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J Wrist Surg 2024; 13(05): 427-431
DOI: 10.1055/s-0043-1772254
Scientific Article

Patient-Reported Outcomes Can Serve as a Functional Substitute for Grip Strength

Cade A. Cantu
1   Central Michigan University College of Medicine, Mount Pleasant, Michigan
,
Matthew Myhand
2   Wayne State University School of Medicine, Detroit, Michigan
,
Alaa A. Hazime
3   Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan
,
Nikhil R. Yedulla
3   Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan
,
Charles S. Day 
3   Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan
› Institutsangaben Funding None.
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Abstract

Background Grip strength has traditionally been seen as an objective measurement of hand function, while the Patient-Reported Outcomes Measurement Information System Upper Extremity (PROMIS UE) has emerged recently as a common patient-reported outcome metric for similar purposes. The primary objective of this study was to determine if a correlation exists between grip strength, PROMIS UE, and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores in hand and upper extremity clinic patients.

Methods PROMIS UE, Pain Interference (PI), and Depression (D), as well as QuickDASH were prospectively administered to patients from July 16 to September 3, 2020. A grip strength ratio (GSR), calculated by dividing the grip strength of the injured hand by that of the noninjured hand, was recorded for each individual to control for personal differences in grip strength. Data were analyzed using Spearman's correlation coefficients with the significance level at p < 0.05.

Results Fifty patients participated in this study. The median GSR was 0.55. QuickDASH demonstrated strong correlations with both PROMIS UE and PI (r(48) = –0.81, p < 0.05; r(48) = 0.86, p < 0.05). GSR correlated moderately with PROMIS UE (r(48) = 0.63, p < 0.05). Finally, GSR and QuickDASH also exhibited moderate correlation with each other (r(48) = –0.62, p < 0.05).

Conclusion PROMIS UE and QuickDASH are shown to correlate moderately with GSR. This suggests the PROMIS UE forms as an effective measure of hand/wrist function in hand clinic patients and may be substituted for grip strength measurements.

Keywords

outcomes - grip strength - PROMIS - QuickDASH - patient-reported outcomes

Informed Consent

“Informed consent was obtained from all individual participants included in the study.”


Ethical Review Committee Statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for being included in the study.




Publikationsverlauf

Eingereicht: 07. Mai 2023

Angenommen: 18. Juli 2023

Artikel online veröffentlicht:
17. August 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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