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Reliability, Validity, and Responsiveness of the QuickDASH in Patients With Upper Limb Amputation

Published on Sep 1, 2015in Archives of Physical Medicine and Rehabilitation2.70
· DOI :10.1016/j.apmr.2015.03.023
Linda Resnik23
Estimated H-index: 23
(Brown University),
Matthew Borgia10
Estimated H-index: 10
(VA: United States Department of Veterans Affairs)
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Abstract
Abstract Objectives To examine the internal consistency, test-retest reliability, validity, and responsiveness of the shortened version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire in persons with upper limb amputation. Design Cross-sectional and longitudinal. Setting Three sites participating in the U.S. Department of Veterans Affairs Home Study of the DEKA Arm. Participants A convenience sample of upper limb amputees (N=44). Interventions Training with a multifunction upper limb prosthesis. Main Outcome Measures Multiple outcome measures including the QuickDASH were administered twice within 1 week, and for a subset of 20 persons, after completion of in-laboratory training with the DEKA Arm. Scale alphas and intraclass correlation coefficient type 3,1 (ICC 3,1 ) were used to examine reliability. Minimum detectable change (MDC) scores were calculated. Analyses of variance, comparing QuickDASH scores by the amount of prosthetic use and amputation level, were used for known-group validity analyses with alpha set at .05. Pairwise correlations between QuickDASH and other measures were used to examine concurrent validity. Responsiveness was measured by effect size (ES) and standardized response mean (SRM). Results QuickDASH alpha was .83, and ICC was .87 (95% confidence interval, .77–.93). MDC at the 95% confidence level (MDC95%) was 17.4. Full- or part-time prosthesis users had better QuickDASH scores compared with nonprosthesis users ( P =.021), as did those with more distal amputations at both baseline ( P =.042) and with the DEKA Arm ( P =.024). The QuickDASH was correlated with concurrent measures of activity limitation as expected. The ES and SRM after training with the DEKA Arm were 0.6. Conclusions This study provides evidence of reliability and validity of the QuickDASH in persons with upper limb amputation. Results provide preliminary evidence of responsiveness to prosthetic device type/training. Further research with a larger sample is needed to confirm results.
  • References (36)
  • Citations (11)
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References36
Newest
Published on Jan 1, 2015in Journal of Orthopaedic & Sports Physical Therapy3.06
Joy C. MacDermid61
Estimated H-index: 61
,
Leenesh Khadilkar2
Estimated H-index: 2
+ 1 AuthorsGeorge S. Athwal34
Estimated H-index: 34
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...
Published on Dec 1, 2014in Journal of Hand Surgery (European Volume)2.23
Heather Baltzer3
Estimated H-index: 3
(U of T: University of Toronto),
Christine B. Novak38
Estimated H-index: 38
(U of T: University of Toronto),
Steven J. McCabe14
Estimated H-index: 14
(U of T: University of Toronto)
Purpose To evaluate the variability of reported baseline Disabilities of the Arm, Shoulder, and Hand (DASH) scores for non-acute hand and wrist conditions. We hypothesized that DASH scores for evaluation of hand and wrist pathology would provide a map of scores that would correspond to severity. In addition to providing a catalog of DASH scores for various upper extremity pathologies, we hypothesized that this review would support the validity of the DASH instrument. Methods A literature search ...
Published on Dec 1, 2014in Prosthetics and Orthotics International1.48
Linda Resnik23
Estimated H-index: 23
(Brown University),
Shana Lieberman Klinger6
Estimated H-index: 6
(Providence VA Medical Center),
Katherine Etter4
Estimated H-index: 4
(Brown University)
Background and aim:DEKA Integrated Solutions Corp. (DEKA) was charged by the Defense Advanced Research Project Agency to design a prosthetic arm system that would be a dramatic improvement compared with the existing state of the art. The purpose of this article is to describe the two DEKA Arm prototypes (Gen 2 and Gen 3) used in the Veterans Affairs Study to optimize the DEKA Arm.Technique:This article reports on the features and functionality of the Gen 2 and Gen 3 prototypes discussing weight,...
Published on Feb 1, 2014in Journal of Hand Surgery (European Volume)2.23
T. Aasheim1
Estimated H-index: 1
,
Vilhjalmur Finsen17
Estimated H-index: 17
(NTNU: Norwegian University of Science and Technology)
We collected population-based normative data for the DASH (disabilities of the arm, shoulder and hand ) and QuickDASH questionnaires in order to determine the co-morbidity to be expected in a group of patients. We also studied the correlation between the two scores. A total of 2000 DASH forms and 800 QuickDASH forms were mailed to 1400 men and 1400 women. They were selected randomly in groups of 200 men and women in each age decade from 20–29 to over 80 years old. A total of 50% of the DASH form...
Published on Jan 1, 2014in Journal of Orthopaedic & Sports Physical Therapy3.06
Franco Franchignoni25
Estimated H-index: 25
,
Stefano Vercelli11
Estimated H-index: 11
+ 3 AuthorsGiorgio Ferriero9
Estimated H-index: 9
Study Design Prospective, single-group observational design. Objectives To determine the minimal clinically important difference (MCID) for the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure and its shortened version (QuickDASH) in patients with upper-limb musculoskeletal disorders, using a triangulation of distribution- and anchor-based approaches. Background Meaningful threshold change values of outcome tools are crucial for the clinical decision-making process. Methods The ...
Published on Nov 1, 2013in Quality of Life Research2.49
Carol Kennedy13
Estimated H-index: 13
(U of T: University of Toronto),
Dorcas E. Beaton40
Estimated H-index: 40
(U of T: University of Toronto)
+ 6 AuthorsRachel Couban10
Estimated H-index: 10
Purpose To identify and synthesize evidence for the measurement properties of the QuickDASH, a shortened version of the 30-item DASH (Disabilities of the Arm, Shoulder and Hand) instrument.
Published on Oct 1, 2013in Journal of Hand Therapy1.53
Linda Resnik23
Estimated H-index: 23
(Brown University),
Kristen Baxter1
Estimated H-index: 1
+ 1 AuthorsKaren Mathewson1
Estimated H-index: 1
Abstract Study design Clinical measurement. Introduction The University of New Brunswick (UNB) Test of Prosthetic Function was developed for children. No studies have examined its use with adults. Purpose of the study Our purposes were to utilize the UNB with adults to examine test–retest, inter-rater reliability and examine validity. Methods The UNB was administered to 51 subjects. Forty-five completed it twice within 1 week. Internal consistency was examined. Test–retest reliability and inter-...
Rosiland Harrington2
Estimated H-index: 2
(Georgia Regents University),
Janis Strickland Coffin3
Estimated H-index: 3
,
Bindiya Chauhan3
Estimated H-index: 3
(Georgia Regents University)
Published on Dec 1, 2012in BMC Medical Research Methodology2.51
Linda Resnik23
Estimated H-index: 23
(Brown University),
Matthew Borgia10
Estimated H-index: 10
(Providence VA Medical Center)
+ 2 AuthorsAlan M. Jette73
Estimated H-index: 73
(BU: Boston University)
Background The Computer Adaptive Test version of the Community Reintegration of Injured Service Members measure (CRIS-CAT) consists of three scales measuring Extent of, Perceived Limitations in, and Satisfaction with community integration. The CRIS-CAT was developed using item response theory methods. The purposes of this study were to assess the reliability, concurrent, known group and predictive validity and respondent burden of the CRIS-CAT. The CRIS-CAT was developed using item response theo...
Cited By11
Newest
Published on 2019in Frontiers in Neuroscience3.65
Ivana Cuberovic (Case Western Reserve University), Anisha Gill (Providence VA Medical Center)+ 2 AuthorsEmily L. Graczyk3
Estimated H-index: 3
(Case Western Reserve University)
Upper limb prostheses are specialized tools, and skilled operation is learned by amputees over time. Recently, neural prostheses using implanted peripheral nerve interfaces have enabled advances in artificial somatosensory feedback that can improve prosthesis outcomes. However, the effect of sensory learning on artificial somatosensation has not been studied, despite its known influence on intact somatosensation and analogous neuroprostheses. Sensory learning involves changes in the perception a...
Published on Dec 1, 2018in Journal of Neuroengineering and Rehabilitation3.58
Linda Resnik23
Estimated H-index: 23
(Brown University),
He Huang21
Estimated H-index: 21
(UNC: University of North Carolina at Chapel Hill)
+ 3 AuthorsNancy Wolk1
Estimated H-index: 1
(UNC: University of North Carolina at Chapel Hill)
Background Although electromyogram (EMG) pattern recognition (PR) for multifunctional upper limb prosthesis control has been reported for decades, the clinical benefits have rarely been examined. The study purposes were to: 1) compare self-report and performance outcomes of a transradial amputee immediately after training and one week after training of direct myoelectric control and EMG pattern recognition (PR) for a two-degree-of-freedom (DOF) prosthesis, and 2) examine the change in outcomes o...
Published on Dec 1, 2018in Prosthetics and Orthotics International1.48
Linda Resnik23
Estimated H-index: 23
(Brown University),
Frantzy Acluche3
Estimated H-index: 3
(Providence VA Medical Center)
+ 3 AuthorsNicole Sasson4
Estimated H-index: 4
(NYU: New York University)
Background:Research on adaptation to advanced upper limb prostheses is needed.Objectives:To (1) examine change in function, quality of life and community integration after prosthetic training, (2) determine whether change in outcomes varied by prosthesis complexity, and (3) compare patterns of change at 1 month for those who withdrew from the study and those who did not.Study design:Quasi-experimental time series.Methods:Data were analyzed for 22 participants (18 completers). Performance and sel...
Published on Dec 1, 2018in Journal of Neuroengineering and Rehabilitation3.58
Wolf Schweitzer13
Estimated H-index: 13
(UZH: University of Zurich),
Michael J. Thali48
Estimated H-index: 48
(UZH: University of Zurich),
David Egger1
Estimated H-index: 1
Prosthetic arm research predominantly focuses on “bionic” but not body-powered arms. However, any research orientation along user needs requires sufficiently precise workplace specifications and sufficiently hard testing. Forensic medicine is a demanding environment, also physically, also for non-disabled people, on several dimensions (e.g., distances, weights, size, temperature, time). As unilateral below elbow amputee user, the first author is in a unique position to provide direct comparison ...
Published on Dec 1, 2018in Scientific Reports4.01
Emily L. Graczyk3
Estimated H-index: 3
(Case Western Reserve University),
Linda Resnik23
Estimated H-index: 23
(Brown University)
+ 2 AuthorsDustin J. Tyler24
Estimated H-index: 24
(Case Western Reserve University)
The loss of a hand has many psychosocial repercussions. While advanced multi-articulated prostheses can improve function, without sensation, they cannot restore the full experience and connection of a hand. Direct nerve interfaces can restore naturalistic sensation to amputees. Our sensory restoration system produced tactile and proprioceptive sensations on the hand via neural stimulation through chronically implanted electrodes. In this study, upper limb amputees used a sensory-enabled prosthes...
Published on Feb 1, 2018in Prosthetics and Orthotics International1.48
Linda Resnik23
Estimated H-index: 23
(Providence VA Medical Center),
Matthew Borgia10
Estimated H-index: 10
(Providence VA Medical Center),
Frantzy Acluche3
Estimated H-index: 3
(Providence VA Medical Center)
Background:Measures of activity performance for adults with upper limb amputation are needed. The purposes of this study were to evaluate the measurement properties of a new measure of activity performance for adults with upper limb amputation, which we call the Brief Activity Measure for Upper Limb Amputees (BAM-ULA) and to compare BAM-ULA scores for users of different types of prostheses.Methods:In all, 35 persons with upper limb amputation were administered the BAM-ULA, twice within 1 week. I...
Published on Jan 17, 2018in PLOS ONE2.78
Linda Resnik23
Estimated H-index: 23
(Brown University),
Matthew Borgia10
Estimated H-index: 10
(Providence VA Medical Center)
+ 3 AuthorsNicole Sasson4
Estimated H-index: 4
(NYU: New York University)
Objectives Objectives were to 1) compare self-reported function, dexterity, activity performance, quality of life and community integration of the DEKA Arm to conventional prostheses; and 2) examine differences in outcomes by conventional prosthesis type, terminal device type and by DEKA Arm configuration level. Methods This was a two-part study; Part A consisted of in-laboratory training. Part B consisted of home use. Study participants were 23 prosthesis users (mean age = 45 ± 16; 87% male) wh...
Published on Jan 1, 2018in Journal of Korean Medical Science1.72
Seok Woo Hong3
Estimated H-index: 3
(Ewha Womans University),
Hyun Sik Gong23
Estimated H-index: 23
(Seoul National University Bundang Hospital)
+ 2 AuthorsGoo Hyun Baek27
Estimated H-index: 27
(Seoul National University Hospital)
View next paperResponsiveness, minimal importance difference and minimal detectable change scores of the shortened disability arm shoulder hand (QuickDASH) questionnaire