Rebwar Abdalla Hasan, Omer Ali Rafiq Barawi, Jalal Ali Hasan


Background: For upper extremity (hand and wrist) injuries, patient rated self-evaluation tools are increasing worldwide. This study aimed to evaluate the reliability, validity, and responsiveness of the Kurdish translation of patient-rated hand/wrist evaluation (PRWHE-K).

Materials & Methods: This cross-sectional study was done from April to October 2022 in public medical center Sulaymaniyah, Iraq. Cross-cultural adaptation of PRWHE-K was performed by a five-step approach using the translation and back-translation method. PRWHE-K was completed during two occasions within a 24-hour interval. All analyses were performed in MedCalc statistical software version 20.2. Reliability, validity and responsiveness were assessed to evaluate cross-cultural adaptation of PRWEH-K questionnaire.

Results: There were total 300 participants in this study. Internal consistency PRWEH-K total score (Cronbach’s alpha = 0.99) and test-retest reliability (interclass correlation coefficient =0.99) were excellent. Concordance correlation coefficient (CC=0.99) of PRWEH-K total score showed a strong correlation and concordance between the two measures. Strong correlation between PRWHE-K and DASH score in the first (r=0.793) and second (r=0.792) measures demonstrated good construct validity of PRWHE-K. No ceiling or floor effects were detected (0.0%). The effect size and standardized response mean of PRWEH-K total score was -0.003 and -0.174, respectively. Standard error of measurement, minimal detectable change at 90% confidence level, and minimal detectable change at 95% confidence level were 0.151, 0.351, and 0.688, respectively.

Conclusion: PRWHE-K is a reliable and valid tool to clinical assessment of upper extremity injuries in terms of perceived pain and pertaining physical impairments. Our results also highlight the importance of further evaluations of the PRWHE-K outcome measure to confirm its utility in different clinical settings.


Patient; Hand; Wrist evaluation; Tools; Validity; Reliability.

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DOI: https://doi.org/10.46903/gjms/21.03.1314


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