Concurrent Validation of the DASH and the QuickDASH in Comparison to Neck-Specific Scales in Patients With Neck Pain

Mehta, Saurabh P.; MacDermid, Joy C.; Carlesso, Lisa C.; McPhee, Colleen

doi:10.1097/brs.0b013e3181c85151

Cited by 50 publications

(48 citation statements)

References 46 publications

(36 reference statements)

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“…4,27,39 Our data agreed in terms of the direction of this bias (QuickDASH giving higher scores), but suggested that the potential bias was relatively small (1-3 points). The frequency distribution graph of difference between the QuickDASH and DASH indicates that score differences usually are less than 5 points, although our limits of agreement illustrated that it was a sizable difference in some patients.…”

Section: Discussionsupporting

confidence: 55%

Validity of the QuickDASH in Patients With Shoulder-Related Disorders Undergoing Surgery

MacDermid

Khadilkar²,

Birmingham³

et al. 2015

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Validity study. Objective To determine the validity of the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH) in comparison to the full DASH in patients undergoing total shoulder arthroplasty (TSA) and rotator cuff repair (RCR). Background The QuickDASH is a shorter version of the DASH that may reduce respondent burden while retaining similar measurement properties. Methods One hundred thirty-two patients undergoing TSA or RCR were assessed at baseline and at 3 and 6 months postoperatively. The patients completed the DASH, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form self-report section, and the Western Ontario Rotator Cuff index, and were tested to determine their shoulder range of motion and isometric strength. The differences between scores on the DASH and QuickDASH across the scale range were evaluated using the Bland-Altman technique. Item difficulty, correlations with other patient-reported outcome measures, and physical impairments were used to assess validity. Known group validity was assessed by examining differentiation of work status. Responsiveness was assessed through standardized response means. Results QuickDASH scores were slightly higher than DASH scores, with a mean difference of 1 to 1.3 points for the TSA group and 1 to 3 points for the RCR group tested preoperatively, and at 3 months and 6 months postoperatively, although limits of agreement were wide (ranging from −10 to 13 across all estimates). The QuickDASH items were distributed across the full DASH, when ranked by item difficulty, for both patient groups. The correlation between the QuickDASH and DASH was almost perfect (r>0.92). Correlations between the DASH/QuickDASH and other patient-reported outcome measures ranged from moderate to very large (American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form self-report section, r = 0.47–0.85; Western Ontario Rotator Cuff index, r = 0.83–0.91), whereas correlations to impairments were small to moderate. Correlation estimates varied by less than 0.07, depending on whether the DASH or QuickDASH was used, suggesting equivalent construct validity. Both the DASH and QuickDASH discriminated between working and nonworking patients, with similar group differences and statistical significance (P<.01). The QuickDASH and DASH showed similar responsiveness between presurgery and 6-month follow-up (standardized response mean, 1.1 following TSA and 0.8 following RCR). Conclusion When substituting the QuickDASH for the full DASH, similar score estimates, discrimination of clinically relevant subgroups, and responsiveness can be expected across patients following TSA and RCR. J Orthop Sports Phys Ther 2015;45(1):25–36. Epub 13 Nov 2014. doi:10.2519/jospt.2015.5033

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Section: Discussionsupporting

confidence: 55%

Validity of the QuickDASH in Patients With Shoulder-Related Disorders Undergoing Surgery

MacDermid

Khadilkar²,

Birmingham³

et al. 2015

Journal of Orthopaedic & Sports Physical Therapy

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“…Although studies have shown that the full-length questionnaire provides more specific and accurate results, 18 numerous reports also indicate that the QuickDASH instrument can be used instead of the DASH questionnaire, with similar precision in upper extremity disorders. 16,[19][20][21] Additional studies have shown the independent responsiveness, validity, and reliability of the QuickDASH 22-26 for various upper extremity disorders.…”

Section: Methodsmentioning

confidence: 99%

The Usefulness of Patient-Reported Measures for Clinical Practice

Vliet

Maradey²,

Homa³

et al. 2013

Plastic and Reconstructive Surgery

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“…The scores on the NDI and DASH showed good correlation (whole population correlation r = 0.51). Higher levels of correlation have been reported in the literature (0.7-0.8) (McLean et al, 2011;Mehta et al, 2010;Osborn and Jull 2013) indicating a substantial link between upper limb function and neck pain.…”

Section: Discussionmentioning

confidence: 67%

“…Osborn and Jull (2013) state that up to 80% of patients report upper limb activities aggravating to their neck pain. Other studies have reported a high correlation (r = 0.67-0.83) between neck disability (evaluated using the Neck Disability Index (NDI) and the Northwick Park Neck Pain Questionnaire (NPQ)) and disability of the upper limb (evaluated using the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire (Huisstede et al, 2009;Mehta et al, 2010;Osborn and Jull 2013) indicating a relationship between neck pain and upper limb disability. Although the exact mechanism between impaired upper limb function and neck pain has not been extensively researched, studies investigating the efficacy of exercise for the treatment of neck pain and headaches usually include shoulder girdle and upper limb exercises in their exercise protocols (Amorim et al, 2014;Ang et al, 2009;Bronfort et al, 2001;Franca et al, 2008;Jull et al, 2002;Kay et al, 2012;Varatharajan et al, 2016).…”

Section: Study 1 (Chapter 3)mentioning

confidence: 99%

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Refining scapulothoracic kinematic measurement and characterising scapulothoracic resting posture in those with and without chronic non-specific neck pain

Bet-Or¹

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Neck pain is a common and recurrent condition affecting between 30 to 50% of adults in any given year. People experiencing neck pain commonly report difficulties in performing activities involving the upper extremity. Furthermore, clinical trials that have included exercises that target the shoulder girdle have shown beneficial effects in reducing neck pain. These observations are feasible based on the biomechanical dependence of the cervical spine and shoulder girdle, which includes common muscle attachments. However, to date there has been a paucity of studies investigating underlying movement disorders of the shoulder girdle in people with neck pain. This is in part due to the challenges of kinematic measurement in this region. The aim of this thesis is to contribute to the literature concerning the role of the shoulder girdle and thorax complex in neck pain from three perspectives. First, the thesis has further refined and informed measurement methods of shoulder girdle and thoracic kinematics (Studies 1-3). Secondly, the thesis further defined normative kinematics of the region with a focus on upright resting posture (Study 4). Thirdly, the thesis explored differences in shoulder girdle and thoracic resting posture in upright standing in those with and without neck pain (Study 5).Advancement in knowledge concerning normal and impaired function of the shoulder girdle has been hindered by challenges related to 3D motion capture of the shoulder girdle and thorax due to skin movement and the complexity of measuring multiple joints and axes of rotation. Therefore, Study1 focused on refining and validating an acromion marker cluster (AMC) method to track scapular movement with the intent of minimising skin movement error. Although the findings of Study 1 indicated that the refined AMC design did not appear to lessen skin movement error compared to previous designs, it was found to be of comparable accuracy (max RMSE 4.45°) and reliability to previous designs (within-session test-retest ICC 0.79-0.99) and appropriate for use in the subsequent thesis studies. In Study 2 the reliability and validity of the AMC method was further evaluated in its capacity to track the scapula at end range clavicular movements (protraction/retraction, elevation/depression). Establishing its measurement accuracy and reliability (max RMSE 6.6°) in these common directions of scapula motion was necessary as it had been previously unstudied. While Studies 1 and 2 focused on optimising the measurement of scapulothoracic kinematics by ensuring the scapula could be tracked accurately, Study 3 focused on refining the measurement of the relationship between the shoulder girdle and the underlying thorax. This study compared thoracic and shoulder girdle postural relationships expressed in the external reference frame to that expressed in the traditionally used ISB recommended thorax reference frame. Using these different frames of iii reference Study 3 also compared measures of thoracic inclination and thoracic curvature. The findings sho...

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Concurrent Validation of the DASH and the QuickDASH in Comparison to Neck-Specific Scales in Patients With Neck Pain

Cited by 50 publications

References 46 publications

Validity of the QuickDASH in Patients With Shoulder-Related Disorders Undergoing Surgery

Validity of the QuickDASH in Patients With Shoulder-Related Disorders Undergoing Surgery

The Usefulness of Patient-Reported Measures for Clinical Practice

Refining scapulothoracic kinematic measurement and characterising scapulothoracic resting posture in those with and without chronic non-specific neck pain

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