Are standardized patient self-reporting instruments applicable to the evaluation of ulnar neuropathy at the elbow?

Neal B. Zimmerman, Marc B. Kaye, E.F. Shaw Wilgis, Ryan M. Zimmerman, Norman H. Dubin

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Background: This study attempts to confirm that the Disabilities of Arm, Shoulder and Hand (DASH) Outcome Measure self-administered questionnaire is valid specifically for ulnar neuropathy at the elbow. Validity of the Levine-Katz questionnaire for ulnar neuropathology compared with DASH was also studied. Materials and methods: Forty-eight patients with isolated ulnar nerve surgery completed a 6-month evaluation. Patients were assigned a clinical stage. The DASH and Levine-Katz questionnaires were administered, and pinch and grip strength were measured preoperatively and postoperatively. Levine-Katz questionnaires were correlated with DASH to establish criterion validity. Construct validity was tested by determining a relationship between scores and clinical stages and by comparing scores preoperatively and postoperatively. Results: There was a high correlation between DASH scores and symptom severity and functional status. Although correlations were significant between DASH and biomechanical measures, correlation coefficients were lower. Postoperatively, all measures improved significantly. Conclusion: This study confirms that scores on the DASH questionnaire reflect the clinical staging of ulnar neuropathy at the elbow. Level of evidence: Level 1.

Original languageEnglish (US)
Pages (from-to)463-468
Number of pages6
JournalJournal of Shoulder and Elbow Surgery
Issue number3
StatePublished - May 2009
Externally publishedYes


  • DASH
  • Disabilities of the Arm, Shoulder, and Hand
  • Levine-Katz
  • cubital tunnel syndrome
  • elbow
  • nerve compression
  • self-reported testing
  • ulnar neuropathy

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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