAQ-DI score was 0.91±0.66. The Cronbach's alpha was 0.97 indicating excellent internal consistency reliability. There was a statistically significant correlation between the two measurements of DHI. The ICC value for total score was 0.88 indicating good reliability. There was a statistically significantly positive correlation between the DHI and BQ (r=0.638, p<0.001). Also, DHI was significantly correlated with the HAQ-DI (0.613, p<0.001). Conclusion: Our study results suggest that DHI is a reliable and valid test which can be used for evaluating hand functions in CTS patients.

Validity and reliability of the Duruöz Hand Index in patients with lateral epicondylitis

“…In these studies, similar to our study, the ICC coefficients of the total score of the DHI and the observable variables in all subscales were also interpreted as excellent. [14][15][16][17][18][19][20][21][22][23] When the data of the patients with lateral epicondylitis were examined, the DHI showed good-excellent consistency with the internal consistency (Cronbach alpha; total=0.90; kitchen=0.94; wearing=0.75; cleaning=0.70; work=0.88; other=0.85) method and, in general, the DHI was reliable in patients with lateral epicondylitis. Similar to our results, Sezer et al 17 studied Cronbach alpha internal consistency coefficients for DHI found to be excellent within the structure and in all patterns (0.91-0.97).…”

Karpal Tünel Sendromlu Kadınlarda Elektrodiagnostik Test Sonuçlarına Göre Klinik Değerlendirme, Ağrı, Fonksiyonel Durum ve Uyku Kalitesi Sonuçlarının İncelenmesi: Pilot Çalışma

“…Anket 0-90 arası toplam skora ulaşır, yüksek skor daha büyük bir aktivite kısıtlaması ve daha fazla zorluğu temsil eder 19,20 . Bu indeks, üst ekstremite problemleri için yaygın olarak kullanılmaktadır ve KTS'li hastalarda geçerli ve güvenilir bir ölçektir 21 .…”

“…Rubin ve arkadaşlarının çalışmasının sonucuna göre de KTS'li hastalarda elektrodiagnostik bulgular ve uyku birbirinden bağımsız ölçütler olduğu bildirilmiştir36 . Biz de çalışmamızda hafif ve orta şiddette KTS tanısı almış hastalarda Jenkins Gökşenoğlu ve arkadaşları yaptıkları çalışmaya göre Boston KTS Şiddet Skalası ile Duruöz El İndeksi skorları arasında pozitif korelasyon olduğunu bulmuşlardır21 . Farklı bir çalışmada 54 kişi incelenmiş ve semptom şiddeti arttıkça uyku bozukluğunun da arttığı bulunmuştur33 .…”

Using the Jebsen-Taylor test in patients after radial bone fracture

“…Other useful tools include the Functional Independent Measurement (FIM) and Functional Assessment Measurement (FAM) [5]. Mobility of the upper limb can also be assessed with the subjective DASH scale, Gartland and Werley scale [6], Tinel's and Phalen's tests [7] or the PRWE scale [8].…”