Hobby J L, Watts C, Elliot D
North Hampshire Hospital, Aldermaston Road, Basingstoke, Hampshire RG24 9NA, UK.
J Hand Surg Br. 2005 Aug;30(4):350-4. doi: 10.1016/j.jhsb.2005.03.009.
The aim of this study was to assess the validity of the Patient Evaluation Measure questionnaire (PEM) as an outcome measure in carpal tunnel syndrome. The PEM was compared to the DASH questionnaire and to objective measurements of hand function. We also compared its responsiveness to changes following carpal tunnel release with that of the DASH score. Twenty-four patients completed the PEM and DASH questionnaires before and 3 months after open carpal tunnel release. Grip strength, static two-point discrimination and the nine-hole peg test were measured. There was a significant correlation between individual items of the PEM and the objective measures. There was also strong correlation between PEM and DASH scores. The PEM showed a greater responsiveness to change (effect size 0.97) than the DASH score (effect size 0.49). The PEM correlates well with objective measures of hand function and the DASH score when used in carpal tunnel syndrome. It is more responsive to change than the DASH score. It is very simple to complete and score and is an appropriate and practical outcome measure in carpal tunnel syndrome.
本研究的目的是评估患者评估量表问卷(PEM)作为腕管综合征疗效指标的有效性。将PEM与DASH问卷以及手部功能的客观测量指标进行比较。我们还比较了其在腕管松解术后对变化的反应性与DASH评分的反应性。24例患者在开放性腕管松解术前和术后3个月完成了PEM和DASH问卷。测量了握力、静态两点辨别觉和九孔插板试验。PEM的各个项目与客观测量指标之间存在显著相关性。PEM与DASH评分之间也存在很强的相关性。PEM对变化的反应性(效应大小为0.97)大于DASH评分(效应大小为0.49)。在腕管综合征中使用时,PEM与手部功能的客观测量指标和DASH评分相关性良好。它对变化的反应性比DASH评分更强。它完成和评分非常简单,是腕管综合征中一种合适且实用的疗效指标。