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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

Development and validation of a novel questionnaire for self-determination of the range of motion of wrist and elbow

Authors: Marc Schnetzke, Svenja Schüler, Holger Keil, Sara Aytac, Stefan Studier-Fischer, Paul-Alfred Grützner, Thorsten Guehring

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

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Abstract

Background

The aim of this study was to develop and validate a novel self-administered questionnaire for assessing the patient’s own range of motion (ROM) of the wrist and the elbow.

Methods

In a prospective clinical study from January 2015 to June 2015, 101 consecutive patients were evaluated with a novel, self-administered, diagram-based, wrist motion assessment score (W-MAS) and elbow motion assessment score (E-MAS). The questionnaire was statistically evaluated for test-retest reliability, patient-physician agreement, comparison with healthy population, and influence of covariates (age, gender, affected side and involvement in workers’ compensation cases).

Results

Assessment of patient-physician agreement demonstrated almost perfect agreement (k > 0.80) with regard to six out of eight items. There was substantial agreement with regard to two items: elbow extension (k = 0.76) and pronation (k = 0.75). The assessment of the test-retest reliability revealed at least substantial agreement (k = 0.70). The questionnaire revealed a high discriminative power when comparing the healthy population with the study group (p = 0.007 or lower for every item). Age, gender, affected side and involvement in workers’ compensation cases did not in general significantly influence the patient-physician agreement for the questionnaire.

Conclusion

The W-MAS and E-MAS are valid and reliable self-administered questionnaires that provide a high level of patient-physician agreement for the assessments of wrist and elbow ROM.
Level of evidence: Diagnostic study, Level II
Appendix
Available only for authorised users
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Metadata
Title
Development and validation of a novel questionnaire for self-determination of the range of motion of wrist and elbow
Authors
Marc Schnetzke
Svenja Schüler
Holger Keil
Sara Aytac
Stefan Studier-Fischer
Paul-Alfred Grützner
Thorsten Guehring
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-1171-z

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