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)

<p>Abstract</p> <p>Background</p> <p>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 orthopa...

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Main Authors: McQueen Margaret, Johnston Marie, Dixon Diane, Court-Brown Charles
Format: Article
Language:English
Published: BMC 2008-08-01
Series:BMC Musculoskeletal Disorders
Online Access:http://www.biomedcentral.com/1471-2474/9/114
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spelling doaj-978625f28b914efaa195e4c4360542652020-11-24T21:40:17ZengBMCBMC Musculoskeletal Disorders1471-24742008-08-019111410.1186/1471-2474-9-114The 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)McQueen MargaretJohnston MarieDixon DianeCourt-Brown Charles<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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 <it>t</it>-tests classified each item as measuring, impairment, activity limitations, participation restrictions, or a combination thereof.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p> http://www.biomedcentral.com/1471-2474/9/114
collection DOAJ
language English
format Article
sources DOAJ
author McQueen Margaret
Johnston Marie
Dixon Diane
Court-Brown Charles
spellingShingle McQueen Margaret
Johnston Marie
Dixon Diane
Court-Brown Charles
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)
BMC Musculoskeletal Disorders
author_facet McQueen Margaret
Johnston Marie
Dixon Diane
Court-Brown Charles
author_sort McQueen Margaret
title 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)
title_short 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)
title_full 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)
title_fullStr 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)
title_full_unstemmed 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)
title_sort 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)
publisher BMC
series BMC Musculoskeletal Disorders
issn 1471-2474
publishDate 2008-08-01
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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 <it>t</it>-tests classified each item as measuring, impairment, activity limitations, participation restrictions, or a combination thereof.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>
url http://www.biomedcentral.com/1471-2474/9/114
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