Fan Z Joyce, Smith Caroline K, Silverstein Barbara A
. Safety & Health Assessment and Research for Prevention (SHARP), Washington State Department of Labor & Industries, PO Box 44330, Olympia, WA 98504-4330, USA.
J Hand Ther. 2008 Oct-Dec;21(4):354-65. doi: 10.1197/j.jht.2008.02.001.
The purpose of this article was to assess validity of the regional Disabilities of Arm, Shoulder, and Hand (QuickDASH) and Short-Form 12 (SF-12) for surveillance purpose. We compared the predictive, discriminate, and concurrent validity of the QuickDASH and SF-12 among 231 workers with specific clinical diagnoses of neck or upper extremity musculoskeletal disorders (UEMSDs) and 175 workers with symptoms only. Compared to those with symptoms only, the odds of being any neck or UEMSD case were 1.45 (95% confidence interval [95% CI]: 1.24-1.70) and 0.66 (95% CI: 0.48-0.91) with every 10-point increase in QuickDASH disability and physical component scale (PCS-12) scores, respectively. The clinical cases had significantly higher QuickDASH disability (23.0 vs. 14.3, p<0.0001) and lower PCS-12 scores (44.8 vs. 47.3, p=0.0133) than those with symptom only. The QuickDASH disability scores were moderately correlated with the PCS-12 scores (rho=-0.40) among the clinical cases. Either QuickDASH or PCS-12 can be used as a simple surveillance tool in an active working population.
本文旨在评估用于监测目的的上肢、肩部和手部功能障碍快速评估量表（QuickDASH）及简明健康调查问卷12项版本（SF-12）的有效性。我们比较了231例有颈部或上肢肌肉骨骼疾病（UEMSDs）特定临床诊断的工人和175例仅有症状的工人中QuickDASH和SF-12的预测效度、区分效度及同时效度。与仅有症状的工人相比，QuickDASH残疾评分和身体成分量表（PCS-12）评分每增加10分，患任何颈部或UEMSD病例的比值比分别为1.45（95%置信区间[95%CI]：1.24 - 1.70）和0.66（95%CI：0.48 - 0.91）。临床病例的QuickDASH残疾评分显著高于仅有症状者（23.0对14.3，p<0.0001），而PCS-12评分则显著低于仅有症状者（44.8对47.3，p = 0.0133）。在临床病例中，QuickDASH残疾评分与PCS-12评分呈中度相关（rho = -0.40）。QuickDASH或PCS-12均可作为在职工作人群的简易监测工具。
