The Journal of Bone and Joint Surgery (American). 2006;88:1782-1787.
doi:10.2106/JBJS.F.00406
© 2006 The Journal of Bone and Joint Surgery, Inc.
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Reliability of a Visual Analog Version of the QuickDASH

Leonard N. Matheson, PhD1, J. Mark Melhorn, MD2, Tom G. Mayer, MD3, Brian R. Theodore, PhD Candidate4 and Robert J. Gatchel, PhD, ABPP5

1 Program in Occupational Therapy, Washington University School of Medicine, 4444 Forest Park, St. Louis, MO 63108
2 The Hand Center, 625 North Carriage Parkway, Suite 125, Wichita, KS 67208-4510
3 Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75390
4 PRIDE Research Foundation, 5701 Maple Avenue, Suite 100, Dallas, TX 75235
5 Department of Psychology, College of Science, The University of Texas at Arlington, 313 Life Science Building, 501 South Nedderman Drive, Arlington, TX 76019-0528. E-mail address: gatchel{at}uta.edu

Investigation performed at PRIDE Research Foundation, Dallas, Texas

The authors did not receive grants or outside funding in support of their research for or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

Background: The QuickDASH, an abbreviated form of the Disabilities of the Arm, Shoulder and Hand Questionnaire, uses a graded-adjectives ordinal measurement response scale. In order to improve the sensitivity of the measure and to make it compatible with widely used measures of pain and disability, a visual analog scale version was developed. The present study investigated the reliability of the new version over time when used for the evaluation of patients undergoing treatment.

Methods: A test-retest model with a two-day interval was used to evaluate a sample of thirty-eight consecutive patients in an interdisciplinary tertiary rehabilitation setting who were identified as having an upper extremity disorder.

Results: The intraclass correlation coefficient indicating test-retest reliability was 0.90 for the eleven-item QuickDASH visual analog scale questionnaire (without the work component) and 0.94 for the fifteen-item questionnaire (with the work component), neither of which was significantly different from the results reported for the original questionnaire.

Conclusions: The QuickDASH visual analog scale questionnaire has acceptable reliability over time, and it can be used as an alternative to the original QuickDASH.


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