A1 Journal article (refereed)
Assessment of construct validity of the Finnish versions of the Disabilities of Arm, Shoulder and Hand Instrument and the Michigan Hand Outcomes Questionnaire (2020)

Uimonen, M. M., Hulkkonen, S. M., Ryhänen, J., Ponkilainen, V. T., Häkkinen, A. H., Karppinen, J., & Repo, J. P. (2020). Assessment of construct validity of the Finnish versions of the Disabilities of Arm, Shoulder and Hand Instrument and the Michigan Hand Outcomes Questionnaire. Journal of Hand Therapy, 33(4), 571-579. https://doi.org/10.1016/j.jht.2019.03.008

JYU authors or editors

Publication details

All authors or editors: Uimonen, Mikko M.; Hulkkonen, Sina M.; Ryhänen, Jorma; Ponkilainen, Ville T.; Häkkinen, Arja H.; Karppinen, Jaro; Repo, Jussi P.

Journal or series: Journal of Hand Therapy

ISSN: 0894-1130

eISSN: 1545-004X

Publication year: 2020

Volume: 33

Issue number: 4

Pages range: 571-579

Publisher: Elsevier Inc.

Publication country: United States

Publication language: English

DOI: https://doi.org/10.1016/j.jht.2019.03.008

Publication open access: Not open

Publication channel open access:

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/72715


Study Design: Cross-sectional study.

Introduction: There is a lack of information on the measurement properties of patient-reported upperextremity instruments and their association to health-related quality of life (HRQoL).

Purpose of the Study: This study aimed to examine and compare the measurement properties andconstruct validity of the Disabilities of Arm, Shoulder, and Hand (DASH) Instrument and the MichiganHand Questionnaire (MHQ) using a heterogeneous sample of patients with hand and wrist problems.

Methods: Two hundredfifty consecutive patients visiting a general orthopedic outpatient clinic due tovarious hand/wrist problems were invited to participate in the study. A total of 193 (77%) participantsprovided sufficient patient-reported outcome data and were included in the analysis. Participantscompleted the DASH, the MHQ, the EQ-5D-3L, and pain on a visual analog scale instruments. Grip andkey pinch forces were measured. Scale targeting, relatedness of demographics, and construct validity ofthe DASH and the MHQ were assessed.

Results: Both the DASH and the MHQ had good targeting, but the DASH had wider coverage. Theconvergence between the DASH and the MHQ was high. The DASH was more closely related to HRQoLthan the MHQ in terms of EQ-5D scores.

Discussion: The DASH instrument appeared to measure hand function and disability from a perspective ofHRQoL superior to the MHQ among patients with heterogeneous hand and wrist complaints.

Conclusion: The DASH performs well in measuring the HRQoL-related hand outcomes while the MHQmight be more specific for the affected hand.

Keywords: disabilities; physical functioning; hands; measuring instruments (indicators)

Free keywords: disability; function; PROM; upper extremity; upper limb

Contributing organizations

Ministry reporting: Yes

Reporting Year: 2020

JUFO rating: 1

Last updated on 2022-20-09 at 15:53