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Are standardized patient self-reporting instruments applicable to the evaluation of ulnar neuropathy at the elbow?

机译:标准化的患者自我报告工具是否适用于肘部尺神经病的评估?

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BACKGROUND: This study attempts to confirm that the Disabilities of Arm, Shoulder and Hand (DASH) Outcome Measure self-administered questionnaire is valid specifically for ulnar neuropathy at the elbow. Validity of the Levine-Katz questionnaire for ulnar neuropathology compared with DASH was also studied. MATERIALS AND METHODS: Forty-eight patients with isolated ulnar nerve surgery completed a 6-month evaluation. Patients were assigned a clinical stage. The DASH and Levine-Katz questionnaires were administered, and pinch and grip strength were measured preoperatively and postoperatively. Levine-Katz questionnaires were correlated with DASH to establish criterion validity. Construct validity was tested by determining a relationship between scores and clinical stages and by comparing scores preoperatively and postoperatively. RESULTS: There was a high correlation between DASH scores and symptom severity and functional status. Although correlations were significant between DASH and biomechanical measures, correlation coefficients were lower. Postoperatively, all measures improved significantly. CONCLUSION: This study confirms that scores on the DASH questionnaire reflect the clinical staging of ulnar neuropathy at the elbow.
机译:背景:本研究试图确认手臂,肩部和手部残疾(DASH)结果量表自行管理的问卷对于肘部尺神经病变特别有效。还比较了Levine-Katz问卷对尺神经病理学和DASH的有效性。材料与方法:48例尺神经孤立手术患者完成了为期6个月的评估。为患者分配了临床阶段。进行DASH和Levine-Katz问卷,并在术前和术后测量捏和握力。 Levine-Katz问卷与DASH相关以建立标准有效性。通过确定评分与临床分期之间的关系,并通过比较术前和术后的评分来检验构建体的有效性。结果:DASH评分与症状严重程度和功能状态之间存在高度相关性。尽管DASH与生物力学指标之间的相关性显着,但相关系数较低。术后所有措施均明显改善。结论:本研究证实DASH问卷上的分数反映了肘部尺神经病的临床分期。

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