Construct validity and reliability of the disability of arm, shoulder and hand questionnaire for upper extremity complaints in rheumatoid arthritis
Autor: | Eric E J Raven, Paul P. Tak, Leendert Blankevoort, Inger N. Sierevelt, Ruud G Pöll, Douwe O van Montfoort, Daniel Haverkamp |
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Přispěvatelé: | Graduate School, Other Research, Orthopedic Surgery and Sports Medicine, AMS - Amsterdam Movement Sciences, Biomedical Engineering and Physics, AII - Amsterdam institute for Infection and Immunity, Clinical Immunology and Rheumatology, MOVE Research Institute |
Rok vydání: | 2008 |
Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Physical disability Intraclass correlation Visual analogue scale Immunology Arthritis Rheumatoid Cohort Studies Upper Extremity Grip strength Disability Evaluation Young Adult Physical medicine and rehabilitation Rheumatology Cronbach's alpha Hand strength Surveys and Questionnaires Dash medicine Immunology and Allergy Humans Aged Pain Measurement Aged 80 and over Hand Strength business.industry Construct validity Middle Aged humanities Physical therapy Female business human activities |
Zdroj: | Raven, E E, Haverkamp, D, Sierevelt, I N, van Montfoort, D O, Poll, R G, Blankevoort, L & Tak, P P 2008, ' Construct validity and reliability of the disability of arm, shoulder and hand questionnaire for upper extremity complaints in rheumatoid arthritis ', Journal of Rheumatology, vol. 35, no. 12, pp. 2334-2338 . https://doi.org/10.3899/jrheum.080067 Journal of rheumatology, 35(12), 2334-2338. Journal of Rheumatology Journal of Rheumatology, 35(12), 2334-2338. Journal of Rheumatology |
ISSN: | 0315-162X |
Popis: | ObjectiveThe Disability of Arm, Shoulder and Hand (DASH) questionnaire is a tool for measuring physical function and symptoms of the upper extremity. Although widely used, it is not validated for rheumatoid arthritis (RA). In this study the DASH was validated for this patient group.MethodsIn total, 102 patients participated in this study. For the validation, the questionnaires of the DASH, the Health Assessment Questionnaire (HAQ), the Medical Outcomes Study Short Form-36 (SF-36), and the Arthritis Impact Measurement Scale (AIMS2) were used. Patients were examined clinically before completing the questionnaires. Pain was scored by each patient using a visual analog scale (VAS). The DiseaseActivity Score (DAS28) was obtained and grip strength was measured. Reliability was tested by a second DASH questionnaire after 2 days. Validity was tested using a Pearson correlation analysis for the relevant domains of the questionnaires and for the clinical aspects.ResultsThe reliability of the DASH was excellent (intraclass correlation coefficient 0.97). Internal consistency was strong (Cronbach’s alpha 0.97). Validity was proven with excellent results for Pearson correlation with the relevant domains of the questionnaires: HAQ, r = 0.88; SF-36, r = 0.70; and AIMS2, r = 0.85. The clinical scores had a relatively low correlation with the DASH (DAS28, r = 0.42; and grip strength, r = 0.41–0.48), except for the VAS (r = 0.60–0.65).ConclusionThe DASH is a reliable and valid questionnaire in patients with RA. It can be used as a measurement tool of physical disability of the upper extremity. |
Databáze: | OpenAIRE |
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