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土耳其版问卷 Quick 上肢功能障碍(Quick DASH)在腕管综合征患者中的适应性。

Adaptation of Turkish version of the questionnaire Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) in patients with carpal tunnel syndrome.

机构信息

Department of Physical Medicine and Rehabilitation, School of Medicine, Dr. Ridvan Ege Hospital, Ufuk University, 06520, Ankara, Turkey.

出版信息

Clin Rheumatol. 2011 Feb;30(2):185-91. doi: 10.1007/s10067-010-1470-y. Epub 2010 Apr 22.

DOI:10.1007/s10067-010-1470-y
PMID:20411289
Abstract

The aim of this study was to assess the reliability and validity of the Turkish version of the Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) scale in patients with carpal tunnel syndrome (CTS). Sixty nine patients with idiopathic CTS were included. The Quick DASH questionnaire consists of three subscales including disability/symptom, and work and sports/performing arts. Quick DASH was administered after translation process to subjects twice a week for testing reliability. The validity was based on correlating Quick DASH with the Boston Questionnaire, visual analogue scale-pain (VAS-pain), and pinch and grip strength tests. Reliability of the Turkish version of the Quick DASH scale was very good with high internal consistency (Cronbach's alpha 0.84 for disability/symptom subscale, 0.937 for work subscale, and 0.926 for sports/performing arts subscale) and test-retest reliability (intraclass correlation coefficient 0.931 for disability/symptom subscale, 0.925 for work subscale, and 0.779 for sports/performing arts subscale). The disability/symptom subscale had moderate correlations with the VAS-pain and grip strength test and good correlation with the pinch strength test. The work subscales had moderate correlations with VAS-pain, and pinch and pinch grip strength tests. A high correlation was found between the disability/symptom and work subscales with Boston symptom severity and Boston functional status subscores. The Turkish version of Quick DASH was reliable and valid for evaluating symptoms and functional disability in patients with CTS. Our results suggest that Quick DASH could be preferred as it is a simple and easy scale to use.

摘要

本研究旨在评估土耳其版 Quick 腕关节、手部和手臂残疾(Quick DASH)量表在腕管综合征(CTS)患者中的可靠性和有效性。纳入 69 例特发性 CTS 患者。Quick DASH 问卷包括残疾/症状、工作和运动/表演艺术三个亚量表。在翻译过程后,Quick DASH 每周两次分两次向受试者施测以测试可靠性。有效性基于 Quick DASH 与波士顿问卷、视觉模拟量表疼痛(VAS 疼痛)和捏力、握力测试的相关性。土耳其版 Quick DASH 量表具有很好的可靠性,内部一致性高(残疾/症状亚量表 Cronbach'alpha 为 0.84,工作亚量表为 0.937,运动/表演艺术亚量表为 0.926)和测试-重测可靠性(残疾/症状亚量表的组内相关系数为 0.931,工作亚量表为 0.925,运动/表演艺术亚量表为 0.779)。残疾/症状亚量表与 VAS 疼痛和握力测试呈中度相关,与捏力测试呈良好相关。工作亚量表与 VAS 疼痛、捏力和捏力握力测试呈中度相关。残疾/症状和工作亚量表与波士顿症状严重程度和波士顿功能状态亚量表高度相关。土耳其版 Quick DASH 可靠且有效,可用于评估 CTS 患者的症状和功能障碍。我们的结果表明,Quick DASH 可能是首选,因为它是一种简单易用的量表。

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