PMID- 37830660
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231031
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 11
IP  - 19
DP  - 2023 Sep 26
TI  - Responsiveness and Minimal Important Change of the Arabic Disabilities of the 
      Arm, Shoulder and Hand (DASH) in Patients with Upper Extremity Musculoskeletal 
      Disorders.
LID - 10.3390/healthcare11192623 [doi]
LID - 2623
AB  - The aim of this study was to examine the responsiveness of the Arabic 
      Disabilities of the Arm, Shoulder and Hand (DASH) and to quantify its minimal 
      important change (MIC) for improvement. People with upper extremity 
      musculoskeletal problems who were receiving physical therapy were evaluated at 
      baseline and again during a follow-up appointment, with a median time frame of 7 
      days between the two testing sessions (range of 6 to 72 days). The participants 
      completed the Arabic DASH, Global Assessment of Function (GAF), Numeric Pain 
      Rating Scale (NPRS) and Global Rating of Change Scale (GRC). The responsiveness 
      of the Arabic DASH was assessed by examining the pre-specified hypotheses. The 
      MIC for improvement was determined using the receiver operating characteristic 
      method (MIC(ROC)) and the predictive modeling method (MIC(pred)). As 
      hypothesized, a change in the Arabic DASH demonstrated a significant positive 
      correlation with changes in the GAF (r = 0.69), NPRS (r = 0.68) and GRC (r = 
      0.73). Consistent with our hypotheses, the DASH change scores could be used to 
      differentiate between participants who improved and those who did not improve 
      (area under the receiver operating characteristic curve = 0.87), and they showed 
      a large magnitude of change (effect size = 1.53, standardized response mean = 
      1.42) in patients who improved. All the hypotheses specified a priori were 
      supported by the results. The Arabic DASH MIC(ROC) and MIC(pred) were estimated 
      to be 14.22 and 14.85. The interaction between the DASH change and baseline score 
      was not a significant predictor of status (improved vs. not improved) (p = 0.75), 
      indicating that the DASH MIC was not baseline-dependent. The Arabic DASH 
      demonstrated sufficient responsiveness, supporting the idea that the Arabic DASH 
      is capable of detecting changes in upper extremity function over time. The value 
      of the Arabic DASH MIC was similar when estimated using the predictive modeling 
      and ROC methods, and the MIC was not dependent on baseline status.
FAU - Alnahdi, Ali H
AU  - Alnahdi AH
AUID- ORCID: 0000-0003-1946-0739
AD  - Department of Rehabilitation Sciences, College of Applied Medical Sciences, King 
      Saud University, P.O. Box 10219, Riyadh 11433, Saudi Arabia.
LA  - eng
GR  - IFKSUOR3-114-3/Deputyship for research and innovation, "Ministry of Education" in 
      Saudi Arabia/
PT  - Journal Article
DEP - 20230926
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC10573051
OTO - NOTNLM
OT  - activity limitation
OT  - longitudinal construct validity
OT  - minimal clinically important change
OT  - psychometrics
OT  - upper limb
COIS- The author declares no conflict of interest.
EDAT- 2023/10/13 12:42
MHDA- 2023/10/13 12:43
PMCR- 2023/09/26
CRDT- 2023/10/13 08:14
PHST- 2023/08/07 00:00 [received]
PHST- 2023/09/13 00:00 [revised]
PHST- 2023/09/24 00:00 [accepted]
PHST- 2023/10/13 12:43 [medline]
PHST- 2023/10/13 12:42 [pubmed]
PHST- 2023/10/13 08:14 [entrez]
PHST- 2023/09/26 00:00 [pmc-release]
AID - healthcare11192623 [pii]
AID - healthcare-11-02623 [pii]
AID - 10.3390/healthcare11192623 [doi]
PST - epublish
SO  - Healthcare (Basel). 2023 Sep 26;11(19):2623. doi: 10.3390/healthcare11192623.