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This Questionnaire Asks For Information About Your Symptoms And Your Ability To Do Various Things. Circle The Number That Best Describes Your Condition Over The Past Week.
If You Did Not Do, Or Were Not Able To Do, An Activity In The Past Week, Try To Work Out Which Answer Would Have Best Described You. Answer The Best That You Can Regardless Of How You Do The Task – It Doesn’t Matter Which Hand Or Arm You Use.
The 30-item Disabilities Of The Arm, Shoulder, And Hand (Dash) Questionnaire Examines A Patient’s Capability To Perform Specific Upper Extremity Tasks. [1][2][3] This Is A Self-report Questionnaire, Which Patients Grade Themselves On A 5-point Likert Scale As It Relates To The Problems And Bother Caused In Daily Life. [1][2].
The Dash Has Been Translated Into Other Languages And Proved To Be Valid And A Reliable Questionnaire For A Variety Of Disorders Of The Upper Extremities. [4]
Quickdash Is A Shortened Version Of The Original Dash Outcome Measure. The Quickdash Only Contains 11 Items Compared To The Original 30 Item Dash Outcome Measure[5] It Is A Self-report Questionnaire That Offers The Clinician Information About A Patient’s Functional Ability, Capacity, And Symptoms Severity.
[5] Within The Quickdash Tool There Is A Choice For The Patient To Choose The Number That Best Describes Their Level Of Function Or Severity Using A 5-point Likert Scale.
This Page Groups Together All Pages Associated With Outcome Measures. An Outcome Measure Is The Result Of A Test Taken To Record A Patient’s Baseline Function When Treatment First Begins. A Baseline Measure Can Be The Same Tool Used Again To Evaluate If Treatment Is Effective Or Progressing.
The Health Sciences Are Moving Toward Evidence-based Practice (Ebp), And To Give Credible And Reliable Justification For Treatment, Objective Measures Of Outcome Are Crucial. The Instrument Should Be Comfortable For The Patient And The Therapist To Use.
The Chosen Outcome Measure Must Be Proven To Have The Capability Of Measuring The Exact Function It Is Purported To Measure, Known As Validity, And The Results Must Not Vary Irrespective Of The Form The Test Takes Or When The Test Is Conducted, Known As Reliability.
Finally, The Scale Or Test Must Be Able To Demonstrate The Capacity For Measuring Responsiveness, A Quality That Changes Over Time. It Is Clearly Stated By The Chartered Society Of Physiotherapists In The United Kingdom That Standardised Outcome Measures Should Be Incorporated Into Routine Practice.
The Dash Outcome Measure Has Gained Popularity Since It Was First Introduced To The World In 1996. The Instrument Is Now Used Nationally And Internationally In Both Clinical And Research Practice, And It Has Been Helpful As A Self-report Outcome Measure For Patients With An Upper Limb Musculoskeletal Disorder.
A Short Form Of The Dash Outcome Measure Is The Quickdash. The Quickdash Measures Physical Function And Symptoms In Individuals With Any Or Multiple Upper Limb Musculoskeletal Disorders Using 11 Items Rather Than 30. Similar To The Dash, The Quickdash Features Two Four-item Optional Modules With Independent Scoring.
It Is Possible To Measure Disability And Symptoms More Quickly With This Short Form Of The Instrument, But There Are Advantages To Using The Full Dash Outcome Measure. See The Psychometric Properties. You Can Download The Quickdash Outcome Measure Free Of Charge — For Non-commercial Use) From The Dash Website At Www.dash.iwh.on.ca. Online Resources Are Also Available Regarding Scoring Information.
Statistical Analysis Of The 30-item Dash Revealed It Could Be Shortened To 11 Items And Still Have An Adequate Internal Consistency Rating For Evaluating Patients On An Individual Basis, Cronbach’s Alpha ~ 0.90. Shortening The Dash Was Felt To Be A Sensible And Attractive Option, Providing The Psychometric Properties Could Be Retained. We Used Field-testing Data For The Complete Dash And Three Methods To Reduce Items There Were Three Distinct Scales Created, Often Referred To As Quickdash Versions.
Using Items That Best Represent Each Of The Major Domains Found In The Theoretical Framework Of The Full Dash, The First Scale Was Created. According To The Degree Of Similarity Between The 16 Original Domains, Only 11 Remained.
Items Of The Full Dash Were Categorized By The Domain They Represented Then Ranked Based On Two Criteria: The Patients’ Ranking Of The Importance And Difficulty Of The Item, And The Item’s Correlation With The Total Dash Score. The Concept-based Version Of The Quickdash Was Constructed From The Top-ranking Items In Each Of The Eleven Specified Domains.
The Second Scale Consisted Of Those Items Most Highly Correlated With The Total Scores In Subgroups With High, Moderate, And Low Levels Of Disability. The Four Items With The Highest Correlation In Every Grouping Formed The Eitc-based Quickdash (The Item With The Lowest Correlation Of The Twelve Being Removed).
The Third Scale Was Developed Using Rasch Analysis, Creating An 11-item Scale Of Items Theoretically Equally Spaced And Calibrated Along The Scale Length. The Dash Items Were Calibrated In Terms Of Their Relative Difficulty; That Is, The Misfitting Items Were Removed.
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