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Validation of Duruöz Hand Index in patients with tetraplegia
Tugce Ozekli Misirlioglu1, Halil Unalan2, Safak Sahir Karamehmetoglu2
1Koc University Hospital, Department of Physical Medicine and Rehabilitation, Turkey.
Study Design:
Cross-sectional, clinical measurement.
Purpose:
To investigate the validity of the Duruöz Hand Index (DHI) in the assessment of hand function in patients with tetraplegia.
Methods:
A total of 40 patients with tetraplegia participated. Patients' upper extremities were assessed on the level of 'body function and structure' [The American Spinal Cord Injury Association (ASIA) Impairment Scale (AIS) 2000 revised criteria, upper extremity motor score (UEMS), neurologic level of injury and visual analogue scale of hand function (VAS-HF)], 'activity' [DHI and Quadriplegia index of function-short form (QIF-SF)] and 'body function and structure, activity and participation' [Health Survey Short Form-36 (SF-36)] according to International Classification of Function.
Results:
The DHI showed significant correlations with UEMS, AIS, QIF-SF, VAS-HF, physical functioning and physical compound summary scores of SF-36.
Conclusions:
The DHI was found a valid method in the assessment of hand functions in patients with tetraplegia.
Level Of Evidence:
Diagnostic III.
