Başakci Çalik Bilge, Gür Kabul Elif, Taşçi Murat, Erel Suat, Şimşek İbrahim Engin, Demir Pervin, Çobankara Veli
School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
Department of Rheumatology, Medical Faculty of Pamukkale University, Denizli, Turkey.
Arch Rheumatol. 2019 Apr 26;34(4):395-405. doi: 10.5606/ArchRheumatol.2019.7227. eCollection 2019 Dec.
This study aims to assess the reliability and validity of the Turkish version of the ABILHAND questionnaire in individuals with rheumatoid arthritis (RA) [ABILHAND-RA (TR)] using the Rasch analysis.
A total 90 individuals (15 males, 75 females; mean age 51.8±10.9 years; range, 20 to 65 years) diagnosed as RA according to the criteria of the American College of Rheumatology were included. The ABILHAND-RA (TR) was used to determine manual ability, while disease activity was evaluated by the use of Disease Activity Score 28 (DAS28). Jamar hand dynamometer and pinch-meter were used to examine grip and pinch strength of the participants. Nine Hole Peg Test (NHPT) and Duruoz Hand Index (DHI) measured hand disability level. Nottingham Health Profile (NHP) was used to assess quality of life. ABILHAND-RA (TR) results were analyzed using the Rasch analysis method.
Item 20 was excluded from the 27-item ABILHAND-RA (TR) as 96% of the individuals rated this item as "easy". The new set of 18 items (7 subtests and 11 items) were found to sustain item invariance and fit to the Rasch model. Significant relationships were found between ABILHAND-RA (TR) and DAS28, bilateral grip strength, NHPT dominant side results, DHI, and NHP.
Turkish version of the ABILHAND-RA was found to be clinically valid, reliable, and sensitive enough to be used in clinical evaluations, rehabilitation interventions, and for progression follow-up in individuals with RA.
本研究旨在使用拉施分析评估类风湿关节炎（RA）患者中土耳其语版ABILHAND问卷[ABILHAND-RA（TR）]的信度和效度。
纳入根据美国风湿病学会标准诊断为RA的90名个体（15名男性，75名女性；平均年龄51.8±10.9岁；范围20至65岁）。使用ABILHAND-RA（TR）确定手部能力，同时使用疾病活动评分28（DAS28）评估疾病活动度。使用贾马尔握力计和捏力计检查参与者的握力和捏力。通过九孔插板试验（NHPT）和杜罗兹手部指数（DHI）测量手部残疾水平。使用诺丁汉健康量表（NHP）评估生活质量。使用拉施分析方法分析ABILHAND-RA（TR）的结果。
在27项的ABILHAND-RA（TR）中，第20项被排除，因为96%的个体将该项目评为“容易”。发现新的18项（7个分测验和11个项目）能维持项目不变性并符合拉施模型。在ABILHAND-RA（TR）与DAS28、双侧握力、NHPT优势侧结果、DHI和NHP之间发现了显著关系。
发现土耳其语版的ABILHAND-RA在临床上有效、可靠且足够敏感，可用于RA患者的临床评估、康复干预和病情进展随访。
