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Journal of Hand Surgery (British and European Volume)
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Articles

Validity and Responsiveness of the Patient Evaluation Measure as an Outcome Measure for Carpal Tunnel Syndrome

J. L. HOBBY
C. WATTS
D. ELLIOT

From the North Hampshire Hospital, Aldermaston Road, Basingstoke, Hampshire RG24 9NA, UK St Andrews Centre, Broomfield Hospital, Court Road, Broomfield, Chelmsford, ESSEX CM1 7ET, UK

Correspondence: Mr J. L. Hobby, Consultant Orthopaedic and Hand Surgeon, North Hampshire Hospital, Aldermaston Road, Basingstoke, Hampshire RG24 9NA, UK. E-mail: jonathan.hobby{at}btopenworld.com

The aim of this study was to assess the validity of the Patient Evaluation Measure questionnaire (PEM) as an outcome measure in carpal tunnel syndrome. The PEM was compared to the DASH questionnaire and to objective measurements of hand function. We also compared its responsiveness to changes following carpal tunnel release with that of the DASH score. Twenty-four patients completed the PEM and DASH questionnaires before and 3 months after open carpal tunnel release. Grip strength, static two-point discrimination and the nine-hole peg test were measured. There was a significant correlation between individual items of the PEM and the objective measures. There was also strong correlation between PEM and DASH scores. The PEM showed a greater responsiveness to change (effect size 0.97) than the DASH score (effect size 0.49). The PEM correlates well with objective measures of hand function and the DASH score when used in carpal tunnel syndrome. It is more responsive to change than the DASH score. It is very simple to complete and score and is an appropriate and practical outcome measure in carpal tunnel syndrome.

Key Words: outcome measure • carpal tunnel syndrome • patient evaluation

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 4, 350-354 (2005)
DOI: 10.1016/J.JHSB.2005.03.009
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 J Hand Surg Eur VolHome page
G. N. MODY, G. A. ANDERSON, B. P. THOMAS, S. C. R. PALLAPATI, J. A. SANTOSHI, and B. ANTONISAMY
Carpal tunnel syndrome in Indian patients: use of modified questionnaires for assessment
J Hand Surg Eur Vol., October 1, 2009; 34(5): 671 - 678.
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 J Hand Surg Eur VolHome page
R. S. ROSALES, I. D. DE LA LASTRA, S. MCCABE, J. I. ORTEGA MARTINEZ, and Y. M. HIDALGO
The Relative Responsiveness and Construct Validity of the Spanish Version of the Dash Instrument for Outcomes Assessment in Open Carpal Tunnel Release
J Hand Surg Eur Vol., February 1, 2009; 34(1): 72 - 75.
[Abstract] [Full Text] [PDF]