TY - JOUR
T1 - The disabilities of the arm, shoulder and hand questionnaire
(DASH) can measure the impairment, activity limitations and
participation restriction constructs from the International
Classification of Functioning, Disability and Health (ICF)
AU - Dixon, Diane
AU - Johnston, Marie
AU - McQueen, Margaret
AU - Court-Brown, Charles
PY - 2008
Y1 - 2008
N2 - The International Classification of Functioning, Disability and Health (ICF) model of the consequences of disease identifies three health outcomes, impairment, activity limitations and participation restrictions. However, few orthopaedic health outcome measures were developed
with reference to the ICF. This study examined the ability of a valid and frequently used measure of upper limb function, namely the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), to operationalise the ICF.
Twenty-four judges used the method of Discriminant Content Validation to allocate the 38 items of the DASH to the theoretical definition of one or more ICF outcome. One-sample ttests classified each item as measuring, impairment, activity limitations, participation restrictions, or a combination thereof.
The DASH contains items able to measure each of the three ICF outcomes with discriminant validity. The DASH contains five pure impairment items, 19 pure activity limitations
items and three participation restriction items. In addition, seven items measured both activity limitations and participation restrictions. The DASH can measure the three health outcomes identified by the ICF. Consequently the DASH could be used to examine the impact of trauma and subsequent interventions on each health outcome in the absence of measurement confound
AB - The International Classification of Functioning, Disability and Health (ICF) model of the consequences of disease identifies three health outcomes, impairment, activity limitations and participation restrictions. However, few orthopaedic health outcome measures were developed
with reference to the ICF. This study examined the ability of a valid and frequently used measure of upper limb function, namely the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), to operationalise the ICF.
Twenty-four judges used the method of Discriminant Content Validation to allocate the 38 items of the DASH to the theoretical definition of one or more ICF outcome. One-sample ttests classified each item as measuring, impairment, activity limitations, participation restrictions, or a combination thereof.
The DASH contains items able to measure each of the three ICF outcomes with discriminant validity. The DASH contains five pure impairment items, 19 pure activity limitations
items and three participation restriction items. In addition, seven items measured both activity limitations and participation restrictions. The DASH can measure the three health outcomes identified by the ICF. Consequently the DASH could be used to examine the impact of trauma and subsequent interventions on each health outcome in the absence of measurement confound
KW - disability
KW - arm
KW - shoulder
KW - musculoskeletal disorders
UR - http://www.biomedcentral.com/1471-2474/9/114
U2 - 10.1186/1471-2474-9-114
DO - 10.1186/1471-2474-9-114
M3 - Article
SN - 1471-2474
VL - 9
SP - 1
EP - 6
JO - BMC Musculoskeletal Disorders
JF - BMC Musculoskeletal Disorders
IS - 114
ER -