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Published in: Journal of Orthopaedic Science 4/2005

Open Access 01-07-2005 | Original article

Validation of the Japanese Society for Surgery of the Hand version of the Disability of the Arm, Shoulder, and Hand questionnaire

Authors: Toshihiko Imaeda, Satoshi Toh, Yasushi Nakao, Jun Nishida, Hitoshi Hirata, Masateru Ijichi, Chizuko Kohri, Akira Nagano, for the Impairment Evaluation Committee, Japanese Society for Surgery of the Hand

Published in: Journal of Orthopaedic Science | Issue 4/2005

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Abstract

Background

The Disability of the Arm, Shoulder and Hand (DASH) questionnaire is a region-specific self-administered questionnaire that consists of a disability/symptom (DASH-DS) scale, and two optional modules, the work (DASH-W) and the sport/music (DASH-SM) modules. The DASH was cross-culturally adapted and developed by the Impairment Evaluation Committee, Japanese Society for Surgery of the Hand. The purpose of this study was to test the reliability, validity, and responsiveness of the Japanese version of DASH (DASH-JSSH).

Methods

A series of 72 patients with upper extremity disorders completed the DASH-JSSH, the medical outcomes study 36-item short-form health survey (SF-36), and the Visual Analog Scale (VAS) for pain. Thirty-eight of the patients were reassessed for test-retest reliability 1 or 2 weeks later. Reliability was investigated by reproducibility and internal consistency. To analyze the validity, a principal component analysis and correlation coefficients between the DASH-JSSH and the SF-36 were obtained. Responsiveness was examined by calculating the standardized response mean (mean change/SD) and effect size (mean change/SD of baseline value) after carpal tunnel release of the 17 patients with carpal tunnel syndrome.

Results

Cronbach’s alpha coefficients in the DASH-DS and DASH-W were 0.962 and 0.967, respectively. The intraclass correlation coefficients for the same were 0.82 and 0.85, respectively. The unidimensionality of the DASH-DS and DASH-W were confirmed. The correlations between the DASH-DS score and the subscale of the SF-36 scale ranged from −0.29 to −0.73. The correlation coefficient between the DASH-DS and the DASH-W was 0.79. The standardized response mean/effect size of DASH-DS, DASH-W, and VAS for pain were −0.48/−0.26, −0.68/−0.41, and −0.40/−0.40, respectively. DASH-DS and DASH-W were as moderately sensitive as VAS for pain.

Conclusion

The DASH-DS and DASH-W Japanese version have evaluation capacities equivalent to those of the original and other language versions of the DASH.
Literature
1.
go back to reference National Research Council and Institute of Medicine2001Musculoskeletal disorders and the workplace: low back and upper extremitiesNational Academy PressWashington, DC386485-83 National Research Council and Institute of Medicine2001Musculoskeletal disorders and the workplace: low back and upper extremitiesNational Academy PressWashington, DC386485-83
2.
go back to reference Bernard, BP eds. 1997Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low backUS Department of Health and Human ServicesBethesda, MDChapters 3–5, 7 Bernard, BP eds. 1997Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low backUS Department of Health and Human ServicesBethesda, MDChapters 3–5, 7
3.
4.
go back to reference Brouwer, B, Mazzoni, C, Pearce, GW 2001Tracking ability in subjects symptomatic of cumulative trauma disorder: does it relate to disability?Ergonomics4444356CrossRefPubMed Brouwer, B, Mazzoni, C, Pearce, GW 2001Tracking ability in subjects symptomatic of cumulative trauma disorder: does it relate to disability?Ergonomics4444356CrossRefPubMed
5.
go back to reference Constant, CR, Murley, AHG 1987A clinical method of functional assessment of the shoulderClin Orthop2141614 Constant, CR, Murley, AHG 1987A clinical method of functional assessment of the shoulderClin Orthop2141614
6.
go back to reference Hudak, PL Amadio, PC Bombardier, C the Upper Extremity Collaborative Group (UECG)1996Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]Am J Ind Med296028CrossRefPubMed Hudak, PL Amadio, PC Bombardier, C the Upper Extremity Collaborative Group (UECG)1996Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]Am J Ind Med296028CrossRefPubMed
7.
go back to reference Kirkley, A, Griffin, S, McLintock, H, Ng, L 1998The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability: the Western Ontario Shoulder Instability Index (WOSI)Am J Sports Med2676472PubMed Kirkley, A, Griffin, S, McLintock, H, Ng, L 1998The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability: the Western Ontario Shoulder Instability Index (WOSI)Am J Sports Med2676472PubMed
8.
go back to reference Levine, DW, Simmons, BP, Koris, MJ, Daltroy, LH, Hohl, GG, Fossel, AH, et al. 1993A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndromeJ Bone Joint Surg Am75158592PubMed Levine, DW, Simmons, BP, Koris, MJ, Daltroy, LH, Hohl, GG, Fossel, AH,  et al. 1993A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndromeJ Bone Joint Surg Am75158592PubMed
9.
go back to reference Martin, DP, Engelberg, R, Agel, J, Swiontrowski, MF 1997Comparison of the Musculoskeletal Function Assessment Questionnaire with the Short Form 36, the Western Ontario and McMaster Universities Osteoarthritis Index, and the Sickness Impact Profile Health Status MeasuresJ Bone Joint Surg Am79132335PubMed Martin, DP, Engelberg, R, Agel, J, Swiontrowski, MF 1997Comparison of the Musculoskeletal Function Assessment Questionnaire with the Short Form 36, the Western Ontario and McMaster Universities Osteoarthritis Index, and the Sickness Impact Profile Health Status MeasuresJ Bone Joint Surg Am79132335PubMed
10.
go back to reference Research Committee, American Shoulder and Elbow SurgeonsRichards, R, An, KN, Bigliani, LU, Friedman, RJ, Gartsman, GM, Gristina, AG, et al. 1994A standardized method for the assessment of shoulder functionJ Shoulder Elbow Surg334752CrossRef Research Committee, American Shoulder and Elbow SurgeonsRichards, R, An, KN, Bigliani, LU, Friedman, RJ, Gartsman, GM, Gristina, AG,  et al. 1994A standardized method for the assessment of shoulder functionJ Shoulder Elbow Surg334752CrossRef
11.
go back to reference Davis, AM, Beaton, DE, Hudak, P, Amadio, P, Bombardier, C, Cole, D, et al. 1999Measuring disability of the upper extremity: a rationale supporting the use of a regional outcome measureJ Hand Ther1226974PubMed Davis, AM, Beaton, DE, Hudak, P, Amadio, P, Bombardier, C, Cole, D,  et al. 1999Measuring disability of the upper extremity: a rationale supporting the use of a regional outcome measureJ Hand Ther1226974PubMed
12.
go back to reference Atroshi, I, Gummesson, C, Andersson, B, Dahlgren, E, Johansson, A 2000The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patientsActa Orthop Scand716138PubMedCrossRef Atroshi, I, Gummesson, C, Andersson, B, Dahlgren, E, Johansson, A 2000The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patientsActa Orthop Scand716138PubMedCrossRef
13.
go back to reference Dubert, T, Voche, P, Dumontier, C, Dinh, A 2001Le questionnaire DASH: adaptation française d’un outil d’évaluation internationalChir Main20294302(in French)CrossRefPubMed Dubert, T, Voche, P, Dumontier, C, Dinh, A 2001Le questionnaire DASH: adaptation française d’un outil d’évaluation internationalChir Main20294302(in French)CrossRefPubMed
14.
go back to reference Offenbaecher, M, Ewert, T, Sangha, O, Stucki, G 2002Validation of a German version of the Disabilities of Arm, Shoulder, and Hand questionnaire (DASH-G)J Rheumatol294012PubMed Offenbaecher, M, Ewert, T, Sangha, O, Stucki, G 2002Validation of a German version of the Disabilities of Arm, Shoulder, and Hand questionnaire (DASH-G)J Rheumatol294012PubMed
15.
go back to reference Rosales, RS, Delgado, EB, De La Lastra-Bosch, ID 2002Evaluation of the Spanish version of the DASH and carpal tunnel syndrome health-related quality-of-life instruments: cross-cultural adaptation process and reliabilityJ Hand Surg [Am]2733443CrossRef Rosales, RS, Delgado, EB, De La Lastra-Bosch, ID 2002Evaluation of the Spanish version of the DASH and carpal tunnel syndrome health-related quality-of-life instruments: cross-cultural adaptation process and reliabilityJ Hand Surg [Am]2733443CrossRef
16.
go back to reference Veehof, MM, Sleegers, EJA, van Veldhoven, NHMJ, Schuurman, AH, van Meeteren, NLU 2002Psychometric qualities of the Dutch language version of the Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH-DLV)J Hand Ther15347354PubMed Veehof, MM, Sleegers, EJA, van Veldhoven, NHMJ, Schuurman, AH, van Meeteren, NLU 2002Psychometric qualities of the Dutch language version of the Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH-DLV)J Hand Ther15347354PubMed
17.
go back to reference Padua, R, Padua, L, Ceccarelli, E, Romanini, E, Zanoli, G, Amadio, PC, et al. 2003Italian version of the Disability of the Arm, Shoulder and Hand (DASH) questionnaire: cross-cultural adaptation and validationJ Hand Surg [Br]2817986 Padua, R, Padua, L, Ceccarelli, E, Romanini, E, Zanoli, G, Amadio, PC,  et al. 2003Italian version of the Disability of the Arm, Shoulder and Hand (DASH) questionnaire: cross-cultural adaptation and validationJ Hand Surg [Br]2817986
18.
go back to reference Lee, EWC, Lau, JSY, Chung, MMH, Li, APS, Lo, SK 2004Evaluation of the Chinese version of the Disability of the Arm, Shoulder and Hand (DASH-HKPWH): cross-cultural adaptation process, internal consistency and reliability studyJ Hand Ther1741723PubMed Lee, EWC, Lau, JSY, Chung, MMH, Li, APS, Lo, SK 2004Evaluation of the Chinese version of the Disability of the Arm, Shoulder and Hand (DASH-HKPWH): cross-cultural adaptation process, internal consistency and reliability studyJ Hand Ther1741723PubMed
19.
go back to reference Beaton, DE, Bombardier, C, Guillemin, F, Ferraz, MB 2000Guidelines for the process of cross-cultural adaptation of self-report measuresSpine25318691CrossRefPubMed Beaton, DE, Bombardier, C, Guillemin, F, Ferraz, MB 2000Guidelines for the process of cross-cultural adaptation of self-report measuresSpine25318691CrossRefPubMed
20.
go back to reference Guillemin, F, Bombardier, C, Beaton, D 1993Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelinesJ Clin Epidemiol46141732CrossRefPubMed Guillemin, F, Bombardier, C, Beaton, D 1993Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelinesJ Clin Epidemiol46141732CrossRefPubMed
21.
go back to reference Fukuhara, S, Bito, S, Green, J, Hsiao, A, Kurokawa, K 1998Translation, adaptation, and validation of the SF-36 health survey for use in JapanJ Clin Epidemiol51103744CrossRefPubMed Fukuhara, S, Bito, S, Green, J, Hsiao, A, Kurokawa, K 1998Translation, adaptation, and validation of the SF-36 health survey for use in JapanJ Clin Epidemiol51103744CrossRefPubMed
22.
go back to reference Fukuhara, S, Ware, JE, Kosinski, M, Wada, S, Gandek, B 1998Psychometric and clinical tests of validity of the Japanese SF-36 health surveyJ Clin Epidemiol51104553CrossRefPubMed Fukuhara, S, Ware, JE, Kosinski, M, Wada, S, Gandek, B 1998Psychometric and clinical tests of validity of the Japanese SF-36 health surveyJ Clin Epidemiol51104553CrossRefPubMed
23.
go back to reference Liang, MH, Fossel, AH, Larson, MG 1990Comparisons of five health status instruments for orthopedic evaluationMed Care2863242CrossRefPubMed Liang, MH, Fossel, AH, Larson, MG 1990Comparisons of five health status instruments for orthopedic evaluationMed Care2863242CrossRefPubMed
24.
go back to reference Kazis, LE, Anderson, JJ, Meenan, RF 1989Effect sizes for interpreting changes in health statusMed Care27S17889CrossRefPubMed Kazis, LE, Anderson, JJ, Meenan, RF 1989Effect sizes for interpreting changes in health statusMed Care27S17889CrossRefPubMed
25.
go back to reference Beaton, DE, Katz, JN, Fossel, AH, Wright, JG, Tarasuk, V 2001Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremityJ Hand Ther1412846PubMed Beaton, DE, Katz, JN, Fossel, AH, Wright, JG, Tarasuk, V 2001Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremityJ Hand Ther1412846PubMed
26.
go back to reference McHorney, CA, Tarlov, AR 1995Individual-patient monitoring in clinical practice: are available health status surveys adequate?Qual Life Res4293307CrossRefPubMed McHorney, CA, Tarlov, AR 1995Individual-patient monitoring in clinical practice: are available health status surveys adequate?Qual Life Res4293307CrossRefPubMed
27.
go back to reference Gay, RE, Amadio, PC, Johnson, JC 2003Comparative responsiveness of the Disabilities of the Arm, Shoulder, and Hand, the Carpal Tunnel Questionnaire, and the SF-36 to clinical change after carpal tunnel releaseJ Hand Surg [Am]282504CrossRef Gay, RE, Amadio, PC, Johnson, JC 2003Comparative responsiveness of the Disabilities of the Arm, Shoulder, and Hand, the Carpal Tunnel Questionnaire, and the SF-36 to clinical change after carpal tunnel releaseJ Hand Surg [Am]282504CrossRef
Metadata
Title
Validation of the Japanese Society for Surgery of the Hand version of the Disability of the Arm, Shoulder, and Hand questionnaire
Authors
Toshihiko Imaeda
Satoshi Toh
Yasushi Nakao
Jun Nishida
Hitoshi Hirata
Masateru Ijichi
Chizuko Kohri
Akira Nagano
for the Impairment Evaluation Committee, Japanese Society for Surgery of the Hand
Publication date
01-07-2005
Publisher
Springer-Verlag
Published in
Journal of Orthopaedic Science / Issue 4/2005
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-005-0917-5

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