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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 Rehabilitation2.697
· DOI :10.1016/j.apmr.2015.03.023
Linda Resnik23
Estimated H-index: 23
(Brown University),
Matthew Borgia11
Estimated H-index: 11
(VA: United States Department of Veterans Affairs)
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 (14)
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References36
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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...
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#1Kristin K. SnowH-Index: 1
The SF-36 is a generic health status measure which has gained popularity as a measure of outcome in a wide variety of patient groups and social. The 36-Item Short-Form Health Survey (SF-36) and its shorter version, the SF-12, are the measures SF-36 Health Survey manual and interpretation guide. Health Services Research Unit, University of Oxford, Headington. Postal survey using a questionnaire booklet, containing the SF-36-II and questions. The SMFA, the health survey short form (SF-36) along wi...
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#1Heather L. Baltzer (U of T: University of Toronto)H-Index: 4
#2Christine B. Novak (U of T: University of Toronto)H-Index: 38
Last. Steven J. McCabe (U of T: University of Toronto)H-Index: 15
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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 ...
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#1Linda Resnik (Brown University)H-Index: 23
#2Shana Lieberman Klinger (Providence VA Medical Center)H-Index: 6
Last. Katherine Etter (Brown University)H-Index: 4
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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,...
96 CitationsSource
#1T. AasheimH-Index: 1
#2Vilhjalmur Finsen (NTNU: Norwegian University of Science and Technology)H-Index: 19
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...
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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 ...
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#1Linda Resnik (Brown University)H-Index: 23
#2Kristen BaxterH-Index: 1
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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-...
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#1Carol A. Kennedy (U of T: University of Toronto)H-Index: 13
#2Dorcas E. Beaton (U of T: University of Toronto)H-Index: 39
Last. Rachel CoubanH-Index: 11
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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.
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#1Rosiland Harrington (Georgia Regents University)H-Index: 2
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#1Ivana Cuberovic (Case Western Reserve University)
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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...
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Introduction A comprehensive study to assess quality and outcomes of care for Veterans with upper limb amputation is needed. This paper presents methods and summary findings from a national survey of Veterans with upper limb amputation. Methods After completion of a pilot study to develop and refine methods, computer-assisted telephone interviews were conducted with 808 Veterans with upper limb amputation (response rate = 47.7%; cooperation rate = 63.3%). Results Respondents were 776 unilateral ...
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Introduction EMG pattern recognition control (EMG-PR) is a promising option for control of upper limb prostheses with multiple degrees of freedom (DOF). The purposes of this study were to 1) evaluate outcomes of EMG-PR and inertial measurement units (IMU) control of the DEKA Arm as compared to personal prosthesis; and 2) compare outcomes of EMG-PR to IMU control of DEKA Arm. Methods This was a quasi-experimental, multi-site study with repeated measures that compared non-randomized groups using t...
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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...
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