The Michigan Hand Outcomes Questionnaire (MHQ-Swe) in patients with distal radius fractures-cross-cultural adaptation to Swedish, validation and reliability

J Blomstrand, J Karlsson, M Fagevik Olsén, G Kjellby Wendt, J Blomstrand, J Karlsson, M Fagevik Olsén, G Kjellby Wendt

Abstract

Background: The Michigan Hand Outcomes Questionnaire-MHQ-is a well-known self-assessment questionnaire, where patients' own perception in terms of recovery, pain and the ability to return to activities of daily living is assessed. The purpose of the study was to translate and culturally adapt the Michigan Hand Outcomes Questionnaire to Swedish and to test the validity and reliability in patients with surgically treated distal radius fractures.

Methods: The cross-cultural adaptation and the translation process were conducted according to predefined guidelines. Seventy-eight patients with surgically treated distal radius fractures completed the translated version of the questionnaire on their six-week follow-up visit.

Results: The translation and cross-cultural adaptation process revealed no major linguistic or cultural issues. The internal consistency of the MHQ-Swe ranged from 0.77 to 0.94 at test 1 and from 0.81 to 0.96 at test 2 for all subscales, which indicates good internal consistency in the subscales. The hand function subscale revealed the lowest results and work performance the highest. The ICCs showed excellent test-retest reliability, ranging from 0.77 to 0.90 on all MHQ subscales and 0.92 on total score. The highest results for the ICC were seen in the satisfaction subscale (ICC = 0.90), while the lowest were seen in the aesthetic subscale (ICC = 0.77). The correlation analysis between the MHQ-Swe, PRWE and VAS showed a generally moderate to high correlation for all the subscales.

Conclusions: The Swedish version of the MHQ, the MHQ-Swe, showed good validity and reliability and it is therefore an appropriate and relevant questionnaire for use in patients with surgically treated distal radius fractures.

Trial registration: FoU i VGR, Projectnumber: 208491 , registered December 9, 2015.

Keywords: Activity performance; Cross-cultural adaptation; Distal radius fracture; Hand therapy; Michigan Hand Outcomes Questionnaire; Occupational therapy; Rehabilitation; Swedish translation.

Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Macintyre NJ, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis. J Hand Ther. 2016;29(2):136–145. doi: 10.1016/j.jht.2016.03.003.
    1. Mellstrand-Navarro C, Pettersson HJ, Tornqvist H, Ponzer S. The operative treatment of fractures of the distal radius is increasing: results from a nationwide Swedish study. Bone Joint J. 2014;96-B(7):963–969. doi: 10.1302/0301-620X.96B7.33149.
    1. Wilcke MT, Hammarberg H, Adolpfson PY. Epidemiology and changed surgical treatment methods for fractures of the distal radius. Acta Orthop. 2013;84(3):292–296. doi: 10.3109/17453674.2013.792035.
    1. Fernandez D, Wolfe S. Distal radius fractures. In: Green D, Hotchkiss R, WCP, Wolfe S, editors. Green’s operative hand surgery. 5 ed. Philadelphia: Churchill Livingstone; 2005. pp. 645–710.
    1. Hull P, Baraza N, Gohil M, Whalley H, Mauffrey C, Brewster M, et al. Volar locking plates versus K-wire fixation of dorsally displaced distal radius fractures--a functional outcome study. J Trauma. 2011;70(6):125–128.
    1. Krischak GD, Krasteva A, Schneider F, Gulkin D, Gebhard F, Kramer M. Physiotherapy after volar plating of wrist fractures is effective using a home exercise program. Arch Phys Med Rehabil. 2009;90(4):537–544. doi: 10.1016/j.apmr.2008.09.575.
    1. Hannah SD. Psychosocial issues after a traumatic hand injury: facilitating adjustment. J Hand Ther. 2011;24(2):95–103. doi: 10.1016/j.jht.2010.11.001.
    1. Waljee JF, Ladd A, MacDermid JC, Rozental TD, Wolfe SW, Benson LS, et al. A unified approach to outcomes assessment for distal radius fractures. J Hand Surg. 2016;41(4):565–573. doi: 10.1016/j.jhsa.2016.02.001.
    1. Chung KC, Pillsbury MS, Walters MR, Hayward RA. Reliability and validity testing of the Michigan Hand Outcomes Questionnaire. J Hand Surg. 1998;23(4):575–587. doi: 10.1016/S0363-5023(98)80042-7.
    1. Chung KC, Hamill JB, Walters MR, Hayward RA. The Michigan Hand Outcomes Questionnaire (MHQ): assessment of responsiveness to clinical change. Ann Plast Surg. 1999;42(6):619–622. doi: 10.1097/00000637-199906000-00006.
    1. Kotsis SV, Lau FH, Chung KC. Responsiveness of the Michigan Hand Outcomes Questionnaire and physical measurements in outcome studies of distal radius fracture treatment. J Hand Surg. 2007;32(1):84–90. doi: 10.1016/j.jhsa.2006.10.003.
    1. Öksüz Ç, Akel BS, Oskay D, Leblebicioğlu G, Hayran KM. Cross-cultural adaptation, validation, and reliability process of the Michigan Hand Outcomes Questionnaire in a Turkish population. J Hand Surg. 2011;36(3):486–492. doi: 10.1016/j.jhsa.2010.11.016.
    1. Roh YH, Yang BK, Noh JH, Baek GH, Song CH, Gong HS. Cross-cultural adaptation and validation of the Korean version of the Michigan Hand Questionnaire. J Hand Surg. 2011;36(9):1497–1503. doi: 10.1016/j.jhsa.2011.06.006.
    1. Meireles SM, Natour J, Batista DA, Lopes M, Skare TL. Cross-cultural adaptation and validation of the Michigan Hand Outcomes Questionnaire (MHQ) for Brazil: validation study. Sao Paulo Med J. 2014;132(6):339. doi: 10.1590/1516-3180.2014.1326701.
    1. Ebrahimzadeh MH, Birjandinejad A, Kachooei AR. Cross-cultural adaptation, validation, and reliability of the Michigan Hand Outcomes Questionnaire among Persian population. Hand Surg. 2015;20(1):25–31. doi: 10.1142/S0218810415500033.
    1. Marks M, Audigé L, Herren DB, Schindele S, Nelissen RGHH, Vliet Vlieland TPM. Measurement properties of the German Michigan Hand Outcomes Questionnaire in patients with trapeziometacarpal osteoarthritis: reliability, validity, and responsiveness of the German MHQ. Arthritis Care Res. 2014;66(2):245–52.
    1. Oda T, Abe Y, Katsumi Y, Ohi H, Nakamura T, Inagaki K. Reliability and validity of the Japanese version of the Michigan Hand Outcomes Questionnaire: a comparison with the DASH and SF-36 Questionnaires. J Hand Surg Asian Pacific Vol. 2016;21(1):72–77. doi: 10.1142/S2424835516500119.
    1. MacDermid JC. Development of a scale for patient rating of wrist pain and disability. J Hand Ther. 1996;9(2):178–183. doi: 10.1016/S0894-1130(96)80076-7.
    1. MacDermid JC, Turgeon T, Richards RS, Beadle M, Roth JH. Patient rating of wrist pain and disability: a reliable and valid measurement tool. J Orthop Trauma. 1998;12(8):577–586. doi: 10.1097/00005131-199811000-00009.
    1. Mellstrand Navarro C, Ponzer S, Tornkvist H, Ahrengart L, Bergstrom G. Measuring outcome after wrist injury: translation and validation of the Swedish version of the patient-rated wrist evaluation (PRWE-Swe) BMC Musculoskelet Disord. 2011;12(1):171–179. doi: 10.1186/1471-2474-12-171.
    1. Changulani M, Okonkwo U, Keswani T, Kalairajah Y. Outcome evaluation measures for wrist and hand – which one to choose? Int Orthop. 2008;32(1):1–6. doi: 10.1007/s00264-007-0368-z.
    1. MacDermid JC, Richards RS, Donner A, Bellamy N, Roth JH. Responsiveness of the short form-36, disability of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture. J Hand Surg. 2000;25(2):330–340. doi: 10.1053/jhsu.2000.jhsu25a0330.
    1. Rodriguez CS. Pain measurement in the elderly: a review. Pain Manage Nurs. 2001;2(2):38–46. doi: 10.1053/jpmn.2001.23746.
    1. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186–3191. doi: 10.1097/00007632-200012150-00014.
    1. Cicchetti D, Bronen R, Spencer S, Haut S, Berg A, Oliver P, Tyrer P. Rating scales, scales of measurement, issues of reliability: resolving some critical issues for clinicians and researchers. J Nerv Ment Dis. 2006;194(8):557–564. doi: 10.1097/01.nmd.0000230392.83607.c5.
    1. Dancey CP, Reidy J. Statistics without maths for psychology: using SPSS for Windows: Pearson Education. 2004. p. 612.
    1. Hulkkonen S, Repo JP, Häkkinen A, Karppinen J, Ryhänen J. Cross-cultural adaptation and validation of the Finnish Version of the Michigan Hand Outcomes Questionnaire. Scand J Surg. 2020;109(2):159–165. doi: 10.1177/1457496918818981.
    1. Whiteford G. Occupational deprivation: global challenge in the new millennium. Br J Occup Ther. 2000;63(5):200–204. doi: 10.1177/030802260006300503.

Source: PubMed

Sponsors and Collaborators

Medical Conditions

Drug Interventions

3
Subscribe