Abstract | OBJECTIVE: To assess the reliability and validity of the French version of the Disability of the Arm, Shoulder and Hand-Disability/Symptom (F-DASH-D/S) scale in patients with shoulder disorders. METHODS: We included 150 patients (98 women) with shoulder conditions intending to undergo medical and/or physical therapy at our institution. Parameters recorded were age, sex, disease duration, body mass index, pain scores at rest and during activities, and perceived disability on a visual analog scale (VAS, 0-100mm). Subjective assessment of activities of daily living ( ADL), active range of motion (ROM), and measurement of abduction strength (Strength) were assessed using the Constant scale. Internal consistency was evaluated with the Cronbach's alpha. Test-retest reliability was analyzed by intraclass correlation coefficient (ICC) and the Bland and Altman method. Construct validity was investigated with the Spearman rank correlation coefficient, and a factor analysis was performed. RESULTS: Internal consistency was high, with a Cronbach's alpha coefficient of 0.96. The ICC value (0.95) suggested excellent test-retest reliability. Correlation of the F-DASH-D/S score with VAS score of disability (r=0.78), ADL score (r=-0.76), VAS score of pain during activities (r=0.64), Strength score (r=-0.63), ROM score (r=-0.57), VAS score of pain at rest (r=0.52), disease duration (r=0.38), age (r=0.28), and body mass index (r=0.24) indicated good construct validity. Factor analysis identified five factors accounting for 66.5% of the total variance. Each factor could be easily clinically interpreted. CONCLUSION: The French version of the DASH-D/S scale is a reliable and valid instrument for the assessment of disability in shoulder disorders.
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Authors | Fouad Fayad, Marie-Martine Lefevre-Colau, Yann Macé, Jacques Fermanian, Anne Mayoux-Benhamou, Alexandra Roren, François Rannou, Agnès Roby-Brami, Vincent Gautheron, Michel Revel, Serge Poiraudeau |
Journal | Joint bone spine
(Joint Bone Spine)
Vol. 75
Issue 2
Pg. 195-200
(Mar 2008)
ISSN: 1778-7254 [Electronic] France |
PMID | 17983829
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Validation Study)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Disability Evaluation
- Female
- France
- Humans
- Language
- Male
- Middle Aged
- Pain Measurement
- Reproducibility of Results
- Rheumatic Diseases
(physiopathology)
- Upper Extremity
(physiopathology)
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