The Influence of Dominant Limb Involvement on DASH and QuickDASH

Kachooei, Amir Reza; Moradi, Ali; Janssen, Stein J.; Ring, David

doi:10.1007/s11552-014-9734-7

Cited by 18 publications

(19 citation statements)

References 19 publications

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“…The authors highlighted the role of psychological factors in perceived disability. We agree with Kachooei et al 15 and other authors 16 – 19 who have investigated the role of psychological factors on patient-reported disability measures. We feel that better coping ability and adaptation to musculoskeletal disability would overpower the pain and functional disturbances arising from involvement of the dominant arm.…”

Section: Discussionsupporting

confidence: 92%

“…Edelmann et al 14 found no differences in DASH scores in patients after proximal humerus fracture when the dominant limb was involved. In a study by Kachooei et al, 15 dominant hand involvement, trauma, shoulder involvement, and female sex were associated with significantly higher DASH scores, but accounted for only 10% of the variability in scores which may not be clinically significant. The authors highlighted the role of psychological factors in perceived disability.…”

Section: Discussionmentioning

confidence: 90%

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Impact of symptom bilaterality and hand dominance on patient-reported disability outcomes

2018

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Objectives:It is not clear if using patients with bilateral symptoms would impact the level of disability reported in orthopaedic research. The purposes of this study were to (1) examine the prevalence of bilateral shoulder symptoms (significant pain, stiffness or weakness affecting function) in patients with rotator cuff impingement syndrome, rotator cuff tear and osteoarthritis of the glenohumeral joint, (2) explore risk factors associated with bilateral shoulder symptoms, and (3) examine the impact of symptom bilaterality and hand dominance on pre- and post-operative patient-oriented disability outcomes.Methods:This study involved secondary analysis of prospectively collected data of patients who had undergone shoulder surgery and had returned for their 1-year follow-up. Two outcome measures were collected prior to surgery and at 1-year following surgery: the American Shoulder and Elbow Surgeons and the Constant–Murley Score.Results:Data of 772 patients, 376 (49%) females, 396 males (51%); 288 (impingement syndrome), 332 (rotator cuff tear), and 152 (osteoarthritis) were included in the analysis. There was a statistically significant difference in the prevalence of bilateral symptoms being 44%, 28%, and 22% in the osteoarthritis, impingement syndrome, and rotator cuff tear groups, respectively (p < 0.0001). The prevalence of dominant side involvement was 71%, 67%, and 53% in the rotator cuff tear, impingement syndrome, and osteoarthritis groups (p < 0.0001). Older age and female sex were risk factors for development of bilateral symptoms only in patients with rotator cuff tear. Neither symptom bilaterality nor dominant arm involvement had a negative impact on patient-oriented disability outcome measures prior to or after surgery (p > 0.05).Conclusion:This study shows that patients with osteoarthritis of the glenohumeral joint have the highest prevalence of bilateral shoulder complaints. The older age and the female sex increased the risk of having bilateral symptoms in patients with rotator cuff tear. Having bilateral shoulder symptoms or dominant side involvement was not associated with higher level of disability prior or after surgery.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 90%

Impact of symptom bilaterality and hand dominance on patient-reported disability outcomes

2018

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“…5 The only factor influencing the updated Quick DASH questionnaire but not the standard Quick DASH was affected side, suggesting that either hand can be used for modern activities. 12 However, pain interference was the only factor independently associated with scores on both questionnaires in multivariable analysis. The observation of no correlation between age and the modern Quick DASH score suggests that younger subjects were not more affected by technology than older subjects as might be assumed.…”

Section: Discussionmentioning

confidence: 88%

Update of the Quick DASH Questionnaire to Account for Modern Technology

Moradi

Menendez

Kachooei

et al. 2016

Hand (New York, N,Y.)

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Background: Almost 2 decades have passed since the development of the items contained in the Quick Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and during this time, daily tasks have changed to adapt to changes in technology. Methods: A cohort of 108 patients completed demographic information, the Quick DASH (both standard and technologically updated versions), and 2 Patient-Reported Outcomes Measurement Information System (PROMIS)-based computerized adaptive testing questionnaires: PROMIS pain interference and upper-extremity function. To create a technologically updated Quick DASH, we substituted 3 items from the standard Quick DASH questionnaire with 3 other items related to the use of technology: (1) Text or dial with your cell phone, (2) Type on a keyboard, and (3) Use a computer mouse. Results: The technologically updated Quick DASH questionnaire had lower scores compared with the standard Quick DASH (37 vs. 33, respectively), but they had a large correlation and both had high internal consistency. The items "Text or dial with your cell phone" and "Use a computer mouse" in the updated Quick DASH questionnaire had the lowest scores. Except for affected side, the standard Quick DASH and updated Quick DASH were influenced by the same factors. PROMIS pain interference was the only independent variable affecting both questionnaire scores. Conclusions: A technologically updated Quick DASH had no advantage over the standard Quick DASH.

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“…Using DASH scores at presentation, studies of thumb arthritis and surgical shoulder conditions suggest similar degrees of functional impairment 21–24 . However, others have found a significant difference between shoulder and hand populations with the hand population reporting better function by an average of 14 points on the DASH 17,25 . Within our study population, patients presenting with hand conditions reported better average function than patients with shoulder conditions.…”

Section: Discussionmentioning

confidence: 96%

Performance of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE) Versus Physical Function (PF) Computer Adaptive Tests (CATs) in Upper Extremity Clinics

Beleckas

Padovano

Guattery

et al. 2017

The Journal of Hand Surgery

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Purpose To examine the performance of the PROMIS Upper Extremity Function CAT relative to the PROMIS Physical Function CAT in patients seeking specialty care for upper extremity conditions. Methods This observational trial analyzed prospectively collected PROMIS Upper Extremity and Physical Function CAT scores from 5202 adult patients with 10344 outpatient clinic visits presenting to a tertiary orthopaedic clinic. Pearson’s correlation coefficient was utilized to evaluate the association between initial Physical Function and Upper Extremity scores, as well as the association between changes in Physical Function and Upper Extremity scores between visits. Differences in scores between populations presenting with hand conditions versus shoulder and elbow conditions were evaluated via Student’s t test, as were differences in scores between new and return patient visits. Results PROMIS Upper Extremity CAT scores were strongly correlated with PROMIS Physical Function CAT scores. However, patients averaged 8 points lower scoring on Upper Extremity CAT testing compared to Physical Function CAT scores. The Upper Extremity CAT demonstrated a ceiling effect at a score of 56 that impacted 7% of patients with a secondary ceiling at 50. Change in Physical Function and Upper Extremity scores between visits were moderately correlated with a mean difference of less than 1 point. Patients presenting for hand conditions achieved better Physical Function and Upper Extremity scores than patients presenting for shoulder and elbow conditions. Conclusions The PROMIS Upper Extremity module appears responsive to changes over time. However, the current Upper Extremity CAT has a ceiling score of 56 which does not allow for improvement of scores 0.6 SD higher than the presumptive normative population mean of 50. Although a specific assessment of upper extremity function is desirable, continued refinement of the PROMIS Upper Extremity CAT is required to better assess patients with higher levels of function.

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The Influence of Dominant Limb Involvement on DASH and QuickDASH

Abstract: Prognostic level II.

Cited by 18 publications

References 19 publications

Impact of symptom bilaterality and hand dominance on patient-reported disability outcomes

Impact of symptom bilaterality and hand dominance on patient-reported disability outcomes

Update of the Quick DASH Questionnaire to Account for Modern Technology

Performance of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE) Versus Physical Function (PF) Computer Adaptive Tests (CATs) in Upper Extremity Clinics

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