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Development of a Novel Questionnaire Evaluating Disability in Activities of Daily Living in the Upper Extremities of Patients Undergoing Maintenance Hemodialysis
Author(s) -
Kutsuna Toshiki,
Matsunaga Atsuhiko,
Takagi Yutaka,
Motohashi Sachiko,
Yamamoto Kazuya,
Matsumoto Takuya,
Ishii Akira,
Takahira Naonobu,
Yoshida Atsushi,
Masuda Takashi
Publication year - 2011
Publication title -
therapeutic apheresis and dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.415
H-Index - 53
eISSN - 1744-9987
pISSN - 1744-9979
DOI - 10.1111/j.1744-9987.2010.00905.x
Subject(s) - medicine , activities of daily living , physical therapy , range of motion , upper limb , ceiling effect , regimen , physical medicine and rehabilitation , surgery , alternative medicine , pathology
Abstract The aim of the present study was to develop a novel questionnaire evaluating disability in the activities of daily living in the upper extremities of hemodialysis (HD) patients (QDUE‐HD). We recruited 83 patients (40 males and 43 females) aged 66 ± 8 years, and measured their muscle strength and range of motion in the upper extremities. Moreover, 14 patients performed a six‐week exercise training regimen (the exercise group) and were compared with 15 patients not performing such training (the control group). In an initial questionnaire consisting of 37 items, 30 were taken from the Disabilities of the Arm, Shoulder and Hand questionnaire and the Activities of Daily Living Test, and the remaining seven were selected from activities that HD patients perceived as impossible or extremely difficult to perform. The principal factor analysis focused on 11 items, as 26 showing floor and ceiling effects were excluded. These 11 items were divided into two categories consisting of six items termed “light work” and five termed “holding activities”. The scores for light work and holding activities correlated significantly and positively with both muscle strength and range of motion in the upper extremities. These scores increased significantly after the six‐week exercise training as compared with those before training in the exercise group. We conclude that the QDUE‐HD is clinically useful for evaluating disability in activities of daily living in the upper extremities of HD patients because of its high reliability, validity and responsiveness.