From: The association of ICUC trauma score and quick DASH in a distal radius fracture cohort
Please rate your ability to do the following activities in the last week: | |
Open a tight or new jar | |
Do heavy household chores (e.g., wash walls, wash floors) | |
Carry a shopping bag or briefcase | |
Wash your back | |
Use a knife to cut food | |
Recreational activities in which you take some force or impact through your arm, shoulder or hand (e.g., golf, hammering, tennis, etc.) | |
No difficulty Mild difficulty Moderate difficulty | Severe difficulty Unable |
During the past week, to what extent has your arm, shoulder, or hand problem interfered with your normal social activities with family, friends, neighbors, or groups? | |
Not at all Slightly Moderately | Quite a bit Extremely |
During the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder, or hand problem? | |
Not limited Slightly limited Moderately limited | Very limited Unable |
In the last week, please rate the severity of arm, shoulder, or hand pain In the last week, please rate the severity of tingling (pins and needles) in your arm, shoulder, or hand | |
None Mild Moderate | Severe Extreme |
During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder, or hand? | |
No difficulty Mild difficulty Moderate Difficulty | Severe difficulty Cannot sleep |