ArticleBMC musculoskeletal disorders2008
The Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) can measure the impairment, activity limitations and participation restriction constructs from the International Classification of Functioning, Disability and Health (ICF).
Article in BMC musculoskeletal disorders, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04692597 (Low Level Laser Therapy), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Low Level Laser Therapy (LLLT) for the Treatment of Hand Osteoarthritis.
Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 134 citations in OpenAlex.
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- Effectiveness of Upper Limb Wearable Technology for Improving Activity and Participation in Adult Stroke Survivors: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Infraglenoidal scapular notching in reverse total shoulder replacement: a prospective series of 60 cases and systematic review of the literature.BMC musculoskeletal disorders · 2011Pooled it
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- Imatinib mesylate for the treatment of steroid-refractory sclerotic-type cutaneous chronic graft-versus-host disease.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2015Trial
- Measures and time points relevant for post-surgical follow-up in patients with inflammatory arthritis: a pilot study.BMC musculoskeletal disorders · 2009Trial
- Sleep Disturbances in Patients with Complex Regional Pain Syndrome: A Pilot Exploratory Study on Pain Characteristics, Functional Impairment, and Psychological Factors.Brain sciences · 2026Article
- Article
- Examining the Disabilities of the Arm, Shoulder, and Hand outcome instrument in extended reality: X-DASH.JSES reviews, reports, and techniques · 2026Article
- Review of Soft Robotic Gloves and Functional Electrical Stimulation Affecting Hand Function Rehabilitation for Stroke Patients.Biomimetics (Basel, Switzerland) · 2026Review
- Muscle strength and stiffness of elbow muscles: correlation with upper limb motor functions in people with chronic stroke.Journal of rehabilitation medicine · 2025Article
- Psychometric analysis of the patient-reported outcomes measurement information system parent proxy physical function-upper extremity item bank for children with Duchenne muscular dystrophy.Frontiers in neurology · 2025Article
- Comparing the Efficacy of Manual Therapy and Exercise to Synchronized Telerehabilitation with Self-Manual Therapy and Exercise in Treating Subacromial Pain Syndrome: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2024Article
- Psychometric properties of the Disability of Arm Shoulder and Hand (DASH) in subjects with frozen shoulder: a reliability and validity study.BMC musculoskeletal disorders · 2024Article
- Musculoskeletal, Functional and Performance Impairment in Female Overhead Athletes with a Previous Shoulder Injury.Healthcare (Basel, Switzerland) · 2023Article
- Reliability and validity of the Shoulder Pain and Disability Index in a sample of patients with frozen shoulder.BMC musculoskeletal disorders · 2023Article
- Content validity of the disability of the arm, shoulder, and hand questionnaire in a college-age patient population.JSES international · 2022Article
- Development of a theory-informed questionnaire to assess the acceptability of healthcare interventions.BMC health services research · 2022Article
- The Impact of Minimally Invasive Treatment for Rotator Cuff Calcific Tendinitis on Self-Reported Work Ability and Sick Leave.Arthroscopy, sports medicine, and rehabilitation · 2020Article
- Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe International Classification of Functioning, Disability and Health (ICF) model of the consequences of disease identifies three health outcomes, impairment, activity limitations and participation restrictions. However, few orthopaedic health outcome measures were developed with reference to the ICF. This study examined the ability of a valid and frequently used measure of upper limb function, namely the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), to operationalize the ICF.
methodsTwenty-four judges used the method of Discriminant Content Validation to allocate the 38 items of the DASH to the theoretical definition of one or more ICF outcome. One-sample t-tests classified each item as measuring, impairment, activity limitations, participation restrictions, or a combination thereof.
resultsThe DASH contains items able to measure each of the three ICF outcomes with discriminant validity. The DASH contains five pure impairment items, 19 pure activity limitations items and three participation restriction items. In addition, seven items measured both activity limitations and participation restrictions.
conclusionThe DASH can measure the three health outcomes identified by the ICF. Consequently the DASH could be used to examine the impact of trauma and subsequent interventions on each health outcome in the absence of measurement confound.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.