Document Detail


Responsiveness of the short form-36, disability of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture.
MedLine Citation:
PMID:  10722826     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the responsiveness of patient questionnaires and physical testing in the assessment of recovery after distal radius fracture. Patients (n = 59) were assessed at their baseline clinic visit and again 3 and 6 months after injury. At each visit patients completed a short form-36, Disability of the Arm, Shoulder, and Hand questionnaire, and patient-rated wrist evaluation (PRWE). At 3 and 6 months grip strength, range of motion, and dexterity were analyzed. Standardized response means (SRM) and effects sizes were calculated to indicate responsiveness. The PRWE was the most responsive. Both the PRWE (SRM = 2.27) and the Disability of the Arm, Shoulder, and Hand (SRM = 2.01) questionnaire were more responsive than the short form-36 (SRM = 0.92). The physical component summary score of the short form-36 was similar to that of the physical component subscales. Questionnaires were highly responsive during the 0- to 3-month time period when physical testing could not be performed. Of the physical tests, grip strength was most responsive, followed by range of motion. Responsive patient-rating scales and physical performance evaluations can assist with outcome evaluation of patients with distal radius fracture.
Authors:
J C MacDermid; R S Richards; A Donner; N Bellamy; J H Roth
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  25     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-04-19     Completed Date:  2000-04-19     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  330-40     Citation Subset:  IM    
Copyright Information:
Copyright 2000 by the American Society for Surgery of the Hand.
Affiliation:
Hand and Upper Limb Centre, St Joseph's Health Centre, London, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arm / physiopathology
Disability Evaluation*
Evaluation Studies as Topic
Female
Follow-Up Studies
Fracture Fixation, Internal / methods,  rehabilitation*
Hand / physiopathology
Hand Strength
Humans
Male
Middle Aged
Ontario
Quality of Life
Questionnaires / standards*
Radius Fractures / physiopathology*,  rehabilitation,  surgery
Range of Motion, Articular
Sensitivity and Specificity
Shoulder / physiopathology
Wrist Injuries / physiopathology,  rehabilitation,  surgery
Wrist Joint / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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