Recreational activities in which you. quickdash – initial visit instructions this questionnaire asks about your symptoms as well as your ability to perform certain activities. the first 6 items measure the degree of difficulty in performing various physical activities because of a shoulder, arm, and hand problem, and the other 5 items related to quality of sleeping, social activities, and daily activities, and the intensity of pain and. please rate your ability to do the following activities in the last week by circling the number below the appropriate response. statistical analysis of the 30- pdf item dash indicated that it could be reduced to 11 items while still maintaining an acceptable rating of. recreational activities in which you take some force or impact through your arm, shoulder or hand ( e. if you did not have the opportunity to perform an activity in the past week, please make your best estimate of which response. name: _ _ _ _ _ date of birth: _ _ _ _ _ date: _ _ _ _ _ quick dash ( disability of arm, shoulder, and hand). microsoft word - quickdash. quickdash - initial patient name: _ _ _ _ _ date: _ _ _ _ _ instructions this questionnaire asks about your symptoms as well as your ability to perform certain activities. shoulder program of care - quickdash outcome instructions. · your arm, shoulder or hand ( eg golf, hammering, tennis, etc) 0 mild dificulty 0 moderate dificulty 0 severe dificulty 0 unable. information on scoring is also available on- line. , wash walls, floors) 3. outcome measures. during the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder or hand? it does not matter which hand or arm you use to perform the activity. at least 10 of the 11 items must be completed for a score to be calculated and the scores range from 0 ( no disability. the quick dash is an abbreviated version of the original dash outcome measure. do heavy household chores ( e. if you did not have the opportunity to perform an activity in the past week, please make your best estimate. in comparison to the original 30 item dash outcome measure, the quick dash only contains 11 items [ 5] it is a questionnaire that measures an individual’ s ability to complete tasks, absorb forces, and severity of symptoms [ 5] the quick dash tool uses a 5- point. no mild moderate severe. docx created date: z. of your arm, shoulder or hand problem? the quickdash outcome measure instructions this questionnaire asks about your symptoms as well as your ability to perform certain activities. the quick dash is an 11- item measure of the magnitude of disability and symptoms specific to the upper extremity. use a knife to cut food. 6 take some force or impact through. arm, shoulder or hand pain. this questionnaire asks you about your symptoms as well as your ability to perform certain activities. during the past week, to what extent has your arm, shoulder or hand problem interfered with your normal social activities. please answer every question, based on your condition in the last week, by circling the appropriate number. quickdash pdf form the quick dash outcome measure name: _ _ _ _ _ date: pdf _ _ _ _ _. the quickdash outcome quickdash pdf form measure is available free of charge ( for non- commercial purposes) and may be downloaded from the dash web site at www. please answer every question, based on your condition in the last week,. if you did not have the opportunity to perform an activity in the. shoulderpoc_ quickdashinstructions. ( circle number) how severe is your pain today? please answer every question, based on your condition in the last week. please answer every question, based on your condition in the last week, by checking the appropriate response. this questionnaire asks about your symptoms as well as your ability to perform certain activities.
if you did not have the opportunity to perform an. the quickdash: outcome measure instructions for completion of this questionnaire: this questionnaire asks about your symptoms as well as your ability to perform certain activities. please answer every question based on your condition in the last week and circle the appropriate number. if you did not have the opportunity to perform an activity in the past. carry a shopping bag or briefcase. the quickdash outcome measures. the elder of the two instruments, quickdash is a validated scoring instrument derived from the original 78 question dash form, created in 1996 by the american academy of orthopedic surgeons, council of musculoskeletal specialty societies, and the institute for work and health as an outcome measure for musculoskeletal disabilities of the upper extremity [ ]. the quickdash, published in in the journal of bone and joint surgery, is a subset of 11 items from the 30- item dash and is a self- reported questionnaire in which the pdf response options are presented as 5- point likert scales. , golf, hammering, tennis, etc. day of mourning; contact us;. name date quickdash instructions this questionnaire asks about your symptoms as well as your ability to perform certain activities. tingling ( pins and needles) in your arm, shoulder or hand.