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do Rosario Saraiva M, Vázquez OS, Ortiz-Huerta JH, Santamaría-Vázquez M. The wide-awake local anesthesia no tourniquet (WALANT) technique in thumb injuries: a systematic review. Eur J Trauma Emerg Surg 2024:10.1007/s00068-024-02579-8. [PMID: 38967789 DOI: 10.1007/s00068-024-02579-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Accepted: 06/10/2024] [Indexed: 07/06/2024]
Abstract
Human hands have a complex anatomical structure. The thumb, being an integral part of the hand, has an essential function in gripping. In this sense, thumb fractures account for 4% of all hand fractures (it may occur in association with fractures of the trapezium). The majority of hand fractures should be treated non-surgically and surgeons must avoid unnecessary surgery. Historically, hand surgery has used a combination of local/regional/general anaesthesia and a tourniquet. This study aims to carry out a systematic review to determine whether the WALANT technique is an advantageous alternative to conventional anaesthesia for surgical procedures on thumb injuries, in terms of patient function and pain. METHOD We conducted a search in the following databases: Pubmed/Medline, EBSCOhost, Web of Science, Scopus, ScienceDirect and Google Scholar, using the equation "WALANT" OR "Wide Awake Local Anesthesia No Tourniquet" AND "thumb pathology". RESULTS In five of the 584 articles included, two studied trapeziometacarpal osteoarthritis, one De Quervain's disease and the remaining two flexor injuries. WALANT showed good results in active movements, but with similar levels of pain between anaesthetics. Patients were more anxious during general anaesthesia, plus the fact that they were fasting and suspending medication. CONCLUSION WALANT is a convenient and favourable option in several studies. It has been demonstrated the benefits in terms of return to function and pain.
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Affiliation(s)
- Maria do Rosario Saraiva
- School of Health Sciences of Polytechnic of Leiria, Campus 2 - Morro Do Lena, Alto Do Vieiro - Apartado 4137, 2411-901, Leiria, Portugal
- Department of Rehabilitation, Local Health Unit - Guarda Hospital, Guarda, Portugal
| | - Olalla Saiz Vázquez
- Health Sciences Department, Universidad de Burgos, Paseo Comendadores s/n, Burgos, 09001, España.
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Santos FCLD, de Souza F, Barajas FH, Manco OU, João SMA. Odds ratio of occurrence of pain, postural changes, and disabilities of violinists. J Bodyw Mov Ther 2024; 39:356-363. [PMID: 38876652 DOI: 10.1016/j.jbmt.2024.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 02/16/2024] [Accepted: 03/05/2024] [Indexed: 06/16/2024]
Abstract
The objective of this study is to evaluate the odds ratio of occurrence of pain, postural changes, and disabilities of violinists. Thirty-eight violinists were assessed. Photographs from anterior, posterior, and lateral views were taken and analyzed using Software of Postural Analysis. Pain was assessed by the Visual Analogue Pain Scale and the musculoskeletal disability of the arm, shoulder, and hand questionnaire (DASH). A logistic regression model was employed and all variables related to posture, age, gender, hours of practice, and duration of practice were considered. The results regarding the VAS and DASH were analyzed using multivariate techniques. The most important variables for the discrimination between the groups regarding the VAS scores were head and shoulder and thoracic kyphosis. For the DASH index, the key variables were the lateral spinal deviation and the head tilt. The odds ratio of occurrence pain was associated with the duration of the practice and the following postural variables: shoulder asymmetries, head postures, and lumbar lordosis. Scapular postures and thoracic kyphosis were associated with hours of practice, and the scapular postures with the duration of practice. This article provides new evidence of occurrence of pain, postural changes and disabilities in violinists. The odds ratio of occurrence pain was associated with the duration of the professional practice.
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Affiliation(s)
- Fabíola Carvalho Lopes Dos Santos
- Department of Physical Therapy, Speech, and Occupational Therapy, Schoolof Medicine, University of São Paulo, Rua Cipotânea, 51, Butantã, 05360-160, São Paulo, SP, Brazil.
| | - Flávia de Souza
- Department of Physical Therapy, Speech, and Occupational Therapy, Schoolof Medicine, University of São Paulo, Rua Cipotânea, 51, Butantã, 05360-160, São Paulo, SP, Brazil
| | - Freddy Hernandez Barajas
- Institute of Mathematics and Statistics, University of São Paulo, Rua Do Matão, 1010 - Cidade Universitária, CEP 05508-090, São Paulo, SP, Brazil
| | - Olga Usuga Manco
- Institute of Mathematics and Statistics, University of São Paulo, Rua Do Matão, 1010 - Cidade Universitária, CEP 05508-090, São Paulo, SP, Brazil
| | - Sílvia Maria Amado João
- Department of Physical Therapy, Speech, and Occupational Therapy, Schoolof Medicine, University of São Paulo, Rua Cipotânea, 51, Butantã, 05360-160, São Paulo, SP, Brazil
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Brindisino F, Venturin D, Bartoli M, Caselli S, Pellicciari L, Poser A. Psychometric properties of the Disability of Arm Shoulder and Hand (DASH) in subjects with frozen shoulder: a reliability and validity study. BMC Musculoskelet Disord 2024; 25:260. [PMID: 38566086 PMCID: PMC10986124 DOI: 10.1186/s12891-024-07371-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 03/20/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Frozen Shoulder (FS) is a painful condition characterized by severe pain and progressive restriction of shoulder movement, leading to functional impairment and reduced quality of life. While different Patient Reported Outcome Measurements (PROMs) tools exist for assessing shoulder diseases, few specific PROMs are validated for FS patients. PURPOSE This study aims to assess the psychometric properties of the Disability of Arm, Shoulder, and Hand (DASH) questionnaire in FS patients. METHODS One hundred and twenty-four subjects (mean ± SD age = 55.4 ± 7.9 years; 55.6% female) diagnosed with FS were included and completed the DASH questionnaire, the Numerical Pain Rating Scale (NPRS), the Shoulder Pain and Disability Index (SPADI), and the Short-Form Health Survey 36 (SF-36). Floor or ceiling effects were investigated. Structural validity was analysed through a unidimensional Confirmatory Factor Analysis (CFA), internal consistency through Cronbach's alpha, test-retest reliability through the Intraclass Correlation coefficient (ICC), measurement error through the Standard Error of Measurement (SEM), and the Minimum Detectable Change (MDC), and construct validity through the hypothesis testing with the correlation with the other outcome measures used. RESULTS No floor or ceiling effects were observed. CFA confirmed a one-factor structure after addressing local item dependency (Root Mean Square Error of Approximation = 0.055; Standardized Root Mean Square Residual = 0.077; Comparative Fit Index = 0.970; Tucker-Lewis Index = 0.968). Cronbach's alpha was high (= 0.951), and test-retest reliability was excellent (ICC = 0.999; 95% CI: 0.998-1.000). SEM was equal to 0.5 points, and MDC to 1.5 points. Construct validity was considered satisfactory as 80% of the a-priori hypotheses were met. CONCLUSION The DASH questionnaire demonstrated good psychometric properties in FS patients, supporting its use as a valuable tool for assessing the impact of FS in clinical and research settings.
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Affiliation(s)
- Fabrizio Brindisino
- Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise c/o Cardarelli Hospital, C/da Tappino, Campobasso, 86100, Italy
| | - Davide Venturin
- Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise c/o Cardarelli Hospital, C/da Tappino, Campobasso, 86100, Italy
| | - Matteo Bartoli
- Physiotherapy private practice KinesiLab, via Marcantonio Colonna 88, Marino, Italy
| | - Serena Caselli
- Unità Operativa di Medicina Riabilitativa, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy
| | - Leonardo Pellicciari
- IRCCS Istituto delle Scienze Neurologiche di Bologna, Via Altura, 3, Bologna, I-40139, Italy.
| | - Antonio Poser
- Physiotherapy private practice Kinè, Kinè s.r.l, Viale della Quercia 2/B,, Treviso, Italy
- University of Siena, c/o via Banchi di Sotto, 55, Siena, Italy
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de Klerk S. Assessment of structural and cross-cultural validity of the Disabilities of the Arm, Shoulder and Hand questionnaire: a scoping review. HAND THERAPY 2023; 28:3-15. [PMID: 37904812 PMCID: PMC10584070 DOI: 10.1177/17589983221140433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 11/03/2022] [Indexed: 11/01/2023]
Abstract
Introduction The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire is a patient-reported outcome measure (PROM) that has been translated and cross-culturally adapted to at least 50 languages. Since the measure was developed in 1996, many researchers have reported on the construct validity (including structural and cross-cultural validity) of this instrument following translation and cross-cultural adaptation. The aim of this scoping review was to identify the methods used for the psychometric evaluation of structural and cross-cultural validity of the DASH questionnaire. Methods The updated methodological guidance for the conduct of scoping reviews and the PRISMA Extension for scoping reviews checklist was utilised. EBSCOHost (Academic Search Premier, Africa Wide, CINAHL, E-Journals and Medline), PubMed and Google Scholar were searched for articles (published between 1996-2022) and considered against the eligibility criteria. Results The scoping review collated evidence across 50 articles (37 language versions) of the evaluation of structural and cross-cultural validity of the DASH questionnaire. Three articles conducted confirmatory factor analysis (CFA) to assess structural validity, and none performed Multiple Group Confirmatory Factor Analysis (MGCFA) to assess cross-cultural validity. Conclusion The COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) taxonomy propose that structural validity is best evaluated through CFA, with prior evidence of dimensionality. Additionally, cross-cultural validity (measurement invariance) is to be evaluated through MGCFA. This review identified that CFA is utilised infrequently and that to date cross-cultural validity has not been appropriately assessed for translations of the DASH questionnaire.
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Affiliation(s)
- Susan de Klerk
- Division of Occupational Therapy, Department of Health and Rehabilitation Science, Faculty of Medicine and Health Science, Stellenbosch University, Cape Town, South Africa
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de Klerk S, Jerosch-Herold C, Buchanan H, van Niekerk L. Structural and cross-cultural validity of the Afrikaans for the Western Cape Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. J Patient Rep Outcomes 2023; 7:1. [PMID: 36629952 PMCID: PMC9834491 DOI: 10.1186/s41687-022-00536-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 12/18/2022] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire has been translated and cross-culturally adapted to Afrikaans for the Western Cape, within the public health service context of South Africa. The aim of this study was to evaluate structural validity, internal consistency, and cross-cultural validity/measurement invariance of this new translation to increase applicability and clinical utility in a public health service context. METHODS During this cross-sectional study, exploratory factor analysis (EFA) was conducted with parallel analysis and oblimin rotation. Confirmatory factor analysis (CFA) and multiple group confirmatory factor analysis (MGCFA) to assess cross-cultural validity/measurement invariance, was employed to test model fit with X2 goodness-of-fit statistic, root mean square error of approximation (RMSEA), standardized root mean square residual (SRMR) and comparative fit index (CFI). Internal consistency was calculated using Cronbach's alpha. RESULTS 109 women and 110 men (n = 219) completed the Afrikaans for the Western Cape and the South African English DASH questionnaire, used during the analysis. Unidimensionality of the Afrikaans for the Western Cape DASH questionnaire was not supported in the 218 questionnaires eligible for inclusion in the analysis [X2 (df) = 1799.10 (405); p value = < 0.01; RMSEA (90% CI) = 0.126 (0.120-0.132); SRMR = 0.09 and CFI = 0.984]. EFA revealed a two-factor structure with Eigenvalues exceeding one explaining 55% and 7% of the variance. The two-factor structure of the Afrikaans for the Western Cape DASH questionnaire was supported during CFA. Cronbach's alpha revealed good internal consistency of both factors [factor 1 = 0.97 (0.96, 0.97) and factor 2 = 0.92 (0.90, 0.94)]. MGCFA conducted between 218 Afrikaans for the Western Cape DASH and 219 South African English DASH questionnaires (N = 437) revealed that the data supports configural, metric and scalar invariance models during initial model fit assessment. Subsequent hypotheses testing comparing the nested models revealed that scalar invariance holds. CONCLUSION The Afrikaans for the Western Cape DASH questionnaire revealed a two-factor structure with good internal consistency across the two factors and demonstrated measurement invariance with the South African English DASH questionnaire.
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Affiliation(s)
- Susan de Klerk
- grid.11956.3a0000 0001 2214 904XDivision of Occupational Therapy, Department of Health and Rehabilitation Science, Faculty of Medicine and Health Science, Stellenbosch University, Cape Town, South Africa
| | | | - Helen Buchanan
- grid.7836.a0000 0004 1937 1151Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Lana van Niekerk
- grid.11956.3a0000 0001 2214 904XDivision of Occupational Therapy, Department of Health and Rehabilitation Science, Faculty of Medicine and Health Science, Stellenbosch University, Cape Town, South Africa
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Takahasi HY, Fidelis-de-Paula-Gomes CA, Gabel CP, Dibai-Filho AV. Translation, cross-cultural adaptation and validation of the Upper Limb Functional Index (ULFI) into Brazilian Portuguese in patients with chronic upper limb musculoskeletal disorders. Musculoskelet Sci Pract 2021; 56:102452. [PMID: 34507047 DOI: 10.1016/j.msksp.2021.102452] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 08/19/2021] [Accepted: 08/23/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE The purpose of this study was to translate, cross-culturally adapt, and validate the Upper Limb Functional Index (ULFI) into Brazilian Portuguese (ULFI-Br). METHODS The translation and cross-cultural adaptation of the ULFI was performed according to international recommendations. The ULFI-Br was applied to 190 patients with chronic upper limb musculoskeletal disorders to verify structural validity. The QuickDASH, the SF-36 and a Numerical Pain Scale (NPS) were completed by 180 patients to assess construct validity using the Spearman correlation (ρ). The internal structure of the ULFI-Br was evaluated by exploratory and confirmatory factor analysis with fit indices chi-square/degrees of freedom (DF), Root Mean Square Error of Approximation (RMSEA), Comparative Fit Index (CFI) and Tucker Lewis Index (TLI). A subsample of 51 patients was used to assess test-retest reliability using the intra-class correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change at the 90th percentile (MDC90). Internal consistency was assessed by Cronbach's alpha (α). Floor and ceiling effects were also assessed. RESULTS Factor analysis identified an uni-dimensional structure with acceptable fit indices (RMSEA = 0.063, CFI = 0.918, TLI = 0.910). The ULFI-Br showed excellent reliability (ICC = 0.909) and adequate internal consistency (α = 0.897). The SEM was 6.11% and the MDC90 was 14.26%. The ULFI-Br demonstrated high correlation with the QuickDASH (ρ = -0.721), and moderate to low correlation with other questionnaires. There were no floor or ceiling effects. CONCLUSION The ULFI-Br showed adequate measurement properties in patients with chronic upper limb musculoskeletal disorders indicating its suitability for use as a measure of upper limb functional status in Brazil.
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Affiliation(s)
- Henrique Yuji Takahasi
- Sarah Network of Rehabilitation Hospitals, São Luís, MA, Brazil; Postgraduation Program in Physical Education, Universidade Federal Do Maranhão, São Luís, MA, Brazil.
| | | | | | - Almir Vieira Dibai-Filho
- Postgraduation Program in Physical Education, Universidade Federal Do Maranhão, São Luís, MA, Brazil
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Lourenço A, Dantas AAG, de Souza JC, Araujo CM, Araujo DN, Lima INDF, Dantas DDS. Sleep quality is associated with Disability and Quality of life in breast cancer survivors: a cross-sectional pilot study. Eur J Cancer Care (Engl) 2020; 30:e13339. [PMID: 33090563 DOI: 10.1111/ecc.13339] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 06/23/2020] [Accepted: 08/07/2020] [Indexed: 12/22/2022]
Abstract
PURPOSE To evaluate the sleep quality and its association with disability, fatigue and quality of life of breast cancer survivors. METHODS This is a cross-sectional pilot study developed with breast cancer survivors. The data collection instruments consisted of general and clinical information on the disease and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0); Pittsburgh Sleep Quality Index (PSQI); Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F); and Disabilities of the arm and Shoulder (DASH). Descriptive statistical analysis, correlation tests, tests for means comparison and linear regression were performed. Cohen's d analysed the effect size. The significance was set at p < 0.05. RESULTS 71,9% of women had poor sleep quality. Subjective poor sleep quality was a predictor of worse scores for fatigue (p = 0.007), quality of life by FACT-G (p = 0.010) and FACIT-F (p = 0.004), the functional performance of upper limbs (p = 0.001) and disability (p = 0.003). CONCLUSIONS Breast cancer survivors with subjective poor sleep quality had more fatigue, less upper limb-related functional performance, more disability and worse quality of life.
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Affiliation(s)
- Adriano Lourenço
- Graduate Program of Rehabilitation Sciences, Federal University of Rio Grande do Norte, Santa Cruz, Brazil
| | | | - Jane Carla de Souza
- Graduate Program of Public Health, Federal University of Rio Grande do Norte, Santa Cruz, Brazil
| | | | - Diego Neves Araujo
- Centro de Ensino Superior e Desenvolvimento (CESED/UNIFACISA, Campina Grande, Brazil
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Effects of serious games in strength and functionality of patients with ulnar nerve lesion: two single-case reports. Int J Rehabil Res 2020; 43:280-284. [PMID: 32769585 DOI: 10.1097/mrr.0000000000000423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The objective of this study was to investigate the effect of serious games on hand muscle strength and functionality in a series of cases with ulnar nerve damage. Two patients were included in this 16-week intervention study using biofeedback. Electromyography electrodes and dynamometers were used in treatment. Functionality was assessed by Rosen and Lundborg score, Disabilities of the arm, shoulder and hand (DASH) questionnaire and International Classification of Functioning, Disability and Health (ICF). Grip and pinch strength were assessed by dynamometers. Results revealed an increase in sensory domain of Rosen and Lundborg score of the two patients. Patients increased values from the DASH questionnaire; however, they got better results with ICF. Grip strength of the two patients increased; pinch strength varied between patients; key pinch had the best results. Serious games can be effective to enhance hand strength and improve functionality in patients with ulnar nerve damage.
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Lloyd-Hughes H, Geoghegan L, Rodrigues J, Peters M, Beard D, Price A, Jain A. Systematic Review of the Use of Patient Reported Outcome Measures in Studies of Electively-Managed Hand Conditions. J Hand Surg Asian Pac Vol 2019; 24:329-341. [PMID: 31438799 DOI: 10.1142/s2424835519500425] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Electively-managed conditions account for over 100 000 inpatient surgeries a year in the English National Health Service alone, with further procedures in other regions of the UK, or performed on an outpatient basis. To quality assure this care and to conduct research, effective outcome measurement is critical. Traditional surgeon-centric outcome measures correlate poorly with hand function and are seldom important to patients. There has been an advent in the use of patient reported outcome measures (PROMs) in hand surgery although consensus of PROM choice appears to be lacking. This systematic review aimed to describe the use of relevant PROMs in clinical research of electively-managed hand conditions. Methods: A PRISMA-compliant methodology was used. A bespoke search strategy was developed in conjunction with a search strategist, and applied to Medline, EMBASE, CINAHL and PSYCHINFO from 1992 to June 2017. Pre-specified stepwise inclusion criteria were used to identify studies describing adult patients undergoing treatment for electively-managed hand conditions distal to the distal radius, with clinical outcomes measured using one or more PROMs. Results: Of 4554 results, 834 met inclusion criteria. PROMs identified included 9 disease-specific, 8 site-specific and 4 generic quality of life measures. Across all, the Disabilities of the Arm, Shoulder and Hand (DASH) was the most commonly used (overall frequency 41.0%). The most commonly reported disease-specific measure was the Boston Carpal Tunnel Questionnaire (overall frequency 23.0%). The most commonly reported generic quality of life of measure was the SF-36 (overall frequency 4%). Time-analysis demonstrated predominance of site-specific PROMs since the year 2000. Conclusions: Various PROMs have been used to study electively-managed hand conditions, with site-specific PROMs most popular. However, there appears to be limited consensus on choices. A future systematic evaluation of the published psychometric properties of identified PROMs may inform standardisation of measurement.
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Affiliation(s)
- Hawys Lloyd-Hughes
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK
| | - Luke Geoghegan
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK
| | - Jeremy Rodrigues
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK
| | - Michele Peters
- Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - David Beard
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK
| | - Andrew Price
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK
| | - Abhilash Jain
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK
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de Klerk S, Buchanan H, Jerosch-Herold C. The validity and clinical utility of the Disabilities of the Arm Shoulder and Hand questionnaire for hand injuries in developing country contexts: A systematic review. J Hand Ther 2019; 31:80-90.e1. [PMID: 29103676 DOI: 10.1016/j.jht.2017.10.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Revised: 10/04/2017] [Accepted: 10/06/2017] [Indexed: 02/03/2023]
Abstract
STUDY DESIGN Systematic review. INTRODUCTION The Disabilities of the Arm Shoulder and Hand Questionnaire has multiple language versions from many countries around the world. In addition there is extensive research evidence of its psychometric properties. PURPOSE OF THE STUDY The purpose of this study was to systematically review the evidence available on the validity and clinical utility of the Disabilities of the Arm Shoulder and Hand as a measure of activity and participation in patients with musculoskeletal hand injuries in developing country contexts. METHODS We registered the review with international prospective register of systematic reviews prior to conducting a comprehensive literature search and extracting descriptive data. Two reviewers independently assessed methodological quality with the Consensus-Based Standards for the Selection of Health Measurement Instruments critical appraisal tool, the checklist to operationalize measurement characteristics of patient-rated outcome measures and the multidimensional model of clinical utility. RESULTS Fourteen studies reporting 12 language versions met the eligibility criteria. Two language versions (Persian and Turkish) had an overall rating of good, and one (Thai) had an overall rating of excellent for cross-cultural validity. The remaining 9 language versions had an overall poor rating for cross-cultural validity. Content and construct validity and clinical utility yielded similar results. DISCUSSION/CONCLUSIONS Poor quality ratings for validity and clinical utility were due to insufficient documentation of results and inadequate psychometric testing. With the increase in migration and globalization, hand therapists are likely to require a range of culturally adapted and translated versions of the Disabilities of the Arm Shoulder and Hand. Recommendations include rigorous application and reporting of cross-cultural adaptation, appropriate psychometric testing, and testing of clinical utility in routine clinical practice.
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Affiliation(s)
- Susan de Klerk
- Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
| | - Helen Buchanan
- Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
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Factor Structure of the Disabilities of the Arm, Shoulder and Hand Questionnaire in Upper Extremity Nerve Injury. Plast Reconstr Surg 2019; 144:1116-1122. [DOI: 10.1097/prs.0000000000006151] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Liu Y, Zhang Z, Wang J, Wu G, Yu W, Cui S. Improved functional outcome in NTOS patients following resection of the subclavius muscle with radiological signs of nerve impingement: indication of participation of the subclavius in brachial plexus compression. J Neurosurg 2018; 131:1541-1551. [PMID: 30497168 DOI: 10.3171/2018.5.jns18429] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Accepted: 05/10/2018] [Indexed: 02/05/2023]
Abstract
OBJECTIVE Both clinical and radiological reports have suggested that the subclavius, a muscle in the costoclavicular space of the thoracic outlet, participates in neurogenic thoracic outlet syndrome (NTOS) in some instances, especially during movements narrowing the costoclavicular space. Magnetic resonance imaging can identify subclavius muscles with signs of nerve impingement, yet the impact of the subclavius in such situations remains unclear. Therefore, the authors investigated whether dividing or sparing the subclavius characterized by nerve impingement on MRI would affect surgical outcomes. METHODS In this retrospective nonrandomized study, authors analyzed all NTOS patients with a subclavius muscle characterized by nerve impingement on MRI (loss of normal fat planes surrounding the brachial plexus) in the period between March 2010 and November 2016. Patients were divided into two groups: the sparing group, in which patients had undergone conventional supraclavicular scalenectomy and first rib resection (FRR), and the dividing group, in which patients had undergone scalenectomy, FRR, and subclavius dividing using a modified supraclavicular incision. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, a shoulder range of motion subscale (DASH items 6, 12-15, and 19) concerning overhead activities that can significantly narrow the costoclavicular space, postoperative MRI studies, and patient self-assessments were used to assess surgical outcomes. Univariate and multivariate analyses were conducted to identify independent factors associated with subscale scores. RESULTS From a total of 261 patients screened, 71 were eligible for study inclusion. Compared with the sparing group (33 patients), the dividing group (38 patients) had similar postoperative DASH scores and self-assessments but better subscale scores (9.50 ± 2.76 vs 11.94 ± 2.87, p = 0.0005). Postoperative MRI on hyperabduction showed that the brachial plexus became surrounded by normal fat tissue in the costoclavicular space in the diving group but still had signs of impingement from the untreated subclavius muscle in the sparing group. This observation agreed with a better functional recovery in terms of overhead activities in the dividing group, which was reflected by better subscale scores. Multivariate analyses indicated that the type of treatment and symptom duration prior to surgery influenced the subscale scores independently. CONCLUSIONS This study revealed that an untreated radiological nerve-compressing subclavius muscle could lead to a relatively lower degree of recovery in the ability to perform overhead activities for NTOS patients postoperatively, suggesting that such subclavius muscles may participate in positional brachial plexus compression during movements narrowing the costoclavicular space. Dividing the muscles could decompress the costoclavicular space more effectively and may lead to better functional recovery.
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Wajngarten D, Campos JADB, Botta AC, Nordi Sasso Garcia PP. Validity and reliability of the Disabilities of Arm, Shoulder, and Hand scale in dental students: A transnational study. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2018; 73:258-266. [PMID: 28489519 DOI: 10.1080/19338244.2017.1328384] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 05/05/2017] [Indexed: 06/07/2023]
Abstract
This study aimed to evaluate the validity and reliability of the Disabilities of Arm, Shoulder, and Hand (DASH) scale in Brazilian and American dental students and assess the influence of demographic variables on disability in them. A cross-sectional observational study was conducted with a nonprobabilistic sample. The sample was composed of students of both genders from the School of Dentistry of Araraquara, State University of São Paulo (UNESP) (n = 288), and students from Stony Brook University, New York, NY, USA (n = 149). The disabilities of the upper limbs were estimated using the DASH scale. The samples were characterized by collecting information on gender, academic year, and sports and work activities. The refined bifactorial model presented goodness-of-fit indices for both countries. There was a significant effect of the variables gender and academic year for the Brazilian sample and the variable sports practices for the American sample. The refined bifactorial model was valid and reliable for the Brazilian and American populations. In this model, the removal of item 17 for the Brazilian sample and items 3, 13, and 23 for the American sample was necessary. Demographic variables such as gender, academic year, and sports practice contributed significantly to the level of disability in the study populations.
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Affiliation(s)
- Danielle Wajngarten
- a Araraquara Dental School , Universidade Estadual Paulista (UNESP), Araraquara , São Paulo , Brazil
| | - Juliana Alvares Duarte Bonini Campos
- b Department of Food and Nutrition , Araraquara College of Pharmaceutical Sciences, Universidade Estadual Paulista, Araraquara (UNSEP) , São Paulo , Brazil
| | - Ana Carolina Botta
- c Department of General Dentistry , Stony Brook School of Dental Medicine , New York , New York , USA
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van Eck ME, Lameijer CM, El Moumni M. Structural validity of the Dutch version of the disability of arm, shoulder and hand questionnaire (DASH-DLV) in adult patients with hand and wrist injuries. BMC Musculoskelet Disord 2018; 19:207. [PMID: 29960600 PMCID: PMC6026503 DOI: 10.1186/s12891-018-2114-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2017] [Accepted: 05/29/2018] [Indexed: 12/19/2022] Open
Abstract
Background Fractures of the hand and wrist are one of the most common injuries seen in adults. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire has been developed as a patient-reported assessment of pain and disability to evaluate the outcome after hand and wrist injuries. Patient reported outcomes (PROs) can be interpreted as pain, function or patient satisfaction. To be able to interpret clinical relevance of a PRO, the structural validity and internal consistency is tested. The Dutch version of the DASH has not yet been validated. The aim of this study was to evaluate the structural validity and the internal consistency of the existing Dutch version of the DASH. The relevance of reporting subscale scores was investigated. Methods This study was a retrospective analysis of cross-sectional data of 370 patients with an isolated hand or wrist injury. Adult patients aged 18 to 65 years treated conservatively or surgically were included. Patients unable to understand or read the Dutch language were excluded. Confirmatory factor analysis was used to investigate the structural validity, while Cronbach’s alpha and coefficient omega were used to assess internal consistency. Results All investigated models (a single factor model, a 3-correlated factor, and a bifactor model) were associated with a good model fit. Both the single factor and the 3-correlated factor model were associated with factor loadings of at least 0.70. In addition, the covariance between the factors in the 3-correlated factor model was positive (at least 0.89) and statistically significant (p < 0.001). In the bifactor model, the additional value of subscales was limited as the items loaded high on the general factor but low on the subscale factors. Conclusion This study indicates that the Dutch version of the DASH should be considered as an unidimensional trait. A single score should be reported.
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Affiliation(s)
- M E van Eck
- University of Groningen, University Medical Center Groningen, Department of Surgery, Groningen, The Netherlands
| | - C M Lameijer
- University of Groningen, University Medical Center Groningen, Department of Surgery, Groningen, The Netherlands
| | - M El Moumni
- University of Groningen, University Medical Center Groningen, Department of Surgery, Groningen, The Netherlands.
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Braitmayer K, Dereskewitz C, Oberhauser C, Rudolf KD, Coenen M. Examination of the Applicability of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire to Patients with Hand Injuries and Diseases Using Rasch Analysis. PATIENT-PATIENT CENTERED OUTCOMES RESEARCH 2018; 10:367-376. [PMID: 28005235 DOI: 10.1007/s40271-016-0212-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire is the most commonly applied patient-reported outcome measure used to assess disability and functioning in clinical research and practice for patients with injuries and diseases of the upper extremities. The objective of this study was to assess whether the DASH is a valid and reliable questionnaire to measure disability and functioning in patients with hand injuries and diseases using Rasch analysis. METHODS We performed a psychometric study using data derived from two multicentre studies carried out to develop the International Classification of Functioning, Disability and Health (ICF) Core Sets for Hand Conditions. We analysed the data of 417 patients recruited in a clinical setting and suffering from hand injuries (e.g. finger fracture, flexor tendon injury) or diseases (e.g. carpal tunnel syndrome, rhizarthrosis). We examined whether the DASH fulfilled the assumptions for its use as a measure by applying a partial credit model and testing for differential item functioning for sex and age. RESULTS Bifactor analysis revealed problems with the underlying latent trait of functioning and disability. Rasch analysis raised further issues, including disordered thresholds for eight items and misfit in nine items. One item showed Differential Item Functioning for sex. CONCLUSION The study reveals that some DASH items do not fit the underlying trait that the DASH aims to measure. Further studies using Rasch analysis are needed to compare our findings with results of studies involving other target groups (e.g. patients with injuries of the upper arm and shoulder).
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Affiliation(s)
- Kathrin Braitmayer
- Chair for Public Health and Health Services Research, Department of Medical Informatics, Biometry and Epidemiology-IBE, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-Universität (LMU) Munich, Marchioninistr. 17, 81377, Munich, Germany
| | - Caroline Dereskewitz
- Department of Hand Surgery, Plastic- and Microsurgery, BG Hospital Hamburg, Bergedorfer Straße 10, 21033, Hamburg, Germany
| | - Cornelia Oberhauser
- Chair for Public Health and Health Services Research, Department of Medical Informatics, Biometry and Epidemiology-IBE, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-Universität (LMU) Munich, Marchioninistr. 17, 81377, Munich, Germany
| | - Klaus-Dieter Rudolf
- Department of Hand Surgery, Plastic- and Microsurgery, BG Hospital Hamburg, Bergedorfer Straße 10, 21033, Hamburg, Germany
| | - Michaela Coenen
- Chair for Public Health and Health Services Research, Department of Medical Informatics, Biometry and Epidemiology-IBE, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-Universität (LMU) Munich, Marchioninistr. 17, 81377, Munich, Germany.
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Müller JDS, Falcão IR, Couto MCBM, Viana WDS, Alves IB, Viola DN, Woods CG, Rêgo RDCF. Artisanal fisherwomen/shellfish gatherers: analyzing the impact of upper limb functioning and disability on health-related quality of life. CIENCIA & SAUDE COLETIVA 2017; 22:3635-3644. [PMID: 29211169 DOI: 10.1590/1413-812320172211.13392016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Accepted: 11/27/2016] [Indexed: 11/22/2022] Open
Abstract
The aim is to analyze upper limb functioning and disability, and its association with health-related quality of life among artisanal fisherwomen from Bahia, Brazil. Cross-sectional epidemiological study was conducted with a sample of 209 fisherwomen. Structured questionnaires were used for socio-demographic and comorbidity information, as well as the instruments Disabilities of the Arm, Shoulder and Hand (DASH) and Short-Form Healthy Survey (SF-36) respectively, to evaluate the upper limbs and health-related quality of life. The results demonstrated that the presence of musculoskeletal disorders in the upper limbs directly affects the values of the DASH instrument and the SF-36v01 questionnaire scores, while also generating a negative correlation between the DASH and SF-36v01. The varying functioning abilities, pain and social aspects negatively affect upper limb function, and the daily activities and work of fisherwomen. The presence of chronic disease and the absence of intervention and rehabilitation for these professionals, that could produces, in a long-term, cases of disability.
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Affiliation(s)
- Juliana Dos Santos Müller
- Departamento de Tecnologia em Saúde e Biologia, Instituto Federal de Educação, Ciência e Tecnologia da Bahia. R. Emídio dos Santos, Barbalho. 40301-015 Salvador BA Brasil.
| | - Ila Rocha Falcão
- Programa de Pós-Graduação em Saúde, Ambiente e Trabalho, Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade Federal da Bahia (UFBA). Salvador BA Brasil
| | - Maria Carolina Barreto Moreira Couto
- Programa de Pós-Graduação em Saúde, Ambiente e Trabalho, Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade Federal da Bahia (UFBA). Salvador BA Brasil
| | - Wendel da Silva Viana
- Programa de Pós-Graduação em Saúde, Ambiente e Trabalho, Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade Federal da Bahia (UFBA). Salvador BA Brasil
| | - Ivone Batista Alves
- Programa de Pós-Graduação em Saúde, Ambiente e Trabalho, Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade Federal da Bahia (UFBA). Salvador BA Brasil
| | - Denise Nunes Viola
- Departamento de Estatística, Instituto de Matemática, UFBA. Salvador BA Brasil
| | - Courtney Georgette Woods
- Department of Environmental Sciences and Engineering, University of North Carolina. Chapel Hill NC EUA
| | - Rita de Cássia Franco Rêgo
- Programa de Pós-Graduação em Saúde, Ambiente e Trabalho, Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade Federal da Bahia (UFBA). Salvador BA Brasil
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Resnik L, Borgia M, Silver B, Cancio J. Systematic Review of Measures of Impairment and Activity Limitation for Persons With Upper Limb Trauma and Amputation. Arch Phys Med Rehabil 2017; 98:1863-1892.e14. [DOI: 10.1016/j.apmr.2017.01.015] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Revised: 01/05/2017] [Accepted: 01/11/2017] [Indexed: 01/04/2023]
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Fernandes LFRM, Oliveira NML, Pelet DCS, Cunha AFS, Grecco MAS, Souza LAPS. Stimulus electrodiagnosis and motor and functional evaluations during ulnar nerve recovery. Braz J Phys Ther 2017; 20:126-32. [PMID: 26786072 PMCID: PMC4900034 DOI: 10.1590/bjpt-rbf.2014.0138] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2014] [Accepted: 10/06/2015] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND: Distal ulnar nerve injury leads to impairment of hand function due to motor and
sensorial changes. Stimulus electrodiagnosis (SE) is a method of assessing and
monitoring the development of this type of injury. OBJECTIVE: To identify the most sensitive electrodiagnostic parameters to evaluate ulnar
nerve recovery and to correlate these parameters (Rheobase, Chronaxie, and
Accommodation) with motor function evaluations. METHOD: A prospective cohort study of ten patients submitted to ulnar neurorrhaphy and
evaluated using electrodiagnosis and motor assessment at two moments of neural
recovery. A functional evaluation using the DASH questionnaire (Disability of the
Arm, Shoulder, and Hand) was conducted at the end to establish the functional
status of the upper limb. RESULTS: There was significant reduction only in the Chronaxie values in relation to time
of injury and side (with and without lesion), as well as significant correlation
of Chronaxie with the motor domain score. CONCLUSION: Chronaxie was the most sensitive SE parameter for detecting differences in
neuromuscular responses during the ulnar nerve recovery process and it was the
only parameter correlated with the motor assessment.
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Affiliation(s)
- Luciane F R M Fernandes
- Departamento de Fisioterapia Aplicada, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba, MG, Brazil, Universidade Federal do Triângulo Mineiro, Universidade Federal do Triângulo Mineiro, Departamento de Fisioterapia Aplicada, Uberaba MG , Brazil
| | - Nuno M L Oliveira
- Departamento de Fisioterapia Aplicada, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba, MG, Brazil, Universidade Federal do Triângulo Mineiro, Universidade Federal do Triângulo Mineiro, Departamento de Fisioterapia Aplicada, Uberaba MG , Brazil
| | - Danyelle C S Pelet
- Curso de Fisioterapia, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba, MG, Brazil, Universidade Federal do Triângulo Mineiro, Universidade Federal do Triângulo Mineiro, Uberaba MG , Brazil
| | - Agnes F S Cunha
- Curso de Fisioterapia, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba, MG, Brazil, Universidade Federal do Triângulo Mineiro, Universidade Federal do Triângulo Mineiro, Uberaba MG , Brazil
| | - Marco A S Grecco
- Departamento de Cirurgia, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba, MG, Brazil, Universidade Federal do Triângulo Mineiro, Universidade Federal do Triângulo Mineiro, Departamento de Cirurgia, Uberaba MG , Brazil
| | - Luciane A P S Souza
- Departamento de Fisioterapia Aplicada, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba, MG, Brazil, Universidade Federal do Triângulo Mineiro, Universidade Federal do Triângulo Mineiro, Departamento de Fisioterapia Aplicada, Uberaba MG , Brazil
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Psychometric Properties of the Hindi Version of the Disabilities of Arm, Shoulder, and Hand: A Pilot Study. Rehabil Res Pract 2016; 2015:482378. [PMID: 26904292 PMCID: PMC4745923 DOI: 10.1155/2015/482378] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Revised: 09/23/2015] [Accepted: 10/04/2015] [Indexed: 11/17/2022] Open
Abstract
Objectives. To culturally adapt and translate the Disabilities of Arm,
Shoulder, and Hand questionnaire into Hindi (DASH-H) and assess its reliability, validity,
and responsiveness in adult patients with shoulder tendonitis. Study
Design. Descriptive methodological research, using longitudinal design.
Setting. Outpatient clinic. Participants. 30 adult patients
aged 53.3 ± 6.9 y with shoulder tendonitis. Data Analyses.
DASH-H, visual analogue scales for pain (VAS-P) and disability (VAS-D), and shoulder
active range of motion (AROM) were assessed at baseline, 2-3 days later, and 4-5 weeks
after baseline. Intraclass correlation coefficients (ICC) assessed test-retest reliability
of these scales and responsiveness was examined by calculating effect sizes (ES) and
standardized response means (SRM). Cronbach's alpha (CA) was used to examine internal
consistency of DASH-H. Convergent construct validity of DASH-H with VAS scales and
shoulder AROM was determined using Pearson's Correlation Coefficients
(r). Results. DASH-H demonstrated good test-retest
reliability and internal consistency (ICC and CA both > 0.75) and excellent
responsiveness (ES = 2.2, SRM = 6.1). DASH-H showed high concordance (r =
−0.71, p < 0.01) with AROM-flexion and moderate concordance
(r > −0.4, p < 0.05) with VAS scales
and AROM-external rotation. Conclusion. Analyses indicate that DASH-H
demonstrates good test-retest reliability, validity, and responsiveness in patients with
shoulder tendonitis.
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Moreira TS, Magalhães LDC, Silva RD, Martin RL, Resende MAD. Translation, cross-cultural adaptation and validity of the Brazilian version of the Foot and Ankle Ability Measure questionnaire. Disabil Rehabil 2016; 38:2479-90. [PMID: 26878102 DOI: 10.3109/09638288.2015.1137979] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE To translate and cross-culturally adapt the Foot and Ankle Ability Measure (FAAM) questionnaire and verify the psychometric properties of the Brazilian-Portuguese version of this instrument. METHODS Analysis of validity was carried out by applying the Rasch model and evaluating correlations with the Short Form-36 (SF-36) Physical Function (PF) subscale. Test-retest reliability and internal consistency were analyzed with the intraclass correlation coefficient (ICC2,1) and Cronbach's alpha tests, respectively. RESULTS Ninety subjects with various foot and ankle musculoskeletal disorders (age 37.05 SD 10.49 years) were included. The ICC2,1 was 0.88 and 0.82 with Cronbach's alphas of 0.93 and 0.90 for the "Activities of Daily Living" (ADL) and "Sports" subscales, respectively. Correlations with the SF-36 PF were 0.78 (p < 0.01, CI95: 0.62-0.87) and 0.65 (p < 0.01, CI95: 0.45-0.79) for the ADL and Sports subscales, respectively. Item reliability indices in Rasch analysis were 0.91 (ADL) and 0.84 (Sports). Three items from the ADL subscale (14.2%) did not match the expectations of the model. All items from the Sports subscale fit the model. CONCLUSIONS There is evidence of validity and reliability of the FAAM-Brazil. Rasch analysis indicated that three items of the ADL subscale did not fit the model in the sample studied. Implications for Rehabilitation Self-report questionnaires are commonly used in both clinical practice and research because of their ability to efficiently collect information. If the instrument is created properly, the information collected can be used to interpret the effect of clinical conditions on physical function. The Foot and Ankle Ability Measure (FAAM) is an evaluative instrument that assesses functional limitations for those with foot- and ankle-related disorders. It was translated into four languages and has evidence of validity, reliability, and responsiveness. Evidence of validity and reliability is provided for the FAAM-Brazil when applied to subjects with a wide range of foot and ankle musculoskeletal disorders.
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Affiliation(s)
| | | | - Rafael Duarte Silva
- c Department of Physical Therapy, Faculty of Medical Sciences , Federal University of Minas Gerais , Belo Horizonte , Brazil
| | - RobRoy L Martin
- d Department of Physical Therapy , Duquesne University , Pittsburgh , PA , USA
| | - Marcos A de Resende
- e Department of Physical Therapy , Federal University of Minas Gerais , Belo Horizonte , Brazil
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Philbois SV, Martins J, Souza CS, Sampaio RF, Oliveira AS. Health professionals identify components of the International Classification of Functioning, Disability and Health (ICF) in questionnaires for the upper limb. Braz J Phys Ther 2016; 20:15-25. [PMID: 26786076 PMCID: PMC4835162 DOI: 10.1590/bjpt-rbf.2014.0135] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 08/20/2015] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND: Several Brazilian studies have addressed the International Classification of
Functioning, Disability and Health (ICF), but few have analyzed the knowledge of
the health professionals with regards to the ICF. OBJECTIVE: To verify whether the classification of the items in the Brazilian-Portuguese
versions of The Shoulder Pain and Disability Index (SPADI) and The Disabilities
Arm, Shoulder and Hand (DASH) questionnaires, obtained from health professionals
who worked with patients having upper limb injuries, could be related to ICF
components as defined by others studies. METHOD: There were 4 participants for the group "professionals with high familiarity of
the ICF (PHF)" and 19 for the group of "professionals with some or no familiarity
of the ICF (PSNF)". The participants judged whether the items on the two
questionnaires belonged to the ICF body function, body structure or
activity-participation component, and marked a confidence level for each trial
using a numerical scale ranging from zero to 10. The items were classified by the
discriminant content validity method using the Student'st-test
and the Hochberg correction. The ratings were compared to the literature by the
percentage of agreement and Kappa coefficient. RESULTS: The percentage of agreement of the rating from the PSNF and the PHF groups with
the literature was equal to or greater than 77%. For the DASH, the agreement of
the PSNF and PHF groups with the literature were, respectively, moderate
(Kappa=0.46 to 0.48) and substantial (Kappa=0.62 to 0.70). CONCLUSIONS: Health professionals were able to correlate the three components of the ICF for
most items on the 2 questionnaires, demonstrating some ease of understanding the
ICF components. However, the relation of concept of pain with body function
component is not clear for professional and deserves a more attentive
approach.
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Affiliation(s)
- Stella V Philbois
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Jaqueline Martins
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Cesário S Souza
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Rosana F Sampaio
- Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Anamaria S Oliveira
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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de Siqueira DC, Baptista AF, Souza I, Sá KN. [Translation, cultural adaptation, validity and reliability of the shoulder rating questionnaire for use in Brazil]. REVISTA BRASILEIRA DE REUMATOLOGIA 2014; 54:415-23. [PMID: 25458022 DOI: 10.1016/j.rbr.2014.04.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2013] [Revised: 03/22/2014] [Accepted: 04/10/2014] [Indexed: 10/24/2022] Open
Abstract
OBJECTIVE To translate and culturally adapt the Shoulder Rating Questionnaire (SRQ) to the Brazilian Portuguese language, and to determine its validity, reliability and sensitivity to change in patients with functional impairment of the shoulder. METHODS After translation and back-translation of the original version by four independent translators, the instrument was reviewed by a committee of experts and subsequently applied to eight patients with shoulder injury (target audience) to produce the Portuguese version. Then, this version was applied to 102 patients selected from four reference centers for functional treatment of the shoulder, who had a variety of clinical diagnoses, educational levels, socioeconomic, and cultural backgrounds. The evaluation was performed twice with an interval of four weeks between each application. RESULTS The Brazilian version of SRQ was equivalent in terms of semantics and showed good levels of reliability (Cronbach's Alpha=0.89 and ICC=0.83). The reproducibility was high (Spearman Correlation Coefficient=0.82) and validity of the items that ranged from 0.54 to 0.99 was considered excellent. The Cohen's d and T test for repeated measures showed that the instrument is able to monitor and track improvements in shoulder function. CONCLUSION Psychometric criteria were found, which justify the applicability of the Brazilian version of SRQ in individuals with shoulder functional impairments.
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Affiliation(s)
| | | | - Israel Souza
- Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro, Paracambi, RJ, Brasil
| | - Katia Nunes Sá
- Escola Baiana de Medicina e Saúde Pública, Salvador, BA, Brasil
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Amorim CSMD, Gracitelli MEC, Marques AP, Alves VLDS. Effectiveness of Global Postural Reeducation Compared to Segmental Exercises on Function, Pain, and Quality of Life of Patients With Scapular Dyskinesis Associated With Neck Pain: A Preliminary Clinical Trial. J Manipulative Physiol Ther 2014; 37:441-7. [DOI: 10.1016/j.jmpt.2013.08.011] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2012] [Revised: 07/29/2013] [Accepted: 08/05/2013] [Indexed: 10/24/2022]
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Upper extremity injury management by non-physician emergency practitioners in rural Uganda: A pilot study. Afr J Emerg Med 2014. [DOI: 10.1016/j.afjem.2013.12.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Clinimetric testing supports the use of 5 questionnaires adapted into Brazilian Portuguese for patients with shoulder disorders. J Orthop Sports Phys Ther 2013; 43:404-13. [PMID: 23508329 DOI: 10.2519/jospt.2013.4441] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
STUDY DESIGN Clinical measurement. OBJECTIVES To cross-culturally adapt the Shoulder Pain and Disability Index (SPADI) into Brazilian Portuguese and to test the measurement properties of the Brazilian Portuguese versions of the SPADI, the short form of the Disabilities of the Arm, Shoulder and Hand, the Patient-Specific Functional Scale, a numeric pain rating scale, and the Global Perceived Effect scale in patients with shoulder disorders. BACKGROUND Most instruments for shoulder disorders were developed in English. For their use in Brazil, translation into Brazilian Portuguese, cross-cultural adaptation, and testing of measurement properties of these instruments are required. METHODS The SPADI was translated and cross-culturally adapted according to current guidelines. Measurement properties of internal consistency, reproducibility, construct validity, ceiling and floor effects, and responsiveness of all instruments were tested in 100 patients with shoulder disorders. The patients filled out the questionnaires on 3 occasions: at baseline, 24 to 48 hours after baseline, and 4 weeks after baseline. RESULTS The instruments showed adequate internal consistency (Cronbach alpha between .78 and .93) and a good level of agreement, as reflected by low standard errors of measurement and minimal detectable change. The reliability (intraclass correlation coefficients) of the instruments varied from 0.82 to 0.96. Most instruments presented good levels of construct validity. All instruments showed acceptable levels of internal and external responsiveness. CONCLUSION The Portuguese Brazilian versions of the SPADI; the short form of the Disabilities of the Arm, Shoulder and Hand; a numeric pain rating scale; the Patient-Specific Functional Scale; and the Global Perceived Effect scale are reproducible, valid, and responsive instruments for assessing patients with shoulder disorders.
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Cook CE, Hegedus EJ, Stefancin JJ, Kissenberth M, Cassas K, Hawkins R, Tobola A. An investigation of the relationship between measures of pain intensity, pain affect, and disability, in patients with shoulder dysfunction. J Man Manip Ther 2011; 19:71-5. [PMID: 22547916 PMCID: PMC3172941 DOI: 10.1179/2042618610y.0000000006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
OBJECTIVES Numerous outcomes measures can be used to capture and differentiate change in different constructs comprising recovery. Consequently, patients are often burdened by completing a number of measures which involves considerable time and effort. The purpose of this longitudinal, observational study was to identify the number of dimensions in a battery of self-report findings in a patient population who received shoulder injections to investigate the association of the instruments. METHODS Ninety-nine subjects, with diagnoses of adhesive capsulitis, labral injuries, rotator cuff injuries, and osteoarthritis completed outcomes measures including five different forms of pain intensity measures, the McGill Short Form Questionnaire, and the Disabilities of the Arm, Shoulder, and Hand Questionnaire. Change scores were calculated at 4 weeks and an exploratory factor analysis (EFA) with varimax rotation was used to analyze dimensionality. The relationship between the raw scores of the seven measures was investigated using a correlation matrix. RESULTS The EFA yielded only one factor and the raw score correlations demonstrated very strong, significant associations. The finding of a single factor suggests that in this sample of patients, only one dimension of change, most likely a change in pain, is represented by the seven individual outcomes measures. DISCUSSION In this isolated example, one outcomes measure would have been sufficient in determining outcome and could have reduced the administrative burden to the caregivers and the patients.
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Franchignoni F, Giordano A, Sartorio F, Vercelli S, Pascariello B, Ferriero G. Suggestions for Refinement of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH): A Factor Analysis and Rasch Validation Study. Arch Phys Med Rehabil 2010; 91:1370-7. [DOI: 10.1016/j.apmr.2010.06.022] [Citation(s) in RCA: 63] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2010] [Revised: 06/22/2010] [Accepted: 06/23/2010] [Indexed: 10/19/2022]
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