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A Retrospective Cohort Study of QuickDASH Scores for Three Hand Therapy Acute Upper Limb Conditions
Military Medicine
  • Enrique V. Smith-Forbes, University of Kentucky
  • Dana M. Howell, Eastern Kentucky University
  • Jason Willoughby, Drayer Physical Therapy Institute
  • Donald G. Pitts, Drayer Physical Therapy Institute
  • Timothy L. Uhl, University of Kentucky
Abstract

Introduction: The QuickDASH is a valid and reliable outcome measure widely used to assess the function and pain in arm, shoulder, and hand disabilities. A recent study introduced a QuickDASH 80% cut point test to gauge patients at risk of poor outcomes. However, the utility of this test has not been validated.

Purpose: To determine typical QuickDASH scores for three upper limb conditions and to test the sensitivity and specificity of the QuickDASH 80% cut point test in predicting patients at risk of poor outcomes.

Methods: This is a retrospective study with a total of 406 patient records for whom QuickDASH scores were examined. The sensitivity and specificity of the QuickDASH 80% cut point test was investigated for three acute upper limb conditions seen in hand therapy: surgical distal radius fracture, nonsurgical lateral epicondylitis, and carpal tunnel release.

Results: Typical scores were determined for three upper limb conditions. The QuickDASH 80% cut point test per upper limb condition returned poor sensitivity between 28.57% and 41.67%.

Conclusion: The results did not support the QuickDASH 80% cut point test as a predictor of final outcome in these three patient populations. Patients with the worse initial 20% scores were not correctly classified as worse 20% final scores. This study provides summary data from three upper limb conditions to provide clinicians with comparison data to establish goals and educate patients.

Document Type
Article
Publication Date
3-1-2018
Notes/Citation Information

Published in Military Medicine, v. 183, March/April supplement, p. 522-529.

This work is written by (a) US Government employee(s) and is in the public domain in the US.

Digital Object Identifier (DOI)
https://doi.org/10.1093/milmed/usx199
Related Content

Oral presentation at the 2016 Military Health System Research Symposium (abstract number: MHSRS-16-1546).

Citation Information
Enrique V. Smith-Forbes, Dana M. Howell, Jason Willoughby, Donald G. Pitts, et al.. "A Retrospective Cohort Study of QuickDASH Scores for Three Hand Therapy Acute Upper Limb Conditions" Military Medicine Vol. 183 Iss. March/April supplement (2018) p. 522 - 529
Available at: http://works.bepress.com/tim_uhl/159/