Cargando…

A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7

BACKGROUND: Subacromial pain is a common cause of shoulder dysfunction that negatively affects quality of life. Currently, most outcome measures for shoulder pain are applied to a heterogeneous group of patients. Of these measures, the Disabilities of the Arm, Shoulder, and Hand (DASH) is the most w...

Descripción completa

Detalles Bibliográficos
Autores principales: Nordqvist, Jenny M., Johansson, Kajsa M., Holmgren, Theresa M., Adolfsson, Lars E., Öberg, Birgitta E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340831/
https://www.ncbi.nlm.nih.gov/pubmed/30675551
http://dx.doi.org/10.1016/j.jses.2017.04.001
_version_ 1783388836799184896
author Nordqvist, Jenny M.
Johansson, Kajsa M.
Holmgren, Theresa M.
Adolfsson, Lars E.
Öberg, Birgitta E.
author_facet Nordqvist, Jenny M.
Johansson, Kajsa M.
Holmgren, Theresa M.
Adolfsson, Lars E.
Öberg, Birgitta E.
author_sort Nordqvist, Jenny M.
collection PubMed
description BACKGROUND: Subacromial pain is a common cause of shoulder dysfunction that negatively affects quality of life. Currently, most outcome measures for shoulder pain are applied to a heterogeneous group of patients. Of these measures, the Disabilities of the Arm, Shoulder, and Hand (DASH) is the most widely recognized test with which to assess patients with subacromial pain. The primary aim of this study was to assess the content validity of DASH for patients with subacromial pain, with a secondary aim to test responsiveness to a modified set of DASH items tailored to these patients. METHODS: There were 129 patients who reported activities in the Patient-Specific Functional Scale (PSFS). To assess validity, 5 independent physiotherapists matched PSFS activities to the most appropriate DASH item. DASH items identified as being of greatest importance to patients were those corresponding to the highest number of PSFS-matched activities. Calculations were made for responsiveness and internal consistency. RESULTS: Physiotherapists matched DASH items to 271 PSFS activities, reaching agreement for almost 80%. Seven DASH items (DASH 7) were identified as being particularly important. Effect size data (Cohen's d) were 0.93 for DASH 7, 0.92 for DASH 30, and 0.85 for QuickDASH; the corresponding Cronbach's α values (for DASH 7, DASH 30, and QuickDASH) were 0.84, 0.94, and 0.86, respectively. CONCLUSIONS: DASH 7 is a short, patient-centered, and activity-related scale that can measure shoulder function in patients with subacromial pain using a quarter of the original DASH items. DASH 7 demonstrated responsiveness, with a satisfactory level of internal consistency.
format Online
Article
Text
id pubmed-6340831
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-63408312019-01-23 A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7 Nordqvist, Jenny M. Johansson, Kajsa M. Holmgren, Theresa M. Adolfsson, Lars E. Öberg, Birgitta E. JSES Open Access Article BACKGROUND: Subacromial pain is a common cause of shoulder dysfunction that negatively affects quality of life. Currently, most outcome measures for shoulder pain are applied to a heterogeneous group of patients. Of these measures, the Disabilities of the Arm, Shoulder, and Hand (DASH) is the most widely recognized test with which to assess patients with subacromial pain. The primary aim of this study was to assess the content validity of DASH for patients with subacromial pain, with a secondary aim to test responsiveness to a modified set of DASH items tailored to these patients. METHODS: There were 129 patients who reported activities in the Patient-Specific Functional Scale (PSFS). To assess validity, 5 independent physiotherapists matched PSFS activities to the most appropriate DASH item. DASH items identified as being of greatest importance to patients were those corresponding to the highest number of PSFS-matched activities. Calculations were made for responsiveness and internal consistency. RESULTS: Physiotherapists matched DASH items to 271 PSFS activities, reaching agreement for almost 80%. Seven DASH items (DASH 7) were identified as being particularly important. Effect size data (Cohen's d) were 0.93 for DASH 7, 0.92 for DASH 30, and 0.85 for QuickDASH; the corresponding Cronbach's α values (for DASH 7, DASH 30, and QuickDASH) were 0.84, 0.94, and 0.86, respectively. CONCLUSIONS: DASH 7 is a short, patient-centered, and activity-related scale that can measure shoulder function in patients with subacromial pain using a quarter of the original DASH items. DASH 7 demonstrated responsiveness, with a satisfactory level of internal consistency. Elsevier 2017-05-25 /pmc/articles/PMC6340831/ /pubmed/30675551 http://dx.doi.org/10.1016/j.jses.2017.04.001 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Nordqvist, Jenny M.
Johansson, Kajsa M.
Holmgren, Theresa M.
Adolfsson, Lars E.
Öberg, Birgitta E.
A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7
title A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7
title_full A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7
title_fullStr A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7
title_full_unstemmed A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7
title_short A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7
title_sort short activity-related scale for measuring shoulder function in patients with subacromial pain: the dash 7
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340831/
https://www.ncbi.nlm.nih.gov/pubmed/30675551
http://dx.doi.org/10.1016/j.jses.2017.04.001
work_keys_str_mv AT nordqvistjennym ashortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7
AT johanssonkajsam ashortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7
AT holmgrentheresam ashortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7
AT adolfssonlarse ashortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7
AT obergbirgittae ashortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7
AT nordqvistjennym shortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7
AT johanssonkajsam shortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7
AT holmgrentheresam shortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7
AT adolfssonlarse shortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7
AT obergbirgittae shortactivityrelatedscaleformeasuringshoulderfunctioninpatientswithsubacromialpainthedash7