Silva Drummond Adriana, Ferreira Sampaio Rosana, Cotta Mancini Marisa, Noce Kirkwood Renata, Stamm Tanja A
Worker's Health Reference Center, Minas Gerais, Brazil.
J Hand Ther. 2007 Oct-Dec;20(4):336-43; quiz 344. doi: 10.1197/j.jht.2007.07.008.
The objective of this study was to explore whether the items from a specific outcome measure, that is, Disabilities of the Arm, Shoulder, and Hand (DASH), for quantifying limb symptoms and functions in musculoskeletal disorders fit into the framework of the International Classification of Functioning, Disability and Health (ICF). All DASH items were compared to the ICF according to eight linking rules. Two groups of researchers performed the linking independently, and the results were compared by correlation. The 30 DASH items and four items from the optional modules were linked to 63 ICF categories and 11 chapters: 15 categories belong to the ICF body functions component and 48 to the activities and participation component. There were no items coded under the components body structure or environmental factors. Kappa index showed an agreement of 0.73 (p<0.001). The results showed that the content of the DASH does link well with the ICF framework. Clinicians and researchers must attend to the fact that certain domains and categories from the ICF are not covered by the DASH. Limitations of the instrument may be overcome by simultaneously using other instruments that address the intended content.
本研究的目的是探讨用于量化肌肉骨骼疾病肢体症状和功能的特定结局测量指标，即上肢、肩部和手部功能障碍（DASH）中的条目是否符合《国际功能、残疾和健康分类》（ICF）的框架。根据八条关联规则，将所有DASH条目与ICF进行比较。两组研究人员独立进行关联，并通过相关性比较结果。30个DASH条目和可选模块中的4个条目与63个ICF类别和11章相关联：15个类别属于ICF身体功能组成部分，48个属于活动与参与组成部分。在身体结构或环境因素组成部分下没有编码的条目。kappa指数显示一致性为0.73（p<0.001）。结果表明，DASH的内容与ICF框架关联良好。临床医生和研究人员必须注意，ICF的某些领域和类别未被DASH涵盖。通过同时使用其他涉及预期内容的工具，可能会克服该工具的局限性。
