日本手部外科学会版上肢、肩部和手部快速残疾问卷（QuickDASH-JSSH）的效度验证。
Validation of the Japanese Society for Surgery of the Hand Version of the Quick Disability of the Arm, Shoulder, and Hand (QuickDASH-JSSH) questionnaire.
作者信息
Imaeda Toshihiko, Toh Satoshi, Wada Takuro, Uchiyama Shigeharu, Okinaga Shuji, Kusunose Koichi, Sawaizumi Takuya
机构信息
Department of Public Health, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukakecho, Toyoake, Aichi, 470-1192, Japan.
出版信息
J Orthop Sci. 2006 May;11(3):248-53. doi: 10.1007/s00776-006-1013-1.
BACKGROUND
The Quick Disability of the Arm, Shoulder, and Hand (QuickDASH) questionnaire is a region-specific, self-administered questionnaire, which consists of a disability/symptom (QuickDASH-DS) scale, and the same two optional modules, the work (DASH-W) and the sport/music (DASH-SM) modules, as the DASH. After the Japanese version of DASH (DASH-JSSH) was cross-culturally adapted and developed, we made the Japanese version of QuickDASH (QuickDASH-JSSH) by extracting 11 out of 30 items of the DASH-JSSH regarding disability/symptoms. The purpose of this study was to test the reliability, validity, and responsiveness of QuickDASH-JSSH.
METHODS
A series of 72 patients with upper extremity disorders completed the QuickDASH-JSSH, the 36-Item Short-Form Health Survey (SF-36), and the Visual Analog Scale (VAS) for pain. Thirty-eight of the patients were reassessed for test-retest reliability 1 or 2 weeks later. Reliability was investigated by the reproducibility and internal consistency. To analyze the validity, a principal component analysis and the correlation coefficients between the QuickDASH-JSSH and the SF-36 were obtained. The responsiveness was examined by calculating the standardized response mean (SRM; mean change/SD) and effect size (mean change/SD of baseline value) after carpal tunnel release of the 17 patients with carpal tunnel syndrome.
RESULTS
Cronbach's alpha coefficient in the QuickDASH-DS was 0.88. The intraclass correlation coefficient (ICC) for the same was 0.82. The unidimensionality of the QuickDASH-DS was confirmed. The correlation coefficients between the QuickDASH-DS and the DASH-DS, DASH-W, or the DASH-SM were 0.92, 0.81, or 0.76, respectively. The correlation coefficients between the QuickDASH-DS score and the subscales of the SF-36 ranged from -0.29 to -0.73. The correlation coefficient between the QuickDASH-DS score and the VAS for pain was 0.52. The SRM/effect size of QuickDASH-DS was -0.54/-0.37, which indicated moderate sensitivity.
CONCLUSION
The Japanese version of QuickDASH has equivalent evaluation capacities to the original QuickDASH.
背景
上肢、肩部和手部快速功能障碍（QuickDASH）问卷是一种针对特定区域的自填式问卷，它由一个功能障碍/症状（QuickDASH-DS）量表以及与上肢功能障碍量表（DASH）相同的两个可选模块，即工作（DASH-W）模块和运动/音乐（DASH-SM）模块组成。在对DASH的日文版（DASH-JSSH）进行跨文化改编和开发后，我们通过从DASH-JSSH的30项中提取11项关于功能障碍/症状的内容，制作了QuickDASH的日文版（QuickDASH-JSSH）。本研究的目的是测试QuickDASH-JSSH的信度、效度和反应度。
方法
72例上肢疾病患者完成了QuickDASH-JSSH、36项简短健康调查（SF-36）以及疼痛视觉模拟量表（VAS）。其中38例患者在1或2周后接受了重测信度评估。通过可重复性和内部一致性来研究信度。为分析效度，进行了主成分分析，并得出QuickDASH-JSSH与SF-36之间的相关系数。通过计算17例腕管综合征患者在腕管松解术后的标准化反应均值（SRM；平均变化/标准差）和效应量（平均变化/基线值标准差）来检验反应度。
结果
QuickDASH-DS的Cronbach's α系数为0.88。其组内相关系数（ICC）为0.82。证实了QuickDASH-DS的单维度性。QuickDASH-DS与DASH-DS、DASH-W或DASH-SM之间的相关系数分别为0.92、0.81或0.76。QuickDASH-DS得分与SF-36各子量表之间的相关系数在-0.29至-0.73之间。QuickDASH-DS得分与疼痛VAS之间的相关系数为0.52。QuickDASH-DS的SRM/效应量为-0.54/-0.37，表明具有中等敏感性。
结论
QuickDASH的日文版与原版QuickDASH具有同等的评估能力。
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