Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 3 Disabilities of the arm, shoulder and hand questionnaire
From: Nonoperative treatment of closed displaced midshaft clavicle fractures
No difficulty | Mild difficulty | Moderate difficulty | Severe difficulty | Unable | ||
|---|---|---|---|---|---|---|
Patients rated their ability to perform the following activities during the last week | ||||||
1 | Open a tight or new jar | 1 | 2 | 3 | 4 | 5 |
2 | Write | 1 | 2 | 3 | 4 | 5 |
3 | Turn a key | 1 | 2 | 3 | 4 | 5 |
4 | Prepare a meal | 1 | 2 | 3 | 4 | 5 |
5 | Push open a heavy door | 1 | 2 | 3 | 4 | 5 |
6 | Place an object on a shelf above your head | 1 | 2 | 3 | 4 | 5 |
7 | Do heavy household chores (e.g., wash walls, wash floors) | 1 | 2 | 3 | 4 | 5 |
8 | Garden or do yard work | 1 | 2 | 3 | 4 | 5 |
9 | Make a bed | 1 | 2 | 3 | 4 | 5 |
10 | Carry a shopping bag or briefcase | 1 | 2 | 3 | 4 | 5 |
11 | Carry a heavy object (over 10 lbs) | 1 | 2 | 3 | 4 | 5 |
12 | Change a lightbulb overhead | 1 | 2 | 3 | 4 | 5 |
13 | Wash or blow-dry your hair | 1 | 2 | 3 | 4 | 5 |
14 | Wash your back | 1 | 2 | 3 | 4 | 5 |
15 | Put on a pullover sweater | 1 | 2 | 3 | 4 | 5 |
16 | Use a knife to cut food | 1 | 2 | 3 | 4 | 5 |
17 | Recreational activities which require little effort (e.g., cardplaying, knitting, etc.) | 1 | 2 | 3 | 4 | 5 |
18 | Recreational activities in which you take some force or impact through your arm, shoulder or hand (e.g., golf, hammering, tennis, etc.) | 1 | 2 | 3 | 4 | 5 |
19 | Recreational activities in which you move your arm freely (e.g., playing frisbee, badminton, etc.) | 1 | 2 | 3 | 4 | 5 |
20 | Manage transportation needs (getting from one place to another) | 1 | 2 | 3 | 4 | 5 |
21 | Sexual activities | 1 | 2 | 3 | 4 | 5 |
Not at all | Slightly | Moderately | Quite a bit | Extremely | ||
|---|---|---|---|---|---|---|
22 | During the past week, to what extent has your arm, shoulder or hand problem interfered with your normal social activities with family, friends, neighbors or groups? | 1 | 2 | 3 | 4 | 5 |
Not limited at all | Slightly limited | Moderately limited | Very limited | Unable | ||
|---|---|---|---|---|---|---|
23 | During the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder or hand problem? | 1 | 2 | 3 | 4 | 5 |
None | Mild | Moderate | Severe | Extreme | ||
|---|---|---|---|---|---|---|
Patients must rate the severity of the following symptoms in the last week | ||||||
24 | Arm, shoulder or hand pain | 1 | 2 | 3 | 4 | 5 |
25 | Arm, shoulder or hand pain when you performed any specific activity | 1 | 2 | 3 | 4 | 5 |
26 | Tingling (pins and needles) in your arm, shoulder or hand | 1 | 2 | 3 | 4 | 5 |
27 | Weakness in your arm, shoulder or hand | 1 | 2 | 3 | 4 | 5 |
28 | Stiffness in your arm, shoulder or hand | 1 | 2 | 3 | 4 | 5 |
No difficulty | Mild difficulty | Moderate difficulty | Severe difficulty | So much difficulty that I can’t sleep | ||
|---|---|---|---|---|---|---|
29 | During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder or hand? | 1 | 2 | 3 | 4 | 5 |
Strongly disagree | Disagree | Neither agree nor disagree | Agree | Strongly agree | ||
|---|---|---|---|---|---|---|
30 | I feel less capable, less confident or less useful because of my arm, shoulder or hand problem | 1 | 2 | 3 | 4 | 5 |
DASH disability/symptom score = | ||||||
The DASH score may not be calculated if there are more than three missing items | ||||||
DASH score | 0–25 | 26–50 | 51–75 | 76–100 | ||
Rating | Excellent | Good | Fair | Poor | ||