Measurement properties of the Quick DASH questionnaire for assessment of upper limb function

Uvod: Krajša različica vprašalnika o funkcionalnosti zgornjega uda, ramena in roke (angl. disabilities of the arm, shoulder and hand) – QuickDASH je samoocenjevalni vprašalnik za oceno simptomov okvare mišično-kostnega sistema zgornjega uda in nezmožnosti izvajanja določenih dejavnosti. Združuje telesno, socialno in psihološko dimenzijo. Preveden je v slovenščino in prosto dostopen na spletu. Namen pregleda literature je bil povzeti merske lastnosti QuickDASH. Metode: V podatkovnih zbirkah PubMed, CINAHL, PEDro in Cochrane so bile pregledane raziskave, ki so ugotavljale merske lastnosti QuickDASH v angleškem jeziku. Rezultati: QuickDASH so proučevali pri pacientih z okvarami zgornjega uda v kliničnem okolju (13 raziskav) in pri zdravih delavcih ter delavcih z mišično-kostnimi okvarami vratu ali zgornjega uda v delovnem okolju (tri raziskave). V štirih raziskavah so ugotovili odlično zanesljivost posameznika pri ponovnem testiranju in visoko notranjo skladnost. Ugotovljeni sta bili visoka povezanost z DASH in nekaterimi samoocenjevalnimi vprašalniki ter zmerna povezanost z vidno analogno lestvico za oceno bolečine. Najmanjša klinično pomembna razlika se med raziskavami zelo razlikuje. Zaključki: QuickDASH je veljavno, zanesljivo in občutljivo merilno orodje. Je uporaben dodatek fizioterapevtskemu ocenjevanju funkcijskih sposobnosti zgornjega uda pri pacientih z mišično-kostnimi okvarami, amputacijo, opeklinami in po zdravljenju raka dojke.Background: Short form of the disabilities of the arm, shoulder and hand outcome measure (QuickDASH) is a selfassessment questionnaire for impairments of the musculo-skeletal system of the upper limb and limitations at certain activities. It combines the physical, social and psychological dimension. QuickDASH was translated into Slovene and is freely available online. The purpose was to review the measurement properties of QuickDASH. Methods: Studies of QuickDASH (in English) measurement properties identified in PubMed, CINAHL, Cochrane and PEDro were included in the review. Results: QuickDASH was studied in patients with upper limb impairments in clinical settings (13 studies) and in healthy workers and workers with musculoskeletal disorders of the neck or upper limb in the workplace (3 studies). In four studies excellent reliability of the individual at re-test and high internal consistency was found. High correlation with the DASH and certain self-assessment questionnaires and moderate correlation with visual analog scale to assess pain were found. The minimum clinically important difference varies significantly between studies. Conclusions: QuickDASH is a valid, reliable and sensitive outcome measure. It is a useful addition to physiotherapy assessment of the functional capacity of the upper limb in patients with musculoskeletal disorders, patients with upper limb amputations or burns and breast cancer patients