Scientific/Clinical Article| Volume 20, ISSUE 4, P336-344, October 2007

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Linking the Disabilities of Arm, Shoulder, and Hand to the International Classification of Functioning, Disability, and Health


      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.
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      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
      • #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
      • #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
      • #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
      • #5.
        The authors express the concern that not all domains and categories of the ICF are covered by the DASH
        • a.
        • b.
      When submitting to the HTCC for recertification, please batch your JHT RFC certificates in groups of three or more to get full credit.