The Munich Wrist Questionnaire (MWQ) – development and validation of a new patient-reported outcome measurement tool for wrist disorders

Abstract

BackgroundAlthough self-assessment questionnaires for the wrist joint are numerous, most validation studies focus on a specific pathology and patient collectives. In addition the available questionnaires focus on subjective parameters such as pain, usual and specific activities but the range of motion (ROM) as an essential objective parameter in wrist disorders is rarely considered. Therefore the purpose of the presented study was to develop and validate a new universally applicable self-assessment score, the Munich Wrist Questionnaire (MWQ), which allows for the assessment of subjective as well as objective parameters of the wrist joint.MethodsThe MWQ consists of 16 items addressing three domains: pain, work and activities of daily living and wrist function including range of motion and grip strength. In a prospective clinical study validity, reliability and responsiveness of the MWQ of physical active patients were evaluated.ResultsValidation study included 100 patients (mean age 41 years, SD 16.3 years; range, 18–77 years). Test-retest reliability was substantial, with intraclass correlation coefficients ranging from 0.75 to 0.83 for the three domains. Construct validity and responsiveness were confirmed by correlation coefficients of at least 0.86 for construct validity and for responsiveness ranging from 0.61 to 0.65.ConclusionsThe MWQ presents a valid and reliable instrument for a qualitative self-assessment of subjective and objective parameters (e.g. range of motion) of the wrist joint. Quantitative measurement of wrist function may not longer be limited to specific wrist disorders or patient groups. The MWQ seems to allow for a broad application in clinical research and may facilitate the comparison of treatment results in wrist disorders.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-016-1029-4) contains supplementary material, which is available to authorized users.

The Outcome of Distal Radius Fractures with Concomitant Injuries Is Similar to those of Isolated Distal Radius Fractures Provided that an Arthroscopically Supported Treatment Is Performed

“…In our study, 56 wrists were examined using a self-assessment questionnaire, the Munich Wrist Questionnaire [14]. We were able to examine 39 patients clinically for function and strength of the affected wrist.…”

“…All 55 patients enrolled in our study were followed up using the Munich Wrist Questionnaire [14], a self-assessment score for analysis of the wrist function. The Munich Wrist Questionnaire is a validated questionnaire, published in 2016 by Beirer et al [14].…”

“…It examines, as an extension of the common questionnaires, the subjective function of the wrist, the range of motion and the grip strength [14]. In addition, 39 patients in our study collective were clinically re-examined concerning mobility and strength in the affected wrist.…”

“…In this connection, according to the Patient Outcome Reported Measurements guidelines, the function of the wrist was examined with a validated questionnaire. The Munich Wrist Questionnaire [14] captures the relevant function of the wrist according to several well-established scoring systems, such as the DASH or SPADI score.…”

Reliability and concurrent validity of a new iPhone® goniometric application for measuring active wrist range of motion: a cross‐sectional study in asymptomatic subjects

“…In addition, the app can be used alongside a self-assessment questionnaire such as the Munich wrist questionnaire (MWQ; Beirer et al 2016) or the patient-rated wrist evaluation outcome questionnaire (PRWE;MacDermid, 1996;MacDermid et al 1998MacDermid et al , 2000 to evaluate the functional status of the wrist joint in various pathologies. Using the app and a self-assessment score can help clinicians determine the amount of functional limitation of the wrist joint and enable them to monitor the effectiveness of rehabilitation process in patient-centred follow-up studies.…”