Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis

Overend, Tom J.; Wuori-Fearn, Jennifer L.; Kramer, John F.; MacDermid, Joy C.

doi:10.1016/s0894-1130(99)80031-3

Cited by 140 publications

(101 citation statements)

References 17 publications

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“…When computing a total score, we would recommend equal weighting of the pain and disability subscales of the pASES-e to provide a total score composed of 50% pain and 50% disability, consistent with the approach used on the PREE and on other joint-specific measures used in the upper extremity. 26,30 We suggest that the patient satisfaction item should be separately reported and not incorporated into a global score. We know that satisfaction is not related to other outcomes 32 in shoulder disorders and may be more reflective of process than outcomes.…”

Section: Discussionmentioning

confidence: 99%

Validity and Sensitivity to Change of Patient-Reported Pain and Disability Measures for Elbow Pathologies

Vincent¹,

MacDermid²,

King³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Prospective cohort study. Objective To evaluate the internal consistency, concurrent construct validity, longitudinal validity, sensitivity to change, and factor structure of the Patient-Rated Elbow Evaluation form (PREE), the patient-reported form of the American Shoulder and Elbow Surgeons Elbow Questionnaire (pASES-e), and the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH) in a diverse group of patients who had surgery for various elbow pathologies. Background Measuring functional outcomes after surgical procedures of the elbow requires valid patient-reported pain and disability questionnaires. The PREE, the pASES-e, and the DASH are commonly used questionnaires. There is, however, insufficient evidence available concerning their validity and sensitivity to change. Methods Data were prospectively collected from 128 patients (mean ± SD age, 46.5 ± 12.8 years) post-elbow surgery. Patients completed the PREE, the pASES-e, the DASH, and the Medical Outcomes Study 36-Item Short-Form Health Survey at baseline (first visit after surgery) and 6 months postsurgery. Concurrent construct validity, longitudinal validity, sensitivity to change, and factor structure were analyzed. Results Concurrent construct validity was demonstrated by confirmation of expected relationships; the strongest correlations were observed between the PREE pain score, the PREE total score, the pASES-e pain score, and the DASH score (r = 0.73–0.87). The pASES-e function score correlated the least with other constructs. Longitudinal validity demonstrated similar findings: the pASES-e pain change score and PREE change score were most strongly correlated, and the pASES-e function change score and DASH change score were moderately to weakly correlated. All 3 patient-reported questionnaires demonstrated a large effect size and standardized response means greater than 1.0. Structural validity was supported for the PREE (R2 = 77.2%, 4 factors) and the pASES-e (R2 = 74.4%, 4 factors), but not for the DASH (R2 = 71.3%, 5 factors). Conclusion The PREE, the pASES-e, and the DASH have acceptable validity and sensitivity to change. The pASES-e function subscale is the least sensitive to change and is less correlated to other measures. J Orthop Sports Phys Ther 2013;43(4):263–274. Epub 13 March 2013. doi:10.2519/jospt.2013.4029

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Section: Discussionmentioning

confidence: 99%

Validity and Sensitivity to Change of Patient-Reported Pain and Disability Measures for Elbow Pathologies

Vincent¹,

MacDermid²,

King³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

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“…The questionnaire that was used was developed by modification of the Patient-rated Forearm Evaluation Questionnaire. 3,4 This questionnaire uses a 10-point visual numeric scale to assess pain levels and difficulty performing specific activities. Because this questionnaire was delivered via telephone, we eliminated the 10-point visual scale and asked patients to report their pain over the past week on a 4-point scale (none, mild, moderate, or severe) on a per-treatedelbow basis.…”

Section: Subjective Evaluationmentioning

confidence: 99%

Sonographically Guided Percutaneous Needle Tenotomy for Treatment of Common Extensor Tendinosis in the Elbow

McShane

Shah²,

Nazarian³

2008

Journal of Ultrasound in Medicine

120

114

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Objective. Chronic refractory common extensor tendinosis of the lateral elbow has been shown to respond to sonographically guided percutaneous needle tenotomy (PNT) followed by corticosteroid injection. In this analysis, we attempted to determine whether the corticosteroid is a necessary component of the procedure. Methods. We performed PNT on 57 consecutive patients (age range, 34–61 years) with persistent pain and disability resulting from common extensor tendinosis. Under a local anesthetic and sonographic guidance, a needle was advanced into the tendon, and the tip of the needle was used to fenestrate the tendinotic tissue, break up any calcifications, and abrade the adjacent bone. After the procedure, patients underwent a specified physical therapy protocol. During a subsequent telephone interview, patients answered questions about their symptoms, the level of functioning, and perceptions of the procedure outcome. Results. Of the 52 patients who agreed to participate in the study, 30 (57.7%) reported excellent outcomes, 18 (34.6%) good, 1 (1.9%) fair, and 3 (5.8%) poor. The average follow‐up time from the date of the procedure to the telephone interview was 22 months (range, 7–38 months). No adverse events were reported, and 90% stated that they would refer a friend or close relative for the procedure. Conclusions. Sonographically guided PNT for refractory lateral elbow tendinosis is an effective procedure, and subsequent corticosteroid injection is not necessary.

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“…Testing Before measuring the grip forces, subjects were asked to fill in the Patient-Rated Forearm Evaluation Questionnaire (PRFEQ [score, 0-10]), which assess the functionality of the arm, 16 and a questionnaire about the use of analgesics. A horizontal 10-cm visual analogue scale was used to measure the amount of pain each subject had prior to the study (Table 1).…”

Section: Procedures Dynamic Extensor Bracementioning

confidence: 99%

A Dynamic Extensor Brace Reduces Electromyographic Activity of Wrist Extensor Muscles in Patients With Lateral Epicondylalgia

Faes¹,

Elk²,

Lint³

et al. 2006

J Orthop Sports Phys Ther

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Study Design: Semiexperimental study. Objective: To investigate the effect of an external wrist extension force on extensor muscle activity during hand gripping in patients with lateral epicondylalgia. Background: Lateral epicondylalgia or ''tennis elbow'' is a common, often disabling ailment affecting millions of people. An optimal treatment strategy remains to be identified. The use of an external wrist extension force may reduce the extensor muscle activity during gripping in these patients. Methods: Muscle activity of the extensor carpi radialis brevis (ECRB), extensor digitorum communis (EDC), and extensor carpi radialis longus (ECRL) was measured using surface EMG. Subjects gripped at an intensity of 10%, 20%, and 30% of the maximum voluntary contraction (MVC) force with and without the dynamic extensor brace and with and without an applied external wrist extension force of 1%, 2%, and 3% of MVC. Results: At all levels of MVC gripping, the EMG signal of the ECRB and EDC were significantly lower for gripping with than without brace. An extension force of 3% of the MVC force significantly reduced the EMG signal of all muscles in almost all measurement conditions. Conclusions: The results of this study indicate that the dynamic extensor brace as well as the external extension force significantly reduced the EMG signal of the wrist extensor muscles during gripping in patients with lateral epicondylalgia. Based on these results, the dynamic extensor brace could be a promising new intervention for lateral epicondylalgia.

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Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis

Cited by 140 publications

References 17 publications

Validity and Sensitivity to Change of Patient-Reported Pain and Disability Measures for Elbow Pathologies

Validity and Sensitivity to Change of Patient-Reported Pain and Disability Measures for Elbow Pathologies

Sonographically Guided Percutaneous Needle Tenotomy for Treatment of Common Extensor Tendinosis in the Elbow

A Dynamic Extensor Brace Reduces Electromyographic Activity of Wrist Extensor Muscles in Patients With Lateral Epicondylalgia

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