A Comparison of DASH, PEM and Levine questionnaires in outcome measurement of carpal tunnel release.

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Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... Pub Date : 2011-06-01 Epub Date: 2011-05-23 DOI:10.1055/s-0031-1273686

A Zyluk, B Piotuch

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引用次数: 5

Abstract

The objective of this study was to compare the 3 commonly used questionnaires DASH, PEM and Levine to assess which is the best as an outcome measure after carpal tunnel release. 50 patients (43 women and 7 men) with an average age of 56 years underwent minimally invasive carpal tunnel release. Patients were examined before the operation, and at 1 and 6 months after, according to the same protocol. They completed the DASH, PEM and Levine questionnaires and undertook total grip, key-pinch strengths, and sensation by filament tests. The results showed higher responsiveness to change in the Levine and the PEM, compared to the DASH at the 1- and 6-month-assessments. The Levine showed the highest validity as it correlated strongly with all functional measures, although all 3 questionnaires, including Levine, showed a discordance with total grip and key-pinch strength at the 1-month assessment. The instruments were characterized by various (excellent and poor) concurrent validity in the assumed periods of observation and all 3 showed high internal consistency.

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DASH、PEM和Levine问卷在腕管释放结局测量中的比较。

本研究的目的是比较3种常用的问卷DASH、PEM和Levine，以评估哪一种是腕管松解后最好的结果测量方法。50例患者(43例女性，7例男性)，平均年龄56岁，行微创腕管松解术。术前、术后1个月和6个月，按照相同的方案对患者进行检查。他们完成了DASH、PEM和Levine问卷，并进行了总握力、键捏强度和触感纤维测试。结果显示，在1个月和6个月的评估中，与DASH相比，Levine和PEM对变化的响应性更高。莱文显示了最高的效度，因为它与所有功能测量都有很强的相关性，尽管所有3份问卷，包括莱文，在1个月的评估中显示了总握力和键捏强度的不一致。这些工具在假设的观察期间具有各种(优秀和差)并发效度的特征，并且所有3种工具都显示出高度的内部一致性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...

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