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Updated: Sep 2, 2025
An Objective and Child-friendly Assessment of Arm Function by Using a 3-D Sensor
Published on: February 12, 2018
The patient-rated wrist and hand evaluation was successfully translated to the Slovenian language
Josipa Kljajić1, Dušan Čelan2, Breda Jesenšek Papež2
1Institute for Physical and Rehabilitation Medicine, University Medical Centre Maribor, Maribor, Slovenia; Department for Extended Hospital Care, General Hospital Ptuj, Ptuj, Slovenia.
Background:
The Patient-Rated Wrist and Hand Evaluation (PRWHE) is one of the widely used PROMs in the hand rehabilitation.
Purpose:
To develop the Slovenian version of the PRWHE (PRWHE-Slo) and to evaluate its psychometric properties.
Study Design:
A single-centre observational prospective cohort study.
Methods:
Fifty patients with distal radius fracture (DRF) were enrolled in the study. Construct validity was assessed by examining the correlations between the PRWHE-Slo and QuickDASH, EQ-5D-5L, wrist ROM, and grip strength. Reliability was evaluated by determining internal consistency (Cronbach...s alpha) and test-retest reliability (intraclass correlation coefficient (ICC)). The standard error of measurement (SEM) and the minimal detectable change (MDC) were determined. The responsiveness of the PRWHE-Slo was assessed with the effect size (ES) and standardised response mean (SRM).
Results:
The Cronbach's alpha value of 0.96 and the ICC (95% CI) value of 0.95 showed excellent internal consistency and reliability for the total PRWHE-Slo score. When assessing construct validity of PRWHE-Slo, there was a strong positive correlation between all subscales and total scores of the PRWHE-Slo and the QuickDASH (r-values ranging from 0.72 to 0.83). The unrelated dimensions such as the function subscale of the PRWHE and the mobility and anxiety/depression subscales of the EQ-5D-5L were not statistically significantly correlated. Grip strength was moderately negatively correlated with all PRWHE subscales, whereas ROM showed no statistically significant correlations with any of the PRWHE-Slo subscales. SEM and MDC for the total PRWHE-Slo score were 5.40 and 14.97, respectively. The PRWHE-Slo proved to be highly responsive in DRF patients with SRM and ES values of 1.27 and 0.91, respectively.
Conclusions:
The psychometric analysis of this study shows the PRWHE-Slo to be reliable, valid, and responsive PROM for assessing pain and disability in patients after DRF.
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