Original Research Article
Year: 2020 | Month: June | Volume: 10 | Issue: 6 | Pages: 52-56
Responsiveness of Michigan Hand Outcomes Questionnaire and Disabilities of Arm Shoulder and Hand Questionnaire in Patients with Distal Radius Fracture Receiving Physiotherapy
Neha A Manakeshwar1, Chhaya V Verma2
1Consultant Physiotherapist, Health Point Polyclinic, Pune, Maharashtra, India
2Professor & Head of Department of Physiotherapy at Topiwala National Medical College and B.Y.L Nair Hospital, Mumbai, Maharashtra, India
Corresponding Author: Neha A Manakeshwar
ABSTRACT
The purpose of this study was to determine and compare the responsiveness of Michigan hand outcomes questionnaire (MHQ) and Disabilities of Arm Shoulder and Hand questionnaire (DASH) in patients with distal radius fracture receiving physiotherapy. 50 patients prospectively completed the MHQ and DASH questionnaires on day one of physiotherapy, at the end of 4 weeks of physiotherapy, and at discharge (≤ 6 months). Data was analyzed using repeated measure analysis of variance test (ANOVA). Responsiveness to clinical change was calculated using Standardized response mean (SRM). SRM values of MHQ were higher than DASH during all the three periods [(2.68; 2.07; 3.20)] > [(1.98; 1.50; 2.40)]. Our results indicate that both MHQ and DASH show large SRM values (> 0.8) hence both are highly responsive during a 6 month follow up after distal radius fracture treatment, clarifying the applicability of both outcome measures related to outcome studies of distal radius fracture. However, MHQ may be preferably used over DASH in outcome studies of distal radius fracture.
Key words: Michigan hand outcomes questionnaire (MHQ), Disabilities of arm shoulder and hand questionnaire (DASH), distal radius fracture, responsiveness.