Develop and understand a matrix of objective measures to assist with ue return play decisions. Outcome measurements can frequently cross multiple domains of care and may serve as surrogate outcome measurements if traditional measures are unavailable. Fingers should not touch the ruler while reaching forward. The pain dimension consists of five questions regarding the severity of an individuals pain. Dash instructions this questionnaire asks about your symptoms as well asyour ability to perform certain activities. Dash cannot be computed if greater than three items are missing. Outcome measures may provide a score, an interpretation of results and at times a risk categorization of the patient. The clinimetric properties of outcome measures include both psychometric aspects validity, reliability and responsiveness and clinical utility feasibility, interpretability and external validity.
A modified quickdash9 provides a valid outcome instrument. Welcome to our website where you will find uptodate information about the dash and quickdash outcome measures and related tools and products dash stands for disabilities of the arm, shoulder and hand. Using outcome measures in the clinic jenniferharwood. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd. Optum physical health clinical forms instruction manual. Download a document which contains information about scoring the dash. Functional outcome deficiencies impairment or loss of physical function related to.
If the client is off work, 1 activity must relate to return to work. Description of test typepurpose of test the dash outcome measure is a 30item, selfreport questionnaire designed to measure physical. The dash disabilities of the arm, shoulder and hand is a standardised outcome measure that could be used for this purpose hudak et al 1996, mcconnell et al 1999. The survey results indicate 94% of therapists using the dash or quickdash identified it as both an assessment and an outcome measure. Explain what functional tests are best to be used with ue return to paly decisions.
A dash score may notbe calculated if there are greater than 3 missing items. Physiotherapy outcome measures please complete the psfs and nprs, or other outcome measures name. Functional outcome assessment using a standardized tool is documented within the previous 30 days and care plan, based on identified deficiencies on the date of the functional outcome assessment, is documented. Dash welcome to our website where you will find uptodate. Outcome measures oswestry disability questionnaire odq o region specific measure of disability o modified version contains 10 items o each item scored 0 5 o items are summed and expressed as a percentage o higher numbers indicate greater disability odq score disability interpretation 020% minimal disability 2140% moderate disability. Upper extremityspecific measures of disability and outcomes. If you did not have the opportunity to perform an activity in the past week, please make your best estimate on which response would be the most accurate. The oswestry disability index also known as the oswestry low back pain disability questionnaire is an extremely important tool that researchers and disability evaluators use to measure a patients permanent functional disability. Dash disabilitysymptom score sum of n responses n 1 x 25, where n is the number of completed responses. The lefs can be used by clinicians as a measure of patients initial function, ongoing progress and outcome, as well as to set functional goals. The patientspecific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. Patientreported outcome measures proms are measures of the outcome of treatments reported directly by the. Measures of adult shoulder function wiley online library. Current functional outcome assessment a patient having a.
To calculate a quickdash score, at least 10 of the 11 items must be completed. Identify the tools needed to assist in making rtp decisions. Two optional additional modules are work 4 items and sports 4 items. There are 30 total questions, 5 related to symptoms, 25 related to functional tasks. Complete at the end of the history and prior to physical examination. The dash outcome measure is scored in two components. If you did not have the opportunity to perform an activity in the past week, please make your best estimate. Quickdash disabilitysymptom score sum of n responses 1 x 25, where nis equal to the number of completed responses. Current functional outcome assessment a patient having a documented functional outcome. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons ability to perform everyday tasks.
The disabilities of the arm, shoulder and hand score can be used to measure disability for any region of the upper limb. Please rate your ability to do the following activities in the last week by circling the number below the appropriate response. Please answer every section and mark in each section only the one box that applies to you. The test is considered the gold standard of low back functional outcome tools 1. Develop and understand a matrix of objective measures to. The dash disabilities of the arm, shoulder, and hand article pdf available in american journal of industrial medicine 296. The disabilities of the arm, shoulder and hand dash score. Scoring dash and quickdash scoring formula sum of n responsesn 125 where n represents the number of completed items.
Disabilities of the arm, shoulder and hand dash optum physical. Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter and documentation of a care plan based on identified functional outcome deficiencies on the date of the identified deficiencies. The dash and quickdash outcome measure are available free of charge provided they are not sold or incorporated into a product that are sold. Feb 01, 2012 outcome measures should be relevant to patients, easy to use, reliable, valid, and responsive to clinical changes. It is an 18item measure of dependency for activities of daily living comprising motor and 5 cognitive items each measured on a scale of 17. Review article open patientreported outcome measures for asthma. Quickdash disabilitysymptom score, where n is equal to the number of completed responses. Functional outcome could include factors such as function, acceptance, usage, satisfaction, adaptation, and ability. Demonstrate the use of total arc in measuring shoulder rom for ue athletes. It has two, 4item, optional modules used to measure symptoms and function in athletes, artists, and workers who require a high level of function. Using outcome measures in the clinic jenniferharwoodbscpt. The shoulder pain and disability index spadi is a selfadministered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The dash is designed to evaluate disorders and measure disability of the upper extremities, and monitor change or function over time. Current functional outcome assessment a patient having a documented functional outcome assessment utilizing a standardized tool and a care plan if indicated within the previous 30 days.
Functional outcome assessment documented and care plan documented, if indicated, within the previous 30 days. Approved versions of the dash outcome measure are now available in 50 languages. Functional outcome measure score scores from the back and neck index, dash, lefs, or other functional outcome measurement tool can be entered into the appropriate boxes on this patient summary form. Oct 30, 2003 validity, reliability and responsiveness of the disabilities of the arm, shoulder, and hand outcome measure in different regions of the upper extremity. Neck disability index this questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Do not begin a translation of the dash andor quick dash outcome measuers into any foreign languages until you have. With over 400 measures and supported by some of the worlds best doctors, clinicians, therapists and physical medicine and rehabilitation researchers, the rehabilitation measure database rmd is the goto resource for benchmarks and outcomes. Dash welcome to our website where you will find upto. The dash is a 30item selfreport questionnaire designed to assess musculoskeletal disorders of the upper limbs. Quickdash questionnaire hospital for special surgery. The knee injury and osteoarthritis outcome score koos is a questionnaire designed to assess short and. Functional outcome assessment patient completed questionnaires designed to measure a patients limitations in performing the usual human tasks of living and to directly quantify functional and behavioral symptoms. Outcome evaluation measures for wrist and hand which one.
The quickdash outcome measure is designed to be used on patients presenting with one or more disabilities of the arm, shoulder, and hand. The dash disabilities of the arm, shoulder and hand outcome measure is a 30item, selfreport questionnaire that measures physical function and symptoms in people with musculoskeletal disorders of the upper limb. Dash outcome measure institute for work and health. The main objective behind its development was to develop a regional outcome measure which conceptualises the upper extremity as a single functional unit. An outcome measure is a tool used to assess a patients current status1.
Assess functional disability related to the upper extremity. This measure is nqfendorsed for use in the ltch setting. When possible, ask subject to use both arms when reaching to avoid rotation of the trunk. Functional activities are assessed with eight questions. The dash reflects the impact of a disorder in terms of physical function and symptoms, which are the two main reasons patients seek care for a disorder of the musculoskeletal system. Functional outcome deficiencies impairment or loss of function related to. A dash score may not be calculated if there are greater than 3 missing items. Please answer every question, based on your condition in the last week, by circling the appropriate number. Prior to providing any intervention, an outcome measure provides baseline data. Validity, reliability and responsiveness of the disabilities of the arm, shoulder, and hand outcome measure in different regions of the upper extremity. Dash outcome measure is the shared property of the institute for. Upper extremity return to play manchester university.
The recorded measure is the distance forward that the fingers reach while the subject is in the most forward lean position. Dash and its shorter version, the quick dash,2,3,16 the upper extremity functional scale uefs,22 the upper extremity functional index uefi,30 and the upper limb functional index ulfi. Using outcome measures in the clinic jenniferharwoodbscpt,fcampt andandrewwhitebpe,bscpt,fcampt outcome measures are a way for clinicians to measure clinical change in patients over time. Please answer every question, based on your condition in the last week. The quick dash is an 11 item outcome measure instead of the 30 item dash that still measures physical function in people with musculoskeletal disorders in their upper extremities. Outcome measures tac transport accident commission. The outcome measure should be designed to assess or evaluate the functional outcome among upper limb prosthesis users. Joint and diseasespecific outcome measures have been developed for the shoulder, the elbow, and the wrist and. Further information regarding scoring is available in the functional outcome measurement section of this document. It doesnt matter which hand or arm you use to perform the. A quickdash score may not be calculated if there is. The clinimetric properties of an outcome measure are not fixed but vary among different settings and populations in which the outcome measure is used.
This questionnaire asks about your symptoms as well. Before downloading any of the translations, please read our terms and conditions. Dec 18, 2009 the disabilities of the arm, shoulder and hand dash outcome questionnaire. Your story matters citation worth, allison, victoria hammersley, rebecca knibb, bertine flokstradeblok, audrey dunngalvin, samantha walker, anthony e j dubois, and aziz. A quick dash score may not be calculated if there is greater than 1 missing item. Take a complication rate, like infection from joint replacement surgery, for example. The dash score was first described in 1996 by hudak et al.
Quickdash disabilitysymptom score sum of n responses 1 x 25, where n is equal to the number of completed responses. A quickdash score may not be calculated if there is greater than 1 missing item. Pdf development of an upper extremity outcome measure. The disabilities of the arm, shoulder and hand dash score aaos. The disabilities of the arm, shoulder and hand dash score clinicians name or ref patients name or ref instructions. Welcome to our website where you will find uptodate information about the dash and quickdash outcome measures and related tools and products dash stands for disabilities of the arm. The disabilities of the arm, shoulder and hand dash outcome questionnaire. The dash disabilities of the arm, shoulder and hand. Similar to the dash, each item has 5 response options and, from the item scores, scale scores are calculated, ranging from 0 no disability to 100 most severe disability. The initial results may help determine the course of treatment intervention.
This questionnaire asks about your symptoms as well as your ability to perform certain activities. The functional independence measure fim is a global measure of disability, widely used as a common language measure of outcome across the western world. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure. The dash questionnaire is not able to say that a particular score represents a specific level of disability such as mild, moderate or severe disability or objectively determine whether an individual patient is or is not able to work, but a recent study of users of the dash outcome measure found that a dash score ranging from 0 to 29 was thought.
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