Disabilities of the Arm, Shoulder and Hand (Dash) Questionnaire: Determining Functional Activity Profiles in Patients with Upper Extremity Disorders

Abstract

The Disability of Arm, Shoulder and Hand (DASH) questionnaire is a standardized measure which captures the patients' own perspective of their upper extremity health status. Based on the scores of the DASH modules: symptoms, function and sport, this follow-up study of 590 hand-injured subjects from 11 diagnostic groups evaluated impairments and disabilities perceived 2 to 5 years postoperatively. Secondly, we explored the relationships between the diagnostic groups at the individual DASH item level. Exploratory testing of statistical significance showed that the DASH modules differentiated well among the groups (ANOVA P-value 0.001) and further differences existed at the item level, so that functional activity problem profiles could be developed for each diagnostic group. Our findings confirm that the DASH is a useful instrument for outcome evaluation. Moreover, in view of the continuing challenge to provide comprehensive care which meets patients' needs in the shortest space of time, we consider that DASH has potential in the development of patient-centred treatment programmes which are tailored to the individual patients' requirements and have relevance to their daily activities.

Estudo comparativo entre ressecção do trapézio e interposição tendinosa com e sem ligamentoplastia no tratamento da artrose carpometacarpiana do polegar

“…A avaliação subjetiva dos resultados tem hoje um método comprovado de análise, que é o questionário DASH (Disabilities of the Arm, Shoulder and Hand), em que o paciente responde a 34 itens relacionados à sua capacidade funcional e a restrições a atividades de lazer e de trabalho (31) . As respostas a cada item têm valor de 1 a 5 (1 = nenhuma dificuldade; 2 = pequena dificuldade; 3 = dificuldade moderada; 4 = grande dificuldade; 5 = incapaz).…”

Outcome evaluation in shoulder surgery using 3D kinematics sensors

“…There are over 20 different assessment methods for the functional outcome of shoulder procedures [1]. Some of these (such as the Disabilities of the Arm and Shoulder score (DASH) [2] and the Simple Shoulder Test score (SST) [3]) are widely used, although none has been universally accepted. These instruments assign a score to the patient using questionnaires based on separate domains: pain, function and overall satisfaction.…”

Korelacija skora dobijenog upitnikom o nesposobnosti ruke, ramena i šake sa kliničkim parametrima pacijenata na rehabilitaciji poslije traume

“…Rezultati MMT, kao i rezultati obima pokreta u segmentima gornjih ekstremiteta su u skladu sa rezultatima DASH upitnika koji je pokazao značajna poboljšanja skorova skale funkcija/simptomi. Dobijeni rezultati su u skladu sa rezultatima drugih autora [20][21][22], gdje su ustanovljene korelacije između objektivnih parametara kao što su obim pokreta zahvaćenog zgloba te mišićna snaga i DASH upitnika. Tako su Michael Mc Kee i saradnici [23] pratili funkcionalni oporavak 25 pacijenata sa prelomom distalnog dijela humerusa koji su operativno liječeni, mjereći objektivne parametre (obim pokreta u lakatnom zglobu i mišićnu snagu) te koristeći DASH upitnik.…”