www.orthopaedicscores.com
|
Date of completion
|
The Disabilities of the Arm, Shoulder and Hand (DASH) Score - Work Module |
| Clinician's name (or ref)
|
Patient's name (or ref
|
| |
The following questions ask about the impact of your arm, shoulder or hand problem on your ability to work (including homemaking if that is your main work role).
|
|
|
Nb: This page cannot be saved due to patient data protection so please print the filled in form before closing the window. |
|
|
This score may not be calculated if there are any missing items. |
Reference for Score: Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG)
Am J Ind Med. 1996 Jun;29(6):602-8. Erratum in: Am J Ind Med 1996 Sep;30(3):372.
The Institute for Work & Health are the copyright owners of the DASH and QuickDASH Outcome Measures (http://www.dash.iwh.on.ca/)
|
 ©2006 Kurer/Gooding/Dazines |
|
|