Which Outcome Measure is the Best? Evaluating Responsiveness of the Disabilities of the Arm, Shoulder, and Hand Questionnaire, the Michigan Hand Questionnaire and the Patient-Specific Functional Scale following Hand and Wrist Surgery
- 4 March 2009
- journal article
- Published by SAGE Publications in HAND
- Vol. 4 (3), 311-318
- https://doi.org/10.1007/s11552-009-9167-x
Abstract
The purpose of this study was to determine and compare the responsiveness of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, the Michigan Hand Questionnaire (MHQ), and the Patient-Specific Functional Scale (PSFS) in patients with carpal tunnel syndrome, wrist pain, finger contracture, or tumor. Eighty-one subjects prospectively completed each questionnaire shortly before and 3 and 6 months after surgery. Data were analyzed using one-way analysis of variance and Newman–Keuls multiple comparison tests. Responsiveness to clinical change was calculated using standardized response means. The DASH was responsive for those with carpal tunnel syndrome (0.77), wrist pain (0.61), and tumor (0.55); the MHQ was responsive for those with carpal tunnel syndrome (1.04), wrist pain (0.87), and finger contracture (0.62); and the PSFS was responsive for those with carpal tunnel syndrome (0.65) and finger contracture (0.64). The interval during which the highest responsiveness occurred for the carpal tunnel, wrist pain, and finger contracture groups was the preoperative to 6-month period. The tumor group experienced the highest responsiveness during the preoperative to 3-month period. Our results indicate that one or more of the instruments evaluated are suitable for outcomes research related to surgery to treat carpal tunnel syndrome, wrist pain, finger contracture, and tumor.Keywords
This publication has 35 references indexed in Scilit:
- The effectiveness of ENAR®for the treatment of chronic neck pain in Australian adults: a preliminary single-blind, randomised controlled trialChiropractic & Manual Therapies, 2007
- Outcome evaluation measures for wrist and hand – which one to choose?International Orthopaedics, 2007
- Critical analysis of outcome measures used in the assessment of carpal tunnel syndromeInternational Orthopaedics, 2007
- Responsiveness of Pain and Disability Measures for Chronic WhiplashSpine, 2007
- Postoperative hand therapy in Dupuytren's diseaseDisability and Rehabilitation, 2007
- Responsiveness of the Michigan Hand Outcomes Questionnaire and the Disabilities of the Arm, Shoulder and Hand questionnaire in carpal tunnel surgeryThe Journal of Hand Surgery, 2005
- Responsiveness of the DASH score in surgically treated basal joint arthritis of the thumb: preliminary resultsClinical Rheumatology, 2004
- Dash and Boston questionnaire assessment of carpal tunnel syndrome outcome: what is the responsiveness of an outcome questionnaire?Journal of Hand Surgery (European Volume), 2004
- Reliabilität und Validität des Fragebogens „Upper-Limb-DASH” bei Patienten mit distalen RadiusfrakturenZeitschrift Fur Orthopadie Und Ihre Grenzgebiete, 2002
- Reliability and validity testing of the Michigan Hand Outcomes QuestionnaireThe Journal of Hand Surgery, 1998