Dale Lucinda M, Strain-Riggs Sara-Ruth
School of Occupational Therapy, College of Health Sciences, University of Indianapolis, Indianapolis, IN, USA.
Work. 2013 Jan 1;46(3):243-50. doi: 10.3233/WOR-2012-1467.
The purpose of this study was to measure clinical change in persons with upper extremity (UE) musculoskeletal conditions and to determine if the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) or the Upper Limb Functional Index (ULFI) was a more responsive outcome tool. The objective was to select one tool that was responsive and practical for the occupational therapy (OT) setting.
Participants were patients (N=27) who had musculoskeletal conditions, were age 18 years or older, and received outpatient OT.
Participants received standard OT treatment for UE musculoskeletal conditions, completing the ULFI and QuickDASH at evaluation and discharge.
Paired t-tests showed significant change of 25.1 points in the QuickDASH and 23.6 points in the ULFI. Work module showed significant change of 26.2 points.
The QuickDASH was a more responsive tool compared to the ULFI. Participants made significant improvements in work performance as measured by the QuickDASH Work Module. Large effect sizes and standardized response means of the QuickDASH and the ULFI change scores showed both tools were responsive outcome measures for individuals with musculoskeletal conditions. Although the QuickDASH was more responsive, therapists preferred the ULFI as an efficient outcome measure with client-centered goals.
本研究旨在测量上肢（UE）肌肉骨骼疾病患者的临床变化，并确定手臂、肩部和手部快速残疾评定量表（QuickDASH）或上肢功能指数（ULFI）是否为更具反应性的结局工具。目标是选择一种对职业治疗（OT）环境具有反应性且实用的工具。
参与者为患有肌肉骨骼疾病、年龄在18岁及以上且接受门诊OT治疗的患者（N = 27）。
参与者接受针对UE肌肉骨骼疾病的标准OT治疗，在评估和出院时完成ULFI和QuickDASH评定。
配对t检验显示，QuickDASH有显著变化，变化值为25.1分，ULFI为23.6分。工作模块显示有显著变化，变化值为26.2分。
与ULFI相比，QuickDASH是一个更具反应性的工具。通过QuickDASH工作模块测量，参与者在工作表现方面有显著改善。QuickDASH和ULFI变化分数的大效应量和标准化反应均值表明，这两种工具都是肌肉骨骼疾病患者的反应性结局指标。尽管QuickDASH更具反应性，但治疗师更倾向于将ULFI作为以患者为中心目标的有效结局指标。
