Department of Health Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP, Brazil; McMaster University, Canada.
McMaster University, Canada.
Musculoskelet Sci Pract. 2019 Apr;40:40-44. doi: 10.1016/j.msksp.2019.01.007. Epub 2019 Jan 16.
Many tools have been described for outcome assessment after nerve repair. The Patient-Rated Wrist and Hand Evaluation (PRWHE) have been shown to be valid for several hand conditions.
To explore the construct validity of the PRWHE in comparison to cold intolerance, pain and dysfunction questionnaires; the Rosén score and its subcomponents; and threshold sensibility, dynamometry and dexterity tests for nerve repair of the hand.
Clinical measurement.
Construct validity was analysed through Pearson's correlation coefficient in a convenience sample of 32 adult patients after long-term median and ulnar nerve repair.
The PRWHE total score was highly to moderately associated with the Disability of Arm, Shoulder and Hand (r = 0.83), Cold Intolerance Symptom Severity (r = -0.60) and McGill's Pain (r = 0.58) questionnaires. In addition, it was correlated to motor (r = -0.55) and sensor subdomains (r = -0.56) of the Rosén score. Substantial to high associations were found for the motor, sensory impairment and dexterity test.
The PRWHE was shown to be valid, based on construct validity, for patients with nerve repair of the hand.
有许多工具被用于评估神经修复后的结果。患者腕手评估（PRWHE）已被证明在手的几种状况下具有有效性。
与冷不耐受、疼痛和功能障碍问卷、罗森评分及其子成分、阈值感觉、握力和灵巧度测试相比，探讨 PRWHE 的结构效度，用于评估手部神经修复。
临床测量。
在一个方便的 32 例成年患者的样本中，通过皮尔逊相关系数分析结构效度，这些患者均经历了长期正中神经和尺神经修复。
PRWHE 总分与上肢功能障碍（DASH）（r=0.83）、冷不耐受症状严重程度（r=-0.60）和麦吉尔疼痛问卷（r=0.58）高度相关。此外，它与罗森评分的运动（r=-0.55）和感觉子领域（r=-0.56）相关。在运动、感觉损伤和灵巧度测试中发现了实质性到高度的相关性。
PRWHE 在手部神经修复患者中具有有效性，基于结构效度。
