Which Questionnaire Is Best? The Reliability, Validity and Ease of Use of the Patient Evaluation Measure, the Disabilities of the Arm, Shoulder and Hand and the Michigan Hand Outcome Measure

Abstract

The Patient Evaluation Measure (PEM), The Michigan Hand Outcome Questionnaire (MHQ) and the Disabilities of the Arm, Shoulder and Hand (DASH) score were assessed independent of their originators for reliability, construct and criterion validity and acceptability, using an ease of use questionnaire. These were administered in random order to 100 patients with different hand and wrist disorders and with different impairments of movement, pain, sensation and strength. The internal consistency of all three questionnaires was very high suggesting redundancy in the questions. All questionnaires were reproducible and valid for finger and wrist disorders, but less for nerve disorders. All had poor construct validity. The PEM was the easiest to understand and complete, taking the least time. Correlation between the scales is high and conversion equations were calculated. All three are reliable and reproducible patient completed questionnaires, but the PEM is the easiest to use. The validity of all is suspected for nerve disorders.

The Impact of Depression and Pain Catastrophization on Initial Presentation and Treatment Outcomes for Atraumatic Hand Conditions

“…Both of these scales were chosen because they have been previously validated and used in similar studies 5,25,28,[34][35][36][37][38][39] . To assess hand function, subjects completed the seventy-one-question MHQ (a scale of 0 to 100, with 100 indicating the best hand performance), which was chosen because it distinguishes the left and right hand and includes subscales [40][41][42][43][44][45][46][47][48][49][50] . Patient demographic information collected included date of birth, sex, ethnic and racial background, self-report of clinically diagnosed depression, whether the patient was currently receiving treatment for depression, and contact information.…”

Is Diagrammatic Goniometry Feasible for Finger ROM Evaluation and Self-evaluation?

“…Diagrammatic joint selfevaluation could make assessment of patient satisfaction more objective. The parity of the current hand outcome questionnaires including the Patient Evaluation Measure, DASH, and Michigan Hand Outcome Measure [10] may need to be explored in respect to patients' involvement in self-evaluation. An important aspect of reliability of the diagrammatic technique concerns conversion of the diagrams to the angle degrees.…”

Long-Term Outcomes of Major Upper Extremity Replantations

“…At their follow-up visits, the patients completed a battery of three selfreport questionnaires: Disabilities of the Arm, Shoulder and Hand (DASH) (10,11); the Michigan Hand Questionnaire (MHQ) (12)(13)(14)(15)(16); and the Hospital Anxiety and Depression scale (HADS) (17)(18)(19)(20). The DASH and MHQ were chosen because they are the most frequently used patient-reported outcome measures in hand surgery.…”