RESPONSIVENESS OF DASH-H IN COMPARISON TO DASH AND VALIDATION USING VAS IN PATIENTS WITH SUPRASPINATUS TENDONITIS IN THE INDIAN POPULATION Authors: Katyal S (PT)* And Agarwal S
ABSTRACT
Background: A comparative study was conducted in thirty consecutive patients of
supraspinatus tendonitis to determine the responsiveness and comparison of Disability of
Arm, Shoulder and Hand (DASH) and the Hindi version of DASH (DASH-H) in patients
with supraspinatus tendonitis. The aim of this study was to find whether both scales (DASH
and DASH-H) are sensitive to predict the patient’s outcome in the Indian population.
Methodology: During clinical examination, patients were asked to fill either DASH or Hindi
version of DASH (DASH-H) and VAS-P. Computer-generated randomised sequence was
generated for administering Hindi or English version of the DASH questionnaire along with
the VAS-P. Observations were taken after 3 days and after 4 weeks in the cross-over pattern.
VAS-P was given at 3 days and after 4 weeks as well. Responsiveness was checked by
examining the Receiver Operating Characteristics (ROC) curve statistics and these scores
were used to calculate the sensitivity and specificity of DASH and DASH-H.
Results: The scores of DASH, DASH-H and VAS were found to be significantly lower post-
treatment. The sensitivity of DASH and Hindi version of DASH (DASH-H) was found to be
96% each and the specificity of DASH and DASH-H was found to be 60% and 80%
respectively. The Area under the Curve (AUC) plotted for DASH-H was 0.880 and for
DASH was around 0.780.
Conclusion: Hindi version of DASH (DASH-H) and DASH were found to be responsive in
patients with supraspinatus tendonitis. Both were found to be equally responsive and
sensitive.
Keywords: Patient reported outcome, DASH, DASH-H, supraspinatus tendonitis, upper
limb assessment Publication date: 01/05/2023 https://ijbpas.com/pdf/2023/May/MS_IJBPAS_2023_7098.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2023/12.5.7098