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Reliability and validity of the Norwegian version of the disabilities of the arm, shoulder and hand questionnaire in patients with shoulder impingement syndrome

Haldorsen, Benjamin; Svege, Ida Charlott; Røe, Yngve; Bergland, Astrid
Journal article, Peer reviewed
© 2014 haldorsen et al.; licensee bio med central ltd. this is an open access article distributed under the terms of the creative commons attribution license (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. the creative commons public domain dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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https://hdl.handle.net/10642/2377
Utgivelsesdato
2014
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  • HV - Institutt for fysioterapi (GAMMEL) [336]
Originalversjon
Haldorsen, B., Svege, I.C., Roe, Y. & Bergland, A. (2014). Reliability and validity of the Norwegian version of the Disabilities of the Arm, Shoulder and Hand questionnaire in patients with shoulder impingement syndrome. BMC Musculoskeletal Disorders, 15(78). doi: 10.1186/1471-2474-15-78   http://dx.doi.org/10.1186/1471-2474-15-78
Sammendrag
Background: Patient-rated outcome measures (PROMs) are an important part of clinical decision-making in rehabilitation

of patients with shoulder pain. The Disabilities of Arm, Shoulder and Hand (DASH) questionnaire was designed to

measure physical disability and symptoms in patients with musculoskeletal disorders of the upper extremity and

is one the most commonly used outcome measures for patients with shoulder pain. The purpose of this study

was to investigate the reliability and validity of the Norwegian version of the DASH in patients with shoulder impingement

syndrome.

Methods: Sixty-three patients diagnosed with shoulder impingement syndrome at an orthopaedic outpatient clinic were

included in the study. Internal consistency of the DASH was evaluated by the Cronbach’s alpha and item-to-total

correlations. Test-retest reliability was analyzed by the intraclass correlation coefficient (ICC) and limits of agreement

(LoA) according to the Bland Altman method. Standard error of measurement (SEM) and minimally detectable change

(MDC) were calculated for the total DASH score. Construct validity was evaluated by testing six a priori hypotheses for

the Pearson’s correlation coefficient between the DASH and the Shoulder Pain and Disability Index (SPADI), the 36-item

Short Form Health Survey (SF-36) and a Numeric Pain Rating Scale (NPRS).

Results: Reliability: Cronbach’s alpha of the DASH was 0.93 and item-to-total correlations ranged from 0.36 to 0.81. ICC

was 0.89. The 95 percent LoA was calculated to be between −11.9 and 14.1. SEM was 4.7 and MDC 13.1. Construct

validity: Eighty-three percent of the a priori hypotheses of correlation were confirmed. The DASH showed a high

positive correlation of 0.75 with the SPADI, a negative moderate correlation of −0.48 to −0.62 with physical functioning,

bodily pain and physical component summary of the SF-36 and a moderate positive correlation of 0.58 with the NPRS.

DASH correlated higher with the physical component summary than with the mental component summary of the SF-36.

Conclusions: The Norwegian version of the DASH is a reliable and valid outcome measure for patients with shoulder

impingement syndrome
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BioMed Central
Serie
BMC Musculoskeletal Disorders;15(78)

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