Zyluk A, Piotuch B
Department of General and Hand Surgery, Pomeranian Medical University, Szczecin, Poland.
Handchir Mikrochir Plast Chir. 2011 Jun;43(3):162-6. doi: 10.1055/s-0031-1273686. Epub 2011 May 23.
The objective of this study was to compare the 3 commonly used questionnaires DASH, PEM and Levine to assess which is the best as an outcome measure after carpal tunnel release. 50 patients (43 women and 7 men) with an average age of 56 years underwent minimally invasive carpal tunnel release. Patients were examined before the operation, and at 1 and 6 months after, according to the same protocol. They completed the DASH, PEM and Levine questionnaires and undertook total grip, key-pinch strengths, and sensation by filament tests. The results showed higher responsiveness to change in the Levine and the PEM, compared to the DASH at the 1- and 6-month-assessments. The Levine showed the highest validity as it correlated strongly with all functional measures, although all 3 questionnaires, including Levine, showed a discordance with total grip and key-pinch strength at the 1-month assessment. The instruments were characterized by various (excellent and poor) concurrent validity in the assumed periods of observation and all 3 showed high internal consistency.
本研究的目的是比较3种常用问卷——DASH、PEM和莱文问卷，以评估哪一种作为腕管松解术后的疗效指标最佳。50例患者（43名女性和7名男性），平均年龄56岁，接受了微创腕管松解术。按照相同方案，在手术前、术后1个月和6个月对患者进行检查。他们完成了DASH、PEM和莱文问卷，并通过细丝试验进行了总握力、关键捏力和感觉测试。结果显示，在1个月和6个月的评估中，与DASH相比，莱文问卷和PEM问卷对变化的反应性更高。莱文问卷显示出最高的效度，因为它与所有功能指标都有很强的相关性，尽管包括莱文问卷在内的所有3种问卷在1个月的评估中与总握力和关键捏力存在不一致。在假定的观察期内，这些工具具有不同（良好和较差）的同时效度，并且所有3种问卷都显示出较高的内部一致性。
