Chiari-Grisar Catharina, Koller Ulrich, Stamm Tanja A, Wanivenhaus Axel, Trieb Klemens
Department of Orthopaedics, Medical University of Vienna, Austria.
Arch Phys Med Rehabil. 2006 Feb;87(2):203-6. doi: 10.1016/j.apmr.2005.10.007.
To compare the performance of the Disabilities of the Arm, Shoulder and Hand Outcome (DASH) Questionnaire and the Moberg Picking Up Test (MPUT) with other outcome measurement tools in assessing both hand function and aspects of general health in finger joint arthroplasty in patients with rheumatoid arthritis (RA).
Case series, with an average follow-up duration of 104.9 months.
Orthopedic outpatient clinic at a university hospital.
Of 64 consecutive patients (21 dead, 6 lost to follow-up), 37 patients with 140 spacers in 107 metacarpophalangeal and 33 proximal interphalangeal joints of 51 hands were evaluated.
Not applicable.
Hand function tests and general health measures.
The DASH correlated with both hand function (Health Assessment Questionnaire: r=.72, P<.01; MPUT: r=0.6, P<.01) and general health (Medical Outcomes Study 36-Item Short-Form Health Survey subscales: r range, -.73 to -.31; P range, <.001 to <.05). The MPUT was a suitable tool for precision grip testing.
The DASH has the advantage of being self-administered and assesses both functional and health aspects. It can be recommended as an instrument for a routine clinical follow-up for patients with hand surgery and RA. Additional tests should be applied when detailed information is needed.
比较上肢、肩部和手部功能障碍结局（DASH）问卷和莫伯格拾物试验（MPUT）与其他结局测量工具在评估类风湿关节炎（RA）患者手指关节置换术中手部功能和总体健康状况方面的表现。
病例系列研究，平均随访时间为104.9个月。
大学医院的骨科门诊。
连续64例患者（21例死亡，6例失访），对37例患者的51只手的107个掌指关节和33个近端指间关节中的140个间隔器进行了评估。
不适用。
手部功能测试和总体健康指标。
DASH与手部功能（健康评估问卷：r = 0.72，P <.01；MPUT：r = 0.6，P <.01）和总体健康状况（医学结局研究36项简短健康调查子量表：r范围，-0.73至-0.31；P范围，<.001至<.05）均相关。MPUT是进行精确抓握测试的合适工具。
DASH具有可自行填写的优点，并且可以评估功能和健康方面。它可以推荐作为手部手术患者和RA患者常规临床随访的工具。当需要详细信息时，应应用其他测试。
