Abstract
The objective of this study was to explore whether the items from a specific outcome
measure, that is, Disabilities of the Arm, Shoulder, and Hand (DASH), for quantifying
limb symptoms and functions in musculoskeletal disorders fit into the framework of
the International Classification of Functioning, Disability and Health (ICF). All
DASH items were compared to the ICF according to eight linking rules. Two groups of
researchers performed the linking independently, and the results were compared by
correlation. The 30 DASH items and four items from the optional modules were linked
to 63 ICF categories and 11 chapters: 15 categories belong to the ICF body functions component and 48 to the activities and participation component. There were no items coded under the components body structure or environmental factors. Kappa index showed an agreement of 0.73 (p<0.001). The results showed that the content of the DASH does link well with the ICF
framework. Clinicians and researchers must attend to the fact that certain domains
and categories from the ICF are not covered by the DASH. Limitations of the instrument
may be overcome by simultaneously using other instruments that address the intended
content.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Hand TherapyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Classificação Internacional de Funcionalidade, Incapacidade e Saúde. [The International Classification of Functioning, Disability and Health—ICF].Edusp, São Paulo2003 (325)
- Value and application of the ICF in rehabilitation medicine.Disabil Rehabil. 2002; 24: 932-938
- The International Classification of Functioning, Disability and Health: a new tool for understanding disability and heath.Disabil Rehabil. 2003; 25: 565-571
- A Classificação Internacional de Funcionalidade, Incapacidade e Saúde da Organização Mundial da Saúde: conceitos, usos e perspectivas.Rev Bras Epidemiol (Braz J Epidemiol). 2005; 8: 187-193
- Aplicação da Classificação Internacional de Funcionalidade, Incapacidade e saúde (CIF) na prática clínica do fisioterapeuta.Rev Bras Fis (Braz J Phys Ther). 2005; 9: 1-7
- Classificação Internacional de Funcionalidade (CIF).Acta Fisiatr (Acta Physiatr). 2002; 9: 98-101
- Development of ICF core sets for patients with chronic conditions.J Rehabil Med. 2004; 44: 9-11
- Assessment of the impact of disease on the individual.Best Pract Res Clin Rheumatol. 2003; 17: 451-473
- The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health.Disabil Rehabil. 2003; 25: 565-571
- New approaches to understanding the impact of musculoskeletal conditions.Best Pract Clin Rheumatol. 2004; 18: 141-154
- Measuring disability of the upper extremity: a rationale supporting the use of a regional outcome measure.J Hand Ther. 1999; 12: 269-274
- Development of an upper extremity outcome measure: the DASH (Disabilities of the arm, shoulder and head).Am J Ind Med. 1996; 29: 602-608
Orfale AG. Tradução e validação do Disabilities of the Arm, Shoulder and Hand (DASH) para a língua portuguesa. 2003. Tese (Mestrado em Ciências da Saúde) (Dissertation—Master's degree in Health Science)—Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2003.
- Responsiveness of the Short Form-36, Disability of the Arm, Shoulder and Hand Questionnaire, Patient-Rated Wrist Evaluation, and Physical Impairment Measurements in the evaluating recovery after a distal radius fracture.J Hand Surg [Am]. 2000; 25A: 330-340
- Evaluation of the Spanish Version of the DASH and Carpal Tunnel Syndrome health-related quality-of-life instruments: cross-cultural adaptation process and reliability.J Hand Surg. 2002; 27: 334-343
- Outcomes assessment in hand surgery: what's new?.Clin Plast Surg. 1997; 24: 191-194
- Content comparison of occupational-based instruments in adult rheumatology and musculoskeletal based on the International classification of Functioning, Disability and Health.Arthritis Rheum. 2004; 51: 917-924
- Linking osteoarthritis-specific health-status measures to the International Classification of Functioning, Disability and Health (ICF).Osteoarthritis Cartilage. 2003; 11: 519-523
- ICF linking rules: an update based on lessons learned.J Rehabil Med. 2005; 37: 212-218
- Linking health-status measurements to the international classification of functioning, disability and health.J Rehabil Med. 2002; 34: 205-210
- Systematic review of measures and their concepts used in published studies focusing on rehabilitation in the acute hospital and in early post-acute rehabilitation facilities.Disabil Rehabil. 2005; 27: 419-429
- Italian version of the disability of the arm, shoulder and hand (DASH) questionnaire: cross-cultural adaptation and validation.J Hand Surg. 2003; 28: 179-186
- The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patients.Acta Orthop Scand. 2000; 71: 613-618
- The disabilities of the arm shoulder and hand (DASH) outcome questionnaire: longitudinal construct validity and measuring self-rated health change after surgery.BMC Musculoskelet Disord. 2003; 4: 1-6
- (Available at:) (Accessed Dec 12, 2005)
- Evaluation of the construct validity of the DASH questionnaire by correlation to the SF-36.J Hand Surg [Am]. 2002; 27A: 537-541
- Comparative responsiveness of the Disabilities of the Arm, Shoulder, and Hand, the Carpal Tunnel Questionnaire, and the SF-36 to clinical change after carpal tunnel release.J Hand Surg [Am]. 2003; 28A: 250-254
- Measuring 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 extremity.J Hand Ther. 2001; 14: 128-146
JHT Read for Credit
Quiz: Article #071
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue. There is only one best answer for each question.
- #1.The primary purpose of the study is to determine if
- a.the DASH and the ICF are redundant
- b.the items in the DASH fit into the ICF model
- c.both the DASH and the ICF are compatible with Portuguese as spoken in Brazil
- d.the clinical relevance of the DASH and the ICF
- a.
- #2.Statistical correlation between the DASH and the ICF was expressed as
- a.an ANOVA
- b.a Pearson Product Moment
- c.an ICC
- d.a Kappa
- a.
- #3.To determine the linking of the DASH to the ICF the authors used
- a.the “10 commandments” of Cyriax
- b.the ASHT recommended research methodologies CD
- c.eight rules of Cieza
- d.all the rules of Cieza
- a.
- #4.According to the authors, the DASH does not address
- a.the body of the ICF format
- b.body structures and environmental factors
- c.patient satisfaction with outcome
- d.the time or cost of administrating the instrument
- a.
- #5.The authors express the concern that not all domains and categories of the ICF are covered by the DASH
- a.true
- b.false
- a.
When submitting to the HTCC for recertification, please batch your JHT RFC certificates in groups of three or more to get full credit.
Article info
Identification
Copyright
© 2007 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
