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Reliability and validity of Simplified Chinese version of Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire: cross-cultural adaptation and validation

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Abstract

Objective

To translate and cross-culturally adapt Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) Questionnaire into a Simplified Chinese version (QuickDASH-C), and evaluate the reliability and validity of the QuickDASH-C in patients with upper limb disorders.

Methods

Cross-cultural adaptation was performed according to the internationally recognized guidelines of American Academy of Orthopedic Surgeons Outcome Committee. A total of 150 participants were recruited in this study. Internal consistency was estimated using Cronbach’s alpha. Intra-class correlation coefficient (ICC) was used to determine test-retest reliability. Construct validity was analyzed by evaluating the correlations between QuickDASH-C and Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and visual analogue scale (VAS) as well as the short form (36) health survey (SF-36).

Results

The original version of the QuickDASH was well cross-culturally adapted and translated into Simplified Chinese. QuickDASH-C was indicated to have excellent reliability (Cronbach’s alpha = 0.818, ICC = 0.907). QuickDASH-C correlated almost perfectly to DASH (r = 0.820, p < 0.001). Moderate to substantial correlations between QuickDASH-C and VAS (r = 0.463, p < 0.001), as well as physical function (r = − 0.630, p < 0.001), role physical (r = − 0.471, p < 0.001), bodily pain (r = − 0.563, p < 0.001) and general health (r = − 0.414, p < 0.001) subscales of SF-36, were observed.

Conclusion

QuickDASH-C was demonstrated to have excellent acceptability, reliability, and validity in patients with upper limb disorders, which could be recommended for patients in mainland China.

Key Points

• This study translated and cross-culturally adapted Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire into a Simplified Chinese version.

• The reliability and validity of Simplified Chinese version of QuickDASH were good in evaluating patients with upper limb disorders.

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Data availability

The datasets during and/or analyzed during the current study available from the corresponding author on reasonable request.

Abbreviations

QuickDASH:

Quick Disabilities of the Arm, Shoulder, and Hand

QuickDASH-C:

Simplified Chinese version of Quick Disabilities of the Arm, Shoulder, and Hand

HRQoL:

health-related quality of life

DASH:

Disability of the Arm, Shoulder, and Hand

VAS:

visual analogue scale

SF-36:

short form (36) health survey

ICC:

intra-class correlation coefficient

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Funding

This project was funded by Innovation Cultivating Foundation of 6th Medical Center of PLA General Hospital (grant number: CXPY201812) and National Natural Science Foundation of China (grant number: 81171727).

Author information

Author notes

  1. Shiqi Cao, Rong Zhou and Hongbo Zhou contributed equally to this work.

Authors and Affiliations

  1. Department of Rehabilitation, Minimally Invasive Spine Center, 6th Medical Center, PLA General Hospital, No. 6, Fucheng Road, Haidian District, Beijing, 100048, People’s Republic of China

    Shiqi Cao, Hongpeng Cui, Zhengcao Lu & Yu Ding

  2. Joint Surgery and Sports Medicine Department, Changzheng Hospital, Second Military Medical University, No. 415, Fengyang Road, Huangpu District, Shanghai, 200003, People’s Republic of China

    Shiqi Cao, Rong Zhou, Yi Chen & Qirong Qian

  3. Department of Orthopaedic Surgery, Affiliated Provincial Hospital of Anhui Medical University, Hefei, 230001, People’s Republic of China

    Hongbo Zhou

Authors
  1. Shiqi Cao
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  2. Rong Zhou
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  3. Hongbo Zhou
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  4. Yi Chen
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  8. Yu Ding
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Contributions

Study design: SQC, YD, and QRQ. Data analysis: SQC and HBZ. Collection of data: RZ, YC, HPC, and ZCL. Manuscript writing: SQC, RZ, and HBZ.

Corresponding authors

Correspondence to Shiqi Cao, Qirong Qian or Yu Ding.

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Ethics approval and consent to participate

All procedures performed in this study involving human participants were approved by the Ethical Committee of Sixth Medical Center of PLA General Hospital and Changzheng Hospital, which followed the ethical standards of the institutional and national research committee and the 1964 Helsinki Declaration and its later amendments. Informed consent was obtained from all individual participants included in the study.

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Cao, S., Zhou, R., Zhou, H. et al. Reliability and validity of Simplified Chinese version of Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire: cross-cultural adaptation and validation. Clin Rheumatol 38, 3281–3287 (2019). https://doi.org/10.1007/s10067-019-04661-8

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