Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Gazi University, Ankara, Turkey.
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Yildirim Beyazit University, Ankara, Turkey.
Int J Rheum Dis. 2019 Sep;22(9):1714-1718. doi: 10.1111/1756-185X.13659. Epub 2019 Jul 17.
The Patient-Rated Wrist Evaluation (PRWE) is a patient-reported questionnaire focusing on symptoms and function in wrist pathologies. It consists of 15 questions regarding pain and functional activities of the wrist. Rheumatoid arthritis (RA) is a multi-systemic disease characterized by inflammation of the wrist and hand joints in almost all patients. This study aims to test the validity of PRWE in patients with RA.
Seventy-five patients with RA from a single outpatient clinic participated in the study. Patients filled out the Michigan Hand Outcomes Questionnaire (MHOQ) and grip strength of both hands were measured. Patients filled out the PRWE questionnaire consecutively once for the dominant and once for the non-dominant hand. Correlations between PRWE and MHOQ and grip strength scores were analyzed by Spearman's correlation method.
Our results demonstrated that there was a very strong correlation between the PRWE and the MHOQ and a moderate correlation between the PRWE and grip strength (P < .001). PRWE also showed negative and fair correlation with grip strength of both hands (P < .001).
The Patient-Rated Wrist Evaluation is a valid tool for evaluating wrist involvement in patients with RA. PRWE may be preferred in the busy clinical setting since it has simple and short questions. Additionally, it may provide a sensitive follow-up tool for patients separately using its subscales of pain and function.
患者自评腕关节评估（PRWE）是一种针对腕部病变患者症状和功能的患者报告问卷。它由 15 个关于腕部疼痛和功能活动的问题组成。类风湿关节炎（RA）是一种多系统疾病，几乎所有患者都会出现腕关节和手部关节的炎症。本研究旨在测试 PRWE 在 RA 患者中的有效性。
本研究纳入了来自单一门诊的 75 名 RA 患者。患者填写密歇根手部结局问卷（MHOQ）并测量双手握力。患者依次填写 PRWE 问卷，填写内容分别为优势手和非优势手。通过 Spearman 相关分析方法分析 PRWE 与 MHOQ 和握力评分之间的相关性。
我们的结果表明，PRWE 与 MHOQ 之间具有很强的相关性，与握力之间具有中度相关性（P<.001）。PRWE 与双手握力也呈负相关和适度相关（P<.001）。
患者自评腕关节评估是评估 RA 患者腕部受累的有效工具。PRWE 可能更适合繁忙的临床环境，因为它的问题简单且简短。此外，它可以通过其疼痛和功能子量表为患者提供敏感的随访工具。
