Update of the Quick DASH Questionnaire to Account for Modern Technology

Abstract

Background: Almost 2 decades have passed since the development of the items contained in the Quick Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and during this time, daily tasks have changed to adapt to changes in technology. Methods: A cohort of 108 patients completed demographic information, the Quick DASH (both standard and technologically updated versions), and 2 Patient-Reported Outcomes Measurement Information System (PROMIS)-based computerized adaptive testing questionnaires: PROMIS pain interference and upper-extremity function. To create a technologically updated Quick DASH, we substituted 3 items from the standard Quick DASH questionnaire with 3 other items related to the use of technology: (1) Text or dial with your cell phone, (2) Type on a keyboard, and (3) Use a computer mouse. Results: The technologically updated Quick DASH questionnaire had lower scores compared with the standard Quick DASH (37 vs. 33, respectively), but they had a large correlation and both had high internal consistency. The items "Text or dial with your cell phone" and "Use a computer mouse" in the updated Quick DASH questionnaire had the lowest scores. Except for affected side, the standard Quick DASH and updated Quick DASH were influenced by the same factors. PROMIS pain interference was the only independent variable affecting both questionnaire scores. Conclusions: A technologically updated Quick DASH had no advantage over the standard Quick DASH.

Outcome of conservative and surgical treatment of enchondromas and atypical cartilaginous tumors of the long bones: retrospective analysis of 228 patients

“…Analog scale ratings for pain and patient satisfaction from 0 to 10 were obtained. Clinical function was semi-quantitatively evaluated for the affected body part with the oxford knee score [20], oxford hip score [21], foot and ankle disability score [22], or quick disabilities of arm shoulder and hand score [23]. Score values were recalculated into a 4-point grading with a range from 0 to 3 points (0 = no functional deficit; 3 = high disability with poor function).…”

Function, strength, and muscle activation of the shoulder complex in Crossfit practitioners with and without pain: a cross-sectional observational study

“…The DASH questionnaire is used to assess upper limb function in heterogeneous populations, with different levels of dysfunctions and symptoms [ 28 – 30 ]. It is composed of a module of 30 questions on the function of the upper limb and two optional modules, composed of 4 questions each, which address the impact of upper limb symptoms on the ability to play musical instruments / play sports and on the performance of the profession.…”

Content and psychometric evaluations of questionnaires for assessing physical function in people with arm–shoulder–hand disorders. A systematic review of the literature

“…Further, there were also few similarities with previous reviews regarding the inclusion of studies. The current study included five studies investigating the DASH [45,[51][52][53][54] and ten studies investigating the Quick-DASH [32,45,49,52,53,[55][56][57][58][59], while Alreni et al [7] only presented results from two studies for DASH [60,61] and three for Quick-DASH [55,61,62]. Only one study was used in both cases despite overlapping time frames.…”