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Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena

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Thesis TitleEvaluation of DASH, QUICKDASH AND CONSTANT-MURLEY scales in patients operated for transposition of the grand dorsalSAL
NameBilancia Davide Salvatore
Supervisor(s)Porcellini Giuseppe
Academic Year2020/21
Thesis typeResearch thesis

Abstract

Introduction: The DASH (D), quickDASH (qD) and Constant-Murley (CM) questionnaires are scales that assess pain and function in ADL in patients operated on the upper limb Objective: The objective of this study is to evaluate the reliability, acceptability and validity of these evaluation scales in patients operated on for transposition of the dorsal grandis following Irreparable rotator cuff tears Method: The method used was to subject patients to 4 evaluation scales (D, qD, CM and SF-12), and to calculate their internal consistency using the Cronbach alpha reliability index, and to evaluate the validity by comparing the scales with the Short Form Survey questionnaire (sf-12), by calculating the Pearson correlation index. Result: Of the 24 patients taken into consideration, 20 completed all the forms in an appropriate manner in order to be able to carry out the evaluations. The results show that the acceptability of the scales is very high, since, except for the excluded people, all have filled in all the items, and on mean the compilation lasted, for the D scale 8 minutes, for the qD about 4 minutes and for the CM about 6 minutes. Reliability also showed good results, with Cronbach's alpha values of D = a 0.82, qD = 0.81 and CM = 0.92 respectively; the validity of the three scales related to the physical and mental values of the sf-12 scale is on average low, except for the physical values of the total constant-murley scale (r = 0.45), and the items reserved for pain (r = 0.91 ), while correlations with mental values were acceptable only in the work module of the DASH scale (r = 0.92) Conclusion: all the questionnaires considered in this study are widely used in the orthopedic field in patients subject to shoulder pathologies. The results show an excellent internal consistency and Cronbach's alpha values, therefore an excellent reliability, on the contrary it is not very valid, so it is advisable to use other methods of comparison with respect to the SF-12 scale.