TY - JOUR
T1 - Validity of the Patient Specific Functional Scale in patients following upper extremity nerve injury
AU - Novak, Christine B.
AU - Anastakis, Dimitri J.
AU - Beaton, Dorcas E.
AU - Mackinnon, Susan E.
AU - Katz, Joel
N1 - Funding Information:
Acknowledgments Christine Novak was supported by a Canadian Institutes of Health Research (CIHR) Doctoral Fellowship Award and is supported in part through IAMGOLD Fellowship. Joel Katz is supported by a CIHR Canada Research Chair in Health Psychology at York University. This research study was supported in part by a Research Award from the American Association for Hand Surgery. This study was presented at the American Society for Surgery of the Hand Annual meeting, Chicago, IL, September 8, 2012.
PY - 2013/6
Y1 - 2013/6
N2 - Purpose: This study evaluated the validity of the Patient Specific Functional Scale (PSFS) in patients with upper extremity nerve injury. Methods: Following Research Ethics Boards (REB) approval, we included English-speaking adults, with greater than 6 months after an upper extremity nerve injury. Patient reported questionnaires included: PSFS, 36-item short-form health survey (SF-36), Disabilities of the Arm, Shoulder and Hand (DASH), McGill Pain Questionnaire, Pain Catastrophizing Scale (PCS) and Pain Disability Index (PDI). Statistical analyses evaluated the relationships among the outcome measures and the independent variables (age, gender, nerve injured, time since injury, work status, worker's compensation/litigation). Linear regression was used to evaluate the variables that predicted the PSFS. Results: There were 157 patients (53 women, 104 men); median time since injury of 14 months. The mean ± SD scores were: PSFS 3.1 ± 2.3, DASH 44 ± 22, PCS 16 ± 15, pain intensity 4.2 ± 3.0, pain rating index 13 ± 11, PDI 28.3 ± 17.6 and SF-36 component scores physical (41.8 ± 8.7) mental (45.9 ± 12.6). There were moderate correlations between the PSFS and the DASH, and the SF-36 physical role domain. The PSFS was significantly lower in brachial plexus injuries. The final model explained 20.7 % of the variance and independent variables were DASH, nerve injured and age. Conclusion: This study provides evidence of construct validity of the PSFS for patients with upper extremity nerve injury. The PSFS is a valid method to assess functional limitations identified by the individual and can be completed in a shorter period of time than the DASH.
AB - Purpose: This study evaluated the validity of the Patient Specific Functional Scale (PSFS) in patients with upper extremity nerve injury. Methods: Following Research Ethics Boards (REB) approval, we included English-speaking adults, with greater than 6 months after an upper extremity nerve injury. Patient reported questionnaires included: PSFS, 36-item short-form health survey (SF-36), Disabilities of the Arm, Shoulder and Hand (DASH), McGill Pain Questionnaire, Pain Catastrophizing Scale (PCS) and Pain Disability Index (PDI). Statistical analyses evaluated the relationships among the outcome measures and the independent variables (age, gender, nerve injured, time since injury, work status, worker's compensation/litigation). Linear regression was used to evaluate the variables that predicted the PSFS. Results: There were 157 patients (53 women, 104 men); median time since injury of 14 months. The mean ± SD scores were: PSFS 3.1 ± 2.3, DASH 44 ± 22, PCS 16 ± 15, pain intensity 4.2 ± 3.0, pain rating index 13 ± 11, PDI 28.3 ± 17.6 and SF-36 component scores physical (41.8 ± 8.7) mental (45.9 ± 12.6). There were moderate correlations between the PSFS and the DASH, and the SF-36 physical role domain. The PSFS was significantly lower in brachial plexus injuries. The final model explained 20.7 % of the variance and independent variables were DASH, nerve injured and age. Conclusion: This study provides evidence of construct validity of the PSFS for patients with upper extremity nerve injury. The PSFS is a valid method to assess functional limitations identified by the individual and can be completed in a shorter period of time than the DASH.
KW - Nerve injury
KW - Outcome
KW - Self-report function
KW - Upper extremity
KW - Validity
UR - http://www.scopus.com/inward/record.url?scp=84877787201&partnerID=8YFLogxK
U2 - 10.1007/s11552-013-9506-9
DO - 10.1007/s11552-013-9506-9
M3 - Article
C2 - 24426909
AN - SCOPUS:84877787201
SN - 1558-9447
VL - 8
SP - 132
EP - 138
JO - Hand
JF - Hand
IS - 2
ER -