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[非临床与临床人群组的DASH数据——临床应用T范数的比较研究]

[DASH data of non-clinical versus clinical groups of persons--a comparative study of T-norms for clinical use].

作者信息

Jester A, Harth A, Rauch J, Germann G

机构信息

BG-Unfallklinik Ludwigshafen, Klinik für Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum Hand und Plastische Chirurgie der Universität Heidelberg, Ludwigshafen.

出版信息

Handchir Mikrochir Plast Chir. 2010 Feb;42(1):55-64. doi: 10.1055/s-0030-1247500. Epub 2010 Mar 4.

Abstract

AIM

The aim of this study was to determine a) data for the disabilities of arm, shoulder and hand (DASH) score of a non-clinical group as well as to establish b) a comparison of DASH data between different groups of people.

PATIENTS AND METHODS

After collection of 716 DASH questionnaires from healthy, working individuals (non-clinical sample) and 795 questionnaires from patients with injuries and conditions of the upper extremity (clinical sample), the data were assessed according to age, gender, manually or non-manually working into DASH total, DASH activity, DASH impairment, DASH music/sport and DASH work scores. In order to establish a comparability, these data were transformed using T-norms.

RESULTS

Median DASH data of the non-clinical sample showed a functional impairment, since they deviated from 0. Men, aged 50-65, who were working manually showed the highest DASH score. Age did not have a significant effect on the DASH score of the clinical sample. The median overall DASH score of the clinical sample was higher than the scores seen with the non-clinical sample.

CONCLUSION

Using T-norms a reference framework has been established for DASH scores, thus making it possible to interpret and compare individual scores between patients.

摘要

目的

本研究的目的是确定a)非临床组的上肢、肩部和手部功能障碍(DASH)评分数据,以及b)不同人群之间DASH数据的比较。

患者与方法

从健康在职个体(非临床样本)收集716份DASH问卷,从上肢受伤和患病患者(临床样本)收集795份问卷后,根据年龄、性别、手工或非手工工作情况,对数据进行评估,得出DASH总分、DASH活动、DASH损伤、DASH音乐/运动和DASH工作评分。为了建立可比性,使用T范数对这些数据进行转换。

结果

非临床样本的DASH数据中位数显示存在功能障碍,因为它们偏离了0。50 - 65岁从事手工工作的男性DASH评分最高。年龄对临床样本的DASH评分没有显著影响。临床样本的DASH总体评分中位数高于非临床样本。

结论

使用T范数为DASH评分建立了一个参考框架,从而使解释和比较患者之间的个体评分成为可能。

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