Aldaihan Mishal M, Alnahdi Ali H
Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh 11433, Saudi Arabia.
Healthcare (Basel). 2023 Sep 10;11(18):2507. doi: 10.3390/healthcare11182507.
This study aimed to examine the responsiveness of the Arabic Disabilities of the Arm, Shoulder and Hand short version (Quick-DASH) in patients with upper extremity musculoskeletal disorders. Participants with upper extremity musculoskeletal disorders ( = 88) under physical therapy care were assessed at initial visit and later at a follow-up visit, and they completed the Arabic Quick-DASH, DASH, Numeric Pain Rating Scale (NPRS), Global Assessment of Function (GAF), and the Global Rating of Change Scale (GRC). Responsiveness of the Arabic Quick-DASH was assessed by examining six pre-defined hypotheses. Consistent with the pre-defined hypotheses, the Arabic Quick-DASH changes scores exhibited significant positive correlation with the change in DASH (r = 0.98), GAF (r = 0.67), NPRS (r = 0.72), and the GRC (r = 0.78). As hypothesized, the Arabic Quick-DASH showed a large effect size above the pre-determined level (ES = 1.61, SRM = 1.49) in patients who reported improved upper extremity function. The Arabic Quick-DASH change score discriminated between patients who reported improvement versus no improvement in upper extremity function (area under the receiver operating characteristic curve = 0.90). The results supported 100% (six out of six) of the pre-defined hypotheses. The Arabic Quick-DASH demonstrated sufficient responsiveness where all the pre-defined hypotheses were supported, leading to the established validity of the Arabic Quick-DASH change score as a measure of change in upper extremity function and symptoms. The minimal importance change in the Arabic Quick-DASH needs to be determined in future studies.
本研究旨在检验上肢肌肉骨骼疾病患者中阿拉伯语版上肢、肩部和手部功能障碍简表（Quick-DASH）的反应性。接受物理治疗的上肢肌肉骨骼疾病患者（ = 88）在初诊时及随后的随访时接受评估，他们完成了阿拉伯语版Quick-DASH、DASH、数字疼痛评分量表（NPRS）、功能总体评估（GAF）以及变化总体评定量表（GRC）。通过检验六个预先定义的假设来评估阿拉伯语版Quick-DASH的反应性。与预先定义的假设一致，阿拉伯语版Quick-DASH变化得分与DASH变化（r = 0.98）、GAF变化（r = 0.67）、NPRS变化（r = 0.72）以及GRC变化（r = 0.78）呈显著正相关。正如所假设的，阿拉伯语版Quick-DASH在报告上肢功能改善的患者中显示出高于预定水平的大效应量（ES = 1.61，SRM = 1.49）。阿拉伯语版Quick-DASH变化得分能够区分报告上肢功能改善与未改善的患者（受试者工作特征曲线下面积 = 0.90）。结果支持了100%（六个中的六个）预先定义的假设。阿拉伯语版Quick-DASH表现出足够的反应性，所有预先定义的假设均得到支持，从而确立了阿拉伯语版Quick-DASH变化得分作为上肢功能和症状变化测量指标的有效性。阿拉伯语版Quick-DASH的最小重要变化需要在未来研究中确定。
