Safety & Health Assessment and Research for Prevention (SHARP), Washington State Department of Labor & Industries, Olympia, WA 98504-4330, USA.
J Occup Rehabil. 2011 Jun;21(2):234-43. doi: 10.1007/s10926-010-9265-1.
INTRODUCTION Questionnaires that measure functional status such as the Disability of the Arm, Shoulder and Hand (QuickDASH) and the Medical Outcomes Study 12-item Short-Form Health Survey (SF-12) can quantify the impact of health on performance. Little is known about whether these questionnaires can be used as a tool for measuring disabilities among workers. We compare the responsiveness of these two functional status questionnaires to changes in clinical outcomes of neck or upper extremity musculoskeletal disorders (UEMSD) among active workers in a longitudinal study. METHODS We evaluated the effect size (ES) and standardized response means (SRM) of the QuickDASH and the SF-12 for 148 workers who were divided into four subgroups based on the diagnosis status change between baseline and 1-year visit. RESULTS The ES and SRM for QuickDASH scores were 0.6/0.6 for the 50 subjects who became incident symptomatic neck or UEMSD cases, 1.3/1.0 for the 18 subjects who became incident clinical cases of neck or UEMSD, -1.0/-1.1 for the 46 subjects who recovered from having neck or UEMSD symptoms, and -1.1/-1.1 for the 34 subjects who recovered from being neck or UEMSD clinical cases. The correspondent ES/SRM for the QuickDASH work module were 0.4/0.3, 0.7/0.5, -0.6/-0.4, and -1.0/-0.8, respectively. The correspondent ES/SRM for the physical component scores of SF-12 (PCS12) for the four subgroups were 0.2/0.2, -0.9/-0.6, 0.3/0.2, and 0.3/0.3, respectively. CONCLUSIONS The QuickDASH scores were responsive to changes among active workers who were neck or UEMSD symptomatic or clinical case. PCS12 scores were sufficient only for use in clinical case status change.
简介
衡量功能状态的问卷，如上肢功能障碍问卷（QuickDASH）和健康调查 12 项短式量表（SF-12），可以量化健康对功能的影响。这些问卷是否可以作为衡量劳动者残疾的工具，知之甚少。我们在一项纵向研究中比较了这两种功能状态问卷在测量颈部或上肢肌肉骨骼疾病（UEMSD）活动劳动者的临床结果变化中的反应性。
方法
我们根据基线和 1 年随访时诊断状态的变化，将 148 名劳动者分为四组，评估了 QuickDASH 和 SF-12 的效应量（ES）和标准化反应均值（SRM）。
结果
50 名新发症状性颈部或 UEMSD 病例、18 名新发颈部或 UEMSD 临床病例、46 名颈部或 UEMSD 症状缓解者和 34 名颈部或 UEMSD 临床病例缓解者的 QuickDASH 评分的 ES/SRM 分别为 0.6/0.6、1.3/1.0、-1.0/-1.1 和-1.1/-1.1。QuickDASH 工作模块的相应 ES/SRM 分别为 0.4/0.3、0.7/0.5、-0.6/-0.4 和-1.0/-0.8。四组的 SF-12 生理成分评分（PCS12）的相应 ES/SRM 分别为 0.2/0.2、-0.9/-0.6、0.3/0.2 和 0.3/0.3。
结论
QuickDASH 评分对颈部或 UEMSD 症状或临床病例劳动者的变化敏感。PCS12 评分仅足够用于临床病例状态变化。
