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HAND
Published in: HAND 3/2015

01-09-2015

The influence of dominant limb involvement on DASH and QuickDASH

Authors: Amir Reza Kachooei, Ali Moradi, Stein Jasper Janssen, David Ring

Published in: HAND | Issue 3/2015

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Abstract

Purpose

The purpose of this study is to determine whether involvement of the dominant limb affects Disabilities of the Arm Shoulder and Hand (DASH) scores.

Methods

A convenience sample of 948 patients from 12 prospective studies that recorded hand dominance, affected side, diagnosis, and a DASH or QuickDASH score was used to assess the influence of involvement of the dominant limb on DASH scores. Diagnosis was categorized as traumatic and nontraumatic. Region was categorized as hand and wrist, elbow, and arm and shoulder.

Results

In bivariate analysis, involvement of the dominant limb, diagnosis, region, and sex had significant influence on DASH/QuickDASH score. In multivariable analysis, dominant hand condition, traumatic diagnosis, arm and shoulder involvement, and female sex were associated with significantly higher DASH scores (more disability), but accounted for only 10 % of the variability in scores.

Conclusion

Upper extremity disability as measured by the DASH is slightly, but significantly greater when the dominant limb is involved.
Level of evidence: Prognostic level II
Literature
1.
Angst F, Goldhahn J, Drerup S, et al. Responsiveness of five outcome measurement instruments in total elbow arthroplasty. Arthritis Care Res (Hoboken). 2012;64(11):1749–55.CrossRef
2.
Beaton DE, Wright JG, Katz JN, et al. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005;87(5):1038–46.CrossRefPubMed
3.
Bot AG, Souer JS, van Dijk CN, et al. Association between individual DASH tasks and restricted wrist flexion and extension after volar plate fixation of a fracture of the distal radius. Hand (N Y). 2012;7(4):407–12.CrossRef
4.
Chan JC, Ong JC, Avalos G, et al. Illness representations in patients with hand injury. J Plast Reconstr Aesthet Surg. 2009;62(7):927–32.CrossRefPubMed
5.
Chung KC, Pillsbury MS, Walters MR, et al. Reliability and validity testing of the Michigan Hand Outcomes Questionnaire. J Hand Surg [Am]. 1998;23(4):575–87.CrossRef
6.
Edelmann K, Obruba P, Kopp L, et al. Comparison of functional outcomes in angle-stable osteosynthesis of comminuted fractures of the proximal humerus with those in percutaneous Kirschner-wire fixation. A prospective study of mid-term results. Acta Chir Orthop Traumatol Cech. 2011;78(4):314–20.PubMed
7.
Franchignoni F, Vercelli S, Giordano A, et al. Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Orthop Sports Phys Ther. 2014;44(1):30–9.CrossRefPubMed
8.
Gay RE, Amadio PC, Johnson JC. Comparative responsiveness of the disabilities of the arm, shoulder, and hand, the carpal tunnel questionnaire, and the SF-36 to clinical change after carpal tunnel release. J Hand Surg [Am]. 2003;28(2):250–4.CrossRef
9.
Hirche C, Heffinger C, Xiong L, et al. The 1,2-intercompartmental supraretinacular artery vascularized bone graft for scaphoid nonunion: management and clinical outcome. J Hand Surg [Am]. 2014;39(3):423–9.CrossRef
10.
Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996;29(6):602–8.CrossRefPubMed
11.
Jung HS. Hand dominance and hand use behaviour reported in a survey of 2437 Koreans. Ergonomics. 2009;52(11):1362–71.CrossRefPubMed
12.
Lee KC, Alexander S, Varma S. Patient-reported outcomes post axillary block dissections for skin cancer. J Plast Reconstr Aesthet Surg. 2013;66(6):787–91.CrossRefPubMed
13.
14.
London DA, Stepan JG, Boyer MI, et al. Performance characteristics of the verbal QuickDASH. J Hand Surg [Am]. 2014;39(1):100–7.CrossRef
15.
Niekel MC, Lindenhovius AL, Watson JB, et al. Correlation of DASH and QuickDASH with measures of psychological distress. J Hand Surg [Am]. 2009;34(8):1499–505.CrossRef
16.
Ozaras N, Cidem M, Demir S, et al. Shoulder pain and functional consequences: does it differ when it is at dominant side or not? J Back Musculoskelet Rehabil. 2009;22(4):223–5.PubMed
17.
Sorensen AA, Howard D, Tan WH, et al. Minimal clinically important differences of 3 patient-rated outcomes instruments. J Hand Surg [Am]. 2013;38(4):641–9.CrossRef
18.
van Kampen DA, Willems WJ, van Beers LW, et al. Determination and comparison of the smallest detectable change (SDC) and the minimal important change (MIC) of four-shoulder patient-reported outcome measures (PROMs). J Orthop Surg Res. 2013;8:40.PubMedCentralCrossRefPubMed
19.
Vranceanu AM, Barsky A, Ring D. Psychosocial aspects of disabling musculoskeletal pain. J Bone Joint Surg Am. 2009;91(8):2014–8.CrossRefPubMed
Metadata
Title
The influence of dominant limb involvement on DASH and QuickDASH
Authors
Amir Reza Kachooei
Ali Moradi
Stein Jasper Janssen
David Ring
Publication date
01-09-2015
Publisher
Springer US
Published in
HAND / Issue 3/2015
Print ISSN: 1558-9447
Electronic ISSN: 1558-9455
DOI
https://doi.org/10.1007/s11552-014-9734-7

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