DASH-Daten nicht-klinischer versus klinischer Personengruppen – eine Vergleichsstudie mit T-Normen für die klinische Praxis

Abstract

Using T-norms a reference framework has been established for DASH scores, thus making it possible to interpret and compare individual scores between patients.

Is Repetitive Workload a Risk Factor for Upper Extremity Musculoskeletal Disorders in Surgical Device Mechanics? A Cross-Sectional Analysis

“…Surprisingly, it is not the grinders with their loading and repetitive activity tasks that have the highest (=worst) DASH score, but the packers whose work tasks are defined as repetitive with less loading and more variability in the movement sequences. This finding contrasts with a study which has shown significant differences in DASH scores between manually demanding and manually low-demanding jobs in favour of the latter [48]. One reason for this could be that working hours and job designs have changed significantly in the medical device industry in recent decades so there may be no relevant differences to other occupational groups with a lower workload.…”

“…Active range of motion of the wrist and pain on the visual analogue scale (VAS) showed no abnormalities or relevant differences between the groups. The measured values for grip strength were partly below the published reference values, taking into account handedness, age, and sex [38,48]. In the Purdue Pegboard Tests our subjects mostly performed below than the reference values given [40,55].…”

“…The average values of the three investigated groups correspond to those of a population not employed in manual work. A literature review showed that our scores are generally lower than in most studies that have analysed normative values in the general population outside clinical settings [37,48,[51][52][53]. We gained the impression that some test subjects had previously reported clinical complaints well below a DASH score of 29, which was defined by Williams as a kind of threshold [54].…”

“…Interestingly, the DASH showed a homogeneous distribution between the three groups in men, while women had a very inhomogeneous distribution. The influence of age (increasing DASH scores with increasing age) and gender (higher DASH scores in women) as well as further co-variates in this context will be topic of our future studies [48,52].…”

Der Nürnberger Handscore. Ein neues System zur Erfassung von Verbrennungsfolgen an der Hand

“…Er wurde erkl ä rterma ß en so konzipiert, dass ein Vergleich zwischen pr ä -und postoperativer Befragung m ö glich ist, und erlaubt daher eine vergleichende Bewertung elektiver Eingriff e [1,2] . F ü r alleinige Nachuntersuchungen l ä sst er sich nat ü rlich auch verwenden [6] . Der DASH-Score wird als der f ü r Patienten mit multiplen Funktionsst ö rungen der oberen Extremit ä t am besten geeignete betrachtet [7] .…”