Responsiveness of the Michigan Hand Outcomes Questionnaire and the Disabilities of the Arm, Shoulder and Hand Questionnaire in carpal tunnel surgery

被引:117
作者
Kotsis, SV [1 ]
Chung, KC [1 ]
机构
[1] Univ Michigan Hlth Syst, Dept Surg, Sect Plast Surg, Ann Arbor, MI 48109 USA
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2005年 / 30A卷 / 01期
关键词
Michigan hand outcomes questionnaire (MHQ); Disabilities of the Arm; Shoulder and Hand (DASH); carpal tunnel syndrome; responsiveness;
D O I
10.1016/j.jhsa.2004.10.006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose: Symptom resolution and functional improvement are the 2 primary reasons for patients to seek treatment for carpal tunnel syndrome (CTS). This study aimed to measure the responsiveness of the Michigan Hand Outcomes Questionnaire (MHQ) and Disabilities of the Arm, Shoulder and Hand (DASH) when evaluating outcomes after carpal tunnel surgery. Methods: Fifty patients prospectively completed the MHQ and the DASH before and 6 months after open carpal tunnel release. Data were analyzed using paired t tests and responsiveness to clinical change was calculated by using standardized response means (SRMs). Results: All domains of the MHQ significantly improved after-carpal tunnel release: the pain scale had a large SRM of 0.9 and the function scale showed medium responsiveness of 0.6. The combined function/symptom scale of the DASH significantly improved after surgery; the SRM revealed a medium effect of 0.7. Conclusions: The MHQ and the DASH are both responsive in measuring outcomes of carpal tunnel surgery. The MHQ has subscales that can measure symptom and function improvement independently. The MHQ and the DASH can be used for outcomes research related to carpal tunnel surgery with the advantage of also being useful for assessing and comparing outcomes for various other hand disorders. Copyright (C) 2005 by the American Society for Surgery of the Hand.
引用
收藏
页码:81 / 86
页数:6
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