Matheson Leonard N, Melhorn J Mark, Mayer Tom G, Theodore Brian R, Gatchel Robert J
Program in Occupational Therapy, Washington University School of Medicine, 4444 Forest Park, St. Louis, MO 63108, USA.
J Bone Joint Surg Am. 2006 Aug;88(8):1782-7. doi: 10.2106/JBJS.F.00406.
The QuickDASH, an abbreviated form of the Disabilities of the Arm, Shoulder and Hand Questionnaire, uses a graded-adjectives ordinal measurement response scale. In order to improve the sensitivity of the measure and to make it compatible with widely used measures of pain and disability, a visual analog scale version was developed. The present study investigated the reliability of the new version over time when used for the evaluation of patients undergoing treatment.
A test-retest model with a two-day interval was used to evaluate a sample of thirty-eight consecutive patients in an interdisciplinary tertiary rehabilitation setting who were identified as having an upper extremity disorder.
The intraclass correlation coefficient indicating test-retest reliability was 0.90 for the eleven-item QuickDASH visual analog scale questionnaire (without the work component) and 0.94 for the fifteen-item questionnaire (with the work component), neither of which was significantly different from the results reported for the original questionnaire.
The QuickDASH visual analog scale questionnaire has acceptable reliability over time, and it can be used as an alternative to the original QuickDASH.
QuickDASH是手臂、肩部和手部功能障碍问卷的缩写形式，采用分级形容词序数量表作为测量反应量表。为了提高该测量方法的敏感性，并使其与广泛使用的疼痛和功能障碍测量方法兼容，开发了视觉模拟量表版本。本研究调查了新版本在用于评估接受治疗的患者时随时间推移的可靠性。
采用间隔两天的重测模型，对一家跨学科三级康复机构中连续38例被诊断为上肢疾病的患者进行评估。
11项QuickDASH视觉模拟量表问卷（不包括工作部分）的组内相关系数表明重测可靠性为0.90，15项问卷（包括工作部分）为0.94，两者与原始问卷报告的结果均无显著差异。
QuickDASH视觉模拟量表问卷随时间推移具有可接受的可靠性，可作为原始QuickDASH的替代方法使用。
