Gökşenoğlu Gökşen, Paker Nurdan, Çelik Berna, Buğdaycı Derya, Demircioğlu Demet, Kesiktaş Nur
Department of Physical Medicine and Rehabilitation, İstanbul Physical Therapy Rehabilitation Training and Research Hospital, İstanbul, Turkey.
Department of Physical Medicine and Rehabilitation, İstanbul Memorial Hizmet Hospital, İstanbul, Turkey.
Turk J Phys Med Rehabil. 2018 Jul 9;64(3):277-283. doi: 10.5606/tftrd.2018.1685. eCollection 2018 Sep.
The aim of this study is to investigate the reliability and validity of Duruoz Hand Index (DHI) in patients with carpal tunnel syndrome (CTS).
A total of 55 patients (50 females, 5 males; mean age 51.0±10.2 years: range, 30 to 73 years) aged ≥18 years who were admitted to the outpatient clinic of a rehabilitation hospital between December 2010 and December 2012 with the diagnosis of CTS both clinically and electrophysiologically were included in this study. All patients completed DHI at baseline and repeated after a week interval. The Boston Questionnaire (BQ) and Health Assessment Questionnaire Disability Index (HAQ-DI) were filled out at baseline. And the internal consistency reliability was tested using the Cronbach's alpha. For the test-retest reliability, intraclass correlation coefficients (ICC) were calculated. The correlations between the DHI and both BQ and HAQ-DI were investigated for the construct validity.
Of the patients, 41 (74.5%) were housewives. Carpal tunnel syndrome was bilateral in 29 patients (52.7%). The Mean Body Mass Index was 31.2±5.5 kg/m2. The mean symptom duration was 22.8±23.7 months. The mean DHI scores for the first and second evaluations were 23.25±20.64 and 20.45±20.07, respectively. The mean BQ symptom severity and functional status scores were 2.87±0.80 and 2.72±1.03, respectively. The mean HAQ-DI score was 0.91±0.66. The Cronbach's alpha was 0.97 indicating excellent internal consistency reliability. There was a statistically significant correlation between the two measurements of DHI. The ICC value for total score was 0.88 indicating good reliability. There was a statistically significantly positive correlation between the DHI and BQ (r=0.638, p<0.001). Also, DHI was significantly correlated with the HAQ-DI (0.613, p<0.001).
Our study results suggest that DHI is a reliable and valid test which can be used for evaluating hand functions in CTS patients.
本研究旨在探讨杜罗兹手部指数（DHI）在腕管综合征（CTS）患者中的可靠性和有效性。
本研究纳入了2010年12月至2012年12月期间在一家康复医院门诊就诊的55例年龄≥18岁的患者（50例女性，5例男性；平均年龄51.0±10.2岁，范围30至73岁），这些患者临床及电生理诊断均为CTS。所有患者在基线时完成DHI评估，并在间隔一周后重复评估。在基线时填写波士顿问卷（BQ）和健康评估问卷残疾指数（HAQ-DI）。使用克朗巴哈系数检验内部一致性可靠性。对于重测可靠性，计算组内相关系数（ICC）。研究DHI与BQ和HAQ-DI之间的相关性以评估结构效度。
患者中，41例（74.5%）为家庭主妇。29例患者（52.7%）的腕管综合征为双侧性。平均体重指数为31.2±5.5kg/m²。平均症状持续时间为22.8±23.7个月。首次和第二次评估的DHI平均得分分别为23.25±20.64和2
