Abstract
The aim of this study was to assess the reliability and validity of the Turkish version of the Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) scale in patients with carpal tunnel syndrome (CTS). Sixty nine patients with idiopathic CTS were included. The Quick DASH questionnaire consists of three subscales including disability/symptom, and work and sports/performing arts. Quick DASH was administered after translation process to subjects twice a week for testing reliability. The validity was based on correlating Quick DASH with the Boston Questionnaire, visual analogue scale—pain (VAS-pain), and pinch and grip strength tests. Reliability of the Turkish version of the Quick DASH scale was very good with high internal consistency (Cronbach’s alpha 0.84 for disability/symptom subscale, 0.937 for work subscale, and 0.926 for sports/performing arts subscale) and test–retest reliability (intraclass correlation coefficient 0.931 for disability/symptom subscale, 0.925 for work subscale, and 0.779 for sports/performing arts subscale). The disability/symptom subscale had moderate correlations with the VAS-pain and grip strength test and good correlation with the pinch strength test. The work subscales had moderate correlations with VAS-pain, and pinch and pinch grip strength tests. A high correlation was found between the disability/symptom and work subscales with Boston symptom severity and Boston functional status subscores. The Turkish version of Quick DASH was reliable and valid for evaluating symptoms and functional disability in patients with CTS. Our results suggest that Quick DASH could be preferred as it is a simple and easy scale to use.
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Uchiyama S, Imaeda T, Toh S, Kusunose K, Sawaizumi T, Wada T, Okinaga S, Nishida J, Omokawa S (2007) Comparison of responsiveness of the Japanese Society for Surgery of the Hand version of the carpal tunnel syndrome instrument to surgical treatment with DASH, SF-36, and physical findings. J Orthop Sci 12:249–253
Fok MWM, Leung HB, Lee WM (2007) Evaluation of a Hong Kong Chinese version of a self administered questionnaire for assessing symptom severity and functional status of carpal tunnel syndrome: cross-cultural adaptation and reliability. Hong Kong Med J 13:342–347
Atroshi I, Gummesson C, Johnsson R, Ornstein R, Ranstam J, Rosen I (1999) Prevalence of carpal tunnel syndrome in a general population. JAMA 282(2):153–158
Thomsen JF, Gerr F, Atroshi I (2008) Carpal tunnel syndrome and the use of computer mouse and keyboard: a systematic review. BMC Musculoskelet Disord 9:134, Review
Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, Katz JN (1993) A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Jt Surg 75(11):1585–1592
Imaeda T, Toh S, Wada T, Uchiyama S, Okinaga S, Kusunose K, Sawaizumi T (2006) Validation of the Japanese Society for Surgery of the Hand version of the Quick Disability of the Arm, Shoulder, and Hand (QuickDASH-JSSH) questionnaire. J Orthop Sci 11:248–253
Richards RR, An KN, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG, Research Committee, American Shoulder and Elbow Surgeons et al (1994) A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 3:347–352
Hudak PL, Amadio PC, Bombardier C, The Upper Extremity Collaborative Group (UECG) (1996) Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder, and Head). Am J Ind Med 29:602–608
Eechaute C, Vaes P, Aerschot LV, Asman S, Duquet W (2007) The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: a systematic review. BMC Musculoskelet Disord 8:6
Guillemin F (2000) Functional disability and quality-of-life assessment in clinical practice. Rheumatology 39(suppl):17–23
Sezgin M, Arinci Incel N, Sevim S, Camdeviren H, As I, Erdogan C (2006) Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and validity of the Turkish version of the Boston Questionnaire. Disability and Rehabilitation 1–6
Fayad F, Lefevre-Colau MM, Mace Y, Gautheron V, Fermanian J, Roren A, Roby-Brami A, Revel M, Poiraudeau S (2008) Responsiveness of the French version of the Disability of the Arm, Shoulder, and Hand questionnaire (F-DASH) in patients with orthopaedic and medical shoulder disorders. Joint Bone Spine 75:579–584
Atroshi I, Gummesson C, Andersson B, Dahlgren E, Johansson A (2000) The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patients. Acta Orthop Scand 71(6):613–618
Rosales RS, Delgado EB, Diez de la Lastra-Bosch I (2002) Evaluation of the Spanish version of the DASH and carpal tunnel syndrome health-related quality-of-life instruments: cross-cultural adaptation process and reliability. J Hand Surg 27A:334–343
Offenbächer M, Ewert T, Sangha O, Stucki G (2003) Validation of a German version of the ‘Disabilities of Arm, Shoulder and Hand’ questionnaire (DASH-G). Z Rheumatol 62(2):168–177
Veehof MM, Sleegers EJ, van Veldhoven NH et al (2002) Psychometric qualities of the Dutch language version of the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH-DLV). J Hand Ther 15:347–354
Padua R, Padua L, Ceccarelli E et al (2003) Italian version of the Disability of the Arm, Shoulder, and Hand (DASH) Questionnaire. Cross cultural adaptation and validation. J Hand Surg 28B:179–186
Liang HW, Wang HK, Yao G et al (2004) Psychometric evaluation of the Taiwan version of the Disability of the Arm, Shoulder, and Hand (DASH) Questionnaire. J Formos Med Assoc 103:773–779
Lee EW, Chung MM, Li AP et al (2005) Construct validity of the Chinese version of the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH-HKPWH). J Hand Surg 30B:29–34
Orfale AG, Araujo PM, Ferraz MB et al (2005) Translation into Brazilian Portuguese, cultural adaptation and evaluation of the reliability of the Disabilities of the Arm, Shoulder, and Hand Questionnaire. Braz J Med Biol Res 38:293–302
Themistocleous GS, Goudelis G, Kyrou I et al (2006) Translation into Greek, cross-cultural adaptation and validation of the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH). J Hand Ther 19:350–357
Greenslade JR, Mehta RL, Belward P, Warwick DJ (2004) Dash and Boston questionnaire assessment of carpal tunnel syndrome outcome: what is the responsiveness of an outcome questionnaire? J Hand Surg 29(2):159–164
Beaton DE, Wright JG, Katz JN, The Upper Extremity Collaborative Group (2005) Development of the Quick DASH: comparison of three item-reduction approaches. J Bone Joint Surg Am 87:1038–1046
Fayad F, Lefevre-Colau MM, Gautheron V, Mace Y, Fermanian J, Mayoux-Benhamou A, Roren A, Rannou F, Roby-Brami A, Revel M, Poiraudeau S (2008) Reliability, validity and responsiveness of the French version of the questionnaire Quick Disability of the Arm, Shoulder, and Hand in shoulder disorders. Man Ther Apr 22
Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25(24):3186–3191
Norholm V, Bech P (2001) The WHO quality of life (WHOQOL) questionnaire: Danish validation study. Nord J Psychiatry 55:229–235
Streiner DL, Norman GR (1998) Health measurement scales. A practical guide to their development and use, 2nd edn. Oxford University Press, Oxford
Cronbach LJ (1951) Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334
Jones SD, Steiner A, Garrett SL, Calin A (1996) The BATH ankylosing spondylitis patient global score (BAS-G). British J Rheum 35:66–71
Whalley K, Adams J (2009) The longitudinal validity of the quick and full version of the Disability of the Arm, Shoulder, and Hand questionnaire in musculoskeletal hand outpatients. Hand Ther 14:22–25
Gummesson C, Ward MM, Atroshi I (2006) The shortened disabilities of the arm, shoulder, and hand questionnaire (QuickDASH): validity and reliability based on responses within the full-length DASH. BMC Musculoskelet Disord 7:44
Hobby JL, Watts C, Elliot D (2005) Validity and responsiveness of the patient evaluation measure as an outcome measure for carpal tunnel syndrome. J Hand Surg 30(4):350–354
Matheson LN, Melhorn JM, Mayer TG, Theodore BR, Gatchel RJ (2006) Reliability of a visual analog version of the QuickDASH. J Bone Joint Surg Am 88:1782–1787
Fan ZJ, Smith CK, Silverstein BA (2008) Assessing validity of the QuickDASH and SF-12 as surveillance tools among workers with neck or upper extremity musculoskeletal disorders. J Hand Ther 21:354–365
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We thank PhD Derya Öztuna provided invaluable assistance with statistical analyses.
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Koldas Dogan, S., Ay, S., Evcik, D. et al. Adaptation of Turkish version of the questionnaire Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) in patients with carpal tunnel syndrome. Clin Rheumatol 30, 185–191 (2011). https://doi.org/10.1007/s10067-010-1470-y
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DOI: https://doi.org/10.1007/s10067-010-1470-y