Cultural adaptation and validation of the persian version of the disabilities of the arm, shoulder and hand (DASH) outcome measure

Mousavi, S.J. and Parnianpour, M. and Abedi, M. and Askary-Ashtiani, A. and Karimi, A. and Khorsandi, A. and Mehdian, H. (2008) Cultural adaptation and validation of the persian version of the disabilities of the arm, shoulder and hand (DASH) outcome measure. Clinical Rehabilitation, 22 (8). pp. 749-757.

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Objective: To translate and validate the Persian version of the Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure (Persian DASH). Design: Cultural translation and psychometric testing. Setting: Outpatient departments of orthopaedics surgery, primary care settings, rehabilitation medicine and physical therapy. Subjects: Two hundred and seventy-one consecutive Persian-speaking patients with upper extremity disorders including subacromial impingement syndrome, rotator cuff disease, epicondylitis, ulnar nerve entrapment, bursitis, instability, carpal tunnel syndrome, tenosynovitis and adhesive capsulitis. Methods: The translation and cultural adaptation of the original questionnaire was carried out in accordance with published guidelines. The participants were asked to complete a questionnaire booklet including the Persian DASH, the Short Form General Health Survey (SF-36) and a visual analogue scale (VAS) of pain. In addition, 31 randomly selected patients were asked to complete the questionnaire 48 hours later for the second time. Results: Cronbach's alpha coefficient for the Persian DASH was 0.96. The Persian DASH showed excellent test-retest reliability with intraclass correlation coefficient equal to 0.82 (P < 0.01). The correlation between the Persian DASH and the functional scales of the Iranian SF-36 showed desirable results indicating a good convergent validity (Pearson's coefficients ranged from -0.25 to -0.72; P < 0.001). The correlation between the Persian DASH and the visual analogue scale was 0.52 (P < 0.01). Conclusions: The Persian DASH is a reliable and valid instrument to measure functional status in Persian-speaking patients with upper extremity disorders in Iran. It is simple and easy to use and now can be applied in clinical settings and future outcome studies in Iran and other Persian-speaking communities. © 2008 Sage Publications.

Item Type: Article
Additional Information: cited By 55
Uncontrolled Keywords: adult; arm disease; article; bursitis; carpal tunnel syndrome; correlation coefficient; Cronbach alpha coefficient; cubital tunnel syndrome; cultural factor; Disabilities of the Arm Shoulder and Hand outcome measure; epicondylitis; female; human; humeroscapular periarthritis; Iran; language; major clinical study; male; pain; psychometry; questionnaire; rating scale; recurrent shoulder dislocation; rotator cuff rupture; Short Form 36; shoulder impingement syndrome; tenosynovitis; test retest reliability; validation process; visual analog scale, Adult; Cohort Studies; Cultural Competency; Disability Evaluation; Female; Humans; Iran; Joint Diseases; Male; Middle Aged; Neuromuscular Diseases; Upper Extremity
Subjects: WE Musculoskeletal System
Depositing User: Arezoo Ghasemi siani
Date Deposited: 05 Aug 2020 06:32
Last Modified: 05 Aug 2020 06:32

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