Measuring Levels of Upper-Extremity Disability in Employed Adults Using the DASH Questionnaire

Jester, Andrea; Harth, Angela; Germann, G.

doi:10.1016/j.jhsa.2005.04.009

Cited by 110 publications

(96 citation statements)

References 13 publications

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“…The observed mean DASH score for the background population was close to reported normative values (36). A 10-point difference in mean DASH scores has been reported as a minimal clinically important difference (37), which suggests that both patient groups had clinically importantly elevated DASH scores when compared to their matched population referents.…”

Section: Discussionsupporting

confidence: 79%

Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle

Svendsen¹,

Johnsen²,

Fuglsang-Frederiksen³

et al. 2013

Scand J Work Environ Health

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Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle by Svendsen SW, Johnsen B, Fuglsang-Frederiksen A, Frost P Little is known on prognostic factors for ulnar neuropathy confirmed by nerve conduction studies (NCS) and ulnar neuropathy-like symptoms with normal ulnar nerve NCS. Negative prognostic factors included high occupational force requirements, current smoking, obesity, and abnormal NCS. Reduction of high occupational force requirements, smoking, and obesity might improve prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms. Original article Scand J Work Environ Health. 2013;39(5):506-514. doi:10.5271/sjweh.3352 Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle Objective The aim of this paper was to identify prognostic factors for severity of symptoms and disability among patients with ulnar neuropathy confirmed by nerve conduction studies (NCS) or ulnar neuropathy-like symptoms with normal ulnar nerve NCS. Affiliation MethodsWe conducted a cohort study based on a matched case-referent study. In 2008, we mailed a questionnaire to 1179 patients who were examined by NCS for suspected ulnar neuropathy at the age of ≥18-<65 years, [2001][2002][2003][2004][2005][2006][2007]. Potential prognostic factors included occupational biomechanical exposures, lifestyle factors, and NCS result. Outcomes were severity of symptoms and disability according to questionnaire scores. Referents delivered reference values. We used ordinal logistic regression. ResultsThe proportion who responded was 61%, comprising 324 patients with ulnar neuropathy and 396 with ulnar neuropathy-like symptoms. At follow-up, both patient groups had more severe symptoms and disability than age-and sex-matched referents. Abnormal NCS indicated a poorer prognosis regarding symptom severity [odds ratio (OR) 1.44, 95% confidence interval (95% CI) 1.01-2.01], but not disability (OR 0.78, 95% CI 0.57-1.08). High occupational force requirements indicated a poorer prognosis regarding both symptom severity (OR 1.78, 95% CI 1.10-2.88) and disability (OR 1.66, 95% CI 1.06-2.59). Other negative prognostic factors for both outcomes were current smoking, obesity, distal upper-extremity fractures, female sex, and a recent NCS date (suggesting improvement over time).Conclusions NCS confirmation of ulnar neuropathy identified patients with a poorer prognosis regarding symptoms. A negative impact of high occupational force requirements, current smoking, and obesity on both outcomes suggested that reduction of these factors might improve prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms.

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Section: Discussionsupporting

confidence: 79%

Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle

Svendsen¹,

Johnsen²,

Fuglsang-Frederiksen³

et al. 2013

Scand J Work Environ Health

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“…The mean normative DASH score value in healthy patients in the United States has been reported to be 10.10 ± 14.68 points [9]. The DASH is well known for its reliability and validity for evaluations of upper extremity dysfunctions [8,10,11]. In this study, we used the Korean version of the DASH questionnaire (K-DASH) [16].…”

Section: Methodsmentioning

confidence: 99%

The Impact of Digit-related Radiographic Osteoarthritis of the Hand on Grip-strength and Upper Extremity Disability

Lee

Paik

Lim

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Interpreting the impact of hand osteoarthritis (OA) on hand function is complicated owing to the multiple digits and joints in the hand. Questions/purpose We determined the impact of digitrelated radiographic OA on hand function in patients 65 years or older.Methods We evaluated hand radiographs in 196 men and 182 women older than 65 years without shoulder or elbow pain who participated in the Korean Longitudinal Study on Health and Aging. Using the Kellgren and Lawrence criteria, we graded the 15 joints in each hand from 0 to 4 for OA, and evaluated hand function by measuring DASH scores and grip and pinch strength of dominant hands. We performed multiple linear regression analyses to evaluate associations between hand functions and the sum of Kellgren and Lawrence grade of each digit. Results The sums of Kellgren and Lawrence grades for thumbs and middle fingers were independently associated with grip strength, and the sums of the Kellgren and Lawrence grades for thumbs and index fingers were independently associated with pinch strength after controlling for age and sex. DASH scores were independently associated with OA of the thumb, or index or middle finger, but not with OA of the ring or small finger. Conclusions This study revealed cumulative effects of joint involvement and Kellgren and Lawrence grades of thumb and middle finger OA on grip strength, and thumb and index finger OA on pinch strength. Furthermore, OA of either of three radial digits was associated with more severe upper extremity disabilities.

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“…The DASH has good validity, test-retest reliability, and responsiveness to study musculoskeletal disorders and its usefulness as a measure to monitor upper-extremity conditions has been confirmed. 26 In the current study, we used the standard part of the DASH, omitting the two optional sections on sports/music (four items) and work activities (four items).…”

mentioning

confidence: 99%

Dynamometry of intrinsic hand muscles in patients with Charcot–Marie–Tooth disease

Selles¹,

Ginneken²,

Schreuders³

et al. 2006

Neurology

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Abstract-Background: Several problems are associated with manual muscle testing and dynamometry in the hands of patients with Charcot-Marie-Tooth (CMT) disease. Objective: To evaluate the efficacy of the Rotterdam Intrinsic Hand Myometer (RIHM) to directly measure intrinsic hand muscle strength in CMT disease. Methods: We measured hand muscle strength and hand function in 41 patients with CMT disease. Results: RIHM measurement of intrinsic strength had excellent reliability. We found overlapping RIHM strength values in Medical Research Council grades 3 to 5. High grip and pinch strength could be found in patients with severe intrinsic muscle weakness. RIHM measurements were more strongly correlated with fine motor skills of the hand than grip and pinch strength. Conclusions: The Rotterdam Intrinsic Hand Myometer is a reliable instrument to measure intrinsic hand muscles strength in patients with CharcotMarie-Tooth disease, providing more detailed information than manual muscle testing and a more direct assessment of intrinsic muscle loss than grip and pinch dynamometers.

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Measuring Levels of Upper-Extremity Disability in Employed Adults Using the DASH Questionnaire

Cited by 110 publications

References 13 publications

Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle

Prognosis of ulnar neuropathy and ulnar neuropathy-like symptoms in relation to occupational biomechanical exposures and lifestyle

The Impact of Digit-related Radiographic Osteoarthritis of the Hand on Grip-strength and Upper Extremity Disability

Dynamometry of intrinsic hand muscles in patients with Charcot–Marie–Tooth disease

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