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Research Paper: The Psychometric Features of the Patient-Rated Wrist; Evaluation in Iranians With Scaphoid or Distal Radius Fracture Publisher



Fadavighaffari M1 ; Azad A2 ; Taghizade G2 ; Nakhostinansari N3 ; Shariatzadeh H4 ; Aminizadeh S5
Authors
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Authors Affiliations
  1. 1. Department of Occupational Therapy, School of Rehabilitation, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  2. 2. Department of Occupational Therapy, Rehabilitation Research Center, School of Rehabilition Sciences, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Physical Therapy, School of Rehabilition Sciences, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Orthopedy, Bone and Joint, Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Orthopedic Specialist, Bone and Joint Reconstruction Research Center, Iran University of Medical Sciences, Tehran, Iran

Source: Iranian Rehabilitation Journal Published:2021


Abstract

Objectives: It is essential to have a suitable instrument for the accurate assessments of pain and disability outcomes during interventions; such tools also help to guide hand surgery and rehabilitation programs in distal radius or scaphoid fracture. This study aimed to evaluate the psychometric features of the Patient-rated Wrist Evaluation (PRWE) questionnaire in Iranians with a history of scaphoid and distal radius fractures. Methods: One hundred and fifty subjects with a history of scaphoid and distal radius fractures were recruited from hospital-based outpatient hand clinics and completed the PRWE, 2 and 7 days after the occurrence of fracture. Additionally, the Quick-Disabilities of Arm, Shoulder, and Hand (Quick-DASH), the percentage of Wrist Range of Motion (%ROM), Visual Analog Scale Pain/Disability (VAS-P, VAS-D), Short-form Health Survey (SF-36) questionnaires, and pinch and grip strength (%) were conducted in the study participants. Cronbach’s alpha (α) coefficient and Intraclass Correlation Coefficient (ICC) were used to evaluate the internal consistency and test-retest reliability of the scale, respectively. Pearson or Spearman correlation coefficient was calculated for assessing the teat’s construct validity. Results: No floor or ceiling effect was found. A very high test-retest reliability was obtained for the PRWE’s total score and subscores (ICC≥0.92). Cronbach’s α coefficient was obtained as ≥0.78 for the PRWE and its subscales. The PRWE total score presented a weak to strong (0.24–0.74) correlation with the average values of %ROM, %power grip, %pinch strength, VAS-P, VAS-D, SF-36, and Quick-DASH. The standard error of the measurement of PRWE total score equaled 3.93; its smallest real difference was 10.86. Discussion: The PRWE presented acceptable validity and excellent reliability for measuring disability and pain in individuals with the scaphoid and distal radius fractures in Iran. © 2021. All Rights Reserved.
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