Responsiveness of the disability of the arm, shoulder, and hand (DASH) and patient-rated wrist/hand evaluation (PRWHE) in evaluating change after hand therapy.

Macdermid JC; Tottenham V

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Responsiveness of the disability of the arm, shoulder, and hand (DASH) and patient-rated wrist/hand evaluation (PRWHE) in evaluating change after hand therapy.

机译：在评估手部治疗后的变化时，手臂，肩膀和手的残疾（DASH）以及患者评分的手腕/手评估（PRWHE）的响应性。

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A hand therapy clinic used a systematic process to select an outcome tool for routine use. After a literature review of available instruments, the choice had been narrowed to two instruments: the Disability of the Arm, Shoulder, and Hand (DASH) and the Patient-Rated Wrist Evaluation (PWRE). The PRWE was modified to attribute to the hand/wrist. A cohort of 60 patients (36 hand problems, 24 wrist problems) completed a DASH and PRWHE at their initial clinic visit and three months later. Standardized response means (SRMs) and effect sizes indicated a large treatment effect. The PRWHE had slightly higher responsiveness than the DASH (SRM=1.51 vs. 1.37). Because this level of responsiveness was obtained with fewer items, it was considered more efficient. A supplementary esthetics question was less responsive than either scale, but was thought to be an important option for selected patients. On completion of the trial period, the therapists unanimously selected the PRWHE with a supplemental esthetics questionto be routinely used in measurement of outcomes.

机译：一家手部治疗诊所使用了系统的流程来选择常规使用的结果工具。在对现有器械进行文献综述后，选择范围已缩小为两种器械：手臂，肩膀和手部残疾（DASH）和由患者评定的手腕评估（PWRE）。 PRWE已被修改以归因于手/手腕。一组60名患者（36手问题，24手腕问题）在初次就诊时和三个月后完成了DASH和PRWHE。标准化的反应方式（SRM）和效果大小表明治疗效果大。 PRWHE的响应度比DASH略高（SRM = 1.51对1.37）。由于此响应级别是通过较少的项目获得的，因此被认为更有效。补充美学的问题比任何一个量表的反应性都差，但被认为是某些患者的重要选择。在试验期结束后，治疗师一致选择了带有补充美学问题的PRWHE，以常规用于评估结果。

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《Journal of hand therapy: Official journal of the American Society of Hand Therapists》 |2004年第1期|共6页
作者
Macdermid JC; Tottenham V;
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正文语种 eng
中图分类外科学;
关键词
Hand; Wrist; Disability; NOS; Therapeutic procedure; Patients; 手; 腕; 病人;

机译：Hand;Wrist;Disability;NOS;Therapeutic procedure;Patients;手;腕;病人;

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1. Responsiveness of the disability of the arm, shoulder, and hand (DASH) and patient-rated wrist/hand evaluation (PRWHE) in evaluating change after hand therapy. [J] . Macdermid JC, Tottenham V Journal of hand therapy: Official journal of the American Society of Hand Therapists . 2004,第1期

机译：在评估手部治疗后的变化时，手臂，肩膀和手的残疾（DASH）以及患者评分的手腕/手评估（PRWHE）的响应性。
2. Asymptomatic reference values for the Disability of Arm, Shoulder and Hand and Patient-Rated Wrist/Hand Evaluation - electronic data collection and its clinical implications [J] . McLean James M., Hasan Afsana P., Willet Jake, The Journal of hand surgery, European volume . 2018,第9期

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3. Which Outcome Measure is the Best? Evaluating Responsiveness of the Disabilities of the Arm, Shoulder, and Hand Questionnaire, the Michigan Hand Questionnaire and the Patient-Specific Functional Scale Following Hand and Wrist Surgery [J] . Catherine R. McMillan, Paul A. Binhammer Hand . 2009,第3期

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4. A 7 DOF exoskeleton arm: Shoulder, elbow, wrist and hand mechanism for assistance to upper limb disabled individuals [C] . Naidu Dasheek, Stopforth Riaan, Bright Glen, IEEE AFRICON 2011 . 2011

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机译：75例mCG / KG无防腐剂吗啡和1.5％甲哌卡因与1：200,000肾上腺素对手臂前臂或肩关节手术患者臂丛神经鞘的影响评估与1.5相比，影响术后疼痛的发作％mepivacaine与1：200,000肾上腺素

Responsiveness of the disability of the arm, shoulder, and hand (DASH) and patient-rated wrist/hand evaluation (PRWHE) in evaluating change after hand therapy.

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