Translation and Validation of the Swedish Patient-Rated Ulnar Nerve Evaluation in Ulnar Nerve Entrapment
Background:. A Swedish version of the Patient-Rated Ulnar Nerve Evaluation (PRUNE-S), a patient-reported outcome measure for ulnar nerve entrapment, was created, according to cross-cultural adaptation guidelines, and reliability, validity, and responsiveness were evaluated. Methods:. In total, 43 pa...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-08-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007044 |
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| author | Antonia Papadopoulou, MD Ingela K. Carlsson, PhD Lotta Fornander, MD, PhD Lars B. Dahlin, MD, PhD Erika Nyman, MD, PhD |
| author_facet | Antonia Papadopoulou, MD Ingela K. Carlsson, PhD Lotta Fornander, MD, PhD Lars B. Dahlin, MD, PhD Erika Nyman, MD, PhD |
| author_sort | Antonia Papadopoulou, MD |
| collection | DOAJ |
| description | Background:. A Swedish version of the Patient-Rated Ulnar Nerve Evaluation (PRUNE-S), a patient-reported outcome measure for ulnar nerve entrapment, was created, according to cross-cultural adaptation guidelines, and reliability, validity, and responsiveness were evaluated.
Methods:. In total, 43 patients (mean [SD] age, 49 [16] y; 54% men) were consecutively examined, including the PRUNE-S (retest: 23 patients; age, 48 [19] y; 61% men) with follow-up at 3 and 12 months after intervention. Patients with conservative intervention replied to a global rating of change question.
Results:. The PRUNE-S sum test–retest assessment showed high Cronbach alpha value (0.99) and agreement by intraclass correlation coefficient (0.98) with good limits of agreement (PRUNE-S sum between −14 and 14). An exploratory factorial analysis showed a different PRUNE-S subscale categorization (subscale ranges: Cronbach alpha, 0.87–0.98; intraclass correlation coefficient, 0.87–0.98). The subscales, except the sensory symptoms subscale, of the PRUNE-S and their sum (r = 0.87, P < 0.001) correlated strongly with Quick Disabilities of the Arm, Shoulder, and Hand questionnaire. Grip and pinch grip strength did not correlate with subscales or with PRUNE-S sum. Semmes-Weinstein monofilament score correlated moderately with sensory symptoms subscale (r = −0.45, P = 0.002). Global rating of change and difference in PRUNE-S sum revealed a moderate and strong association (3 months [n = 26]: r = −0.58, P = 0.002; 12 months [n = 12]: r = −0.84, P = 0.001, respectively).
Conclusions:. Despite limitations in sample size, the PRUNE-S, with new subscale categorization, shows good to excellent psychometric properties with promising responsiveness and usefulness in clinical practice and research. |
| format | Article |
| id | doaj-art-8925ffe6959740e097d465c442efda7e |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-8925ffe6959740e097d465c442efda7e2025-08-26T03:24:30ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-08-01138e704410.1097/GOX.0000000000007044202508000-00060Translation and Validation of the Swedish Patient-Rated Ulnar Nerve Evaluation in Ulnar Nerve EntrapmentAntonia Papadopoulou, MD0Ingela K. Carlsson, PhD1Lotta Fornander, MD, PhD2Lars B. Dahlin, MD, PhD3Erika Nyman, MD, PhD4From the * Department of Hand Surgery, Plastic Surgery and Burns, Linköping University Hospital, Linköping, Sweden‡ Department of Hand Surgery, Skåne University Hospital, Malmö, Sweden§ Department of Orthopaedic Surgery, Vrinnevi Hospital, Norrköping, Sweden† Department of Biomedical and Clinical Sciences, Linköping University, Linköping, SwedenFrom the * Department of Hand Surgery, Plastic Surgery and Burns, Linköping University Hospital, Linköping, SwedenBackground:. A Swedish version of the Patient-Rated Ulnar Nerve Evaluation (PRUNE-S), a patient-reported outcome measure for ulnar nerve entrapment, was created, according to cross-cultural adaptation guidelines, and reliability, validity, and responsiveness were evaluated. Methods:. In total, 43 patients (mean [SD] age, 49 [16] y; 54% men) were consecutively examined, including the PRUNE-S (retest: 23 patients; age, 48 [19] y; 61% men) with follow-up at 3 and 12 months after intervention. Patients with conservative intervention replied to a global rating of change question. Results:. The PRUNE-S sum test–retest assessment showed high Cronbach alpha value (0.99) and agreement by intraclass correlation coefficient (0.98) with good limits of agreement (PRUNE-S sum between −14 and 14). An exploratory factorial analysis showed a different PRUNE-S subscale categorization (subscale ranges: Cronbach alpha, 0.87–0.98; intraclass correlation coefficient, 0.87–0.98). The subscales, except the sensory symptoms subscale, of the PRUNE-S and their sum (r = 0.87, P < 0.001) correlated strongly with Quick Disabilities of the Arm, Shoulder, and Hand questionnaire. Grip and pinch grip strength did not correlate with subscales or with PRUNE-S sum. Semmes-Weinstein monofilament score correlated moderately with sensory symptoms subscale (r = −0.45, P = 0.002). Global rating of change and difference in PRUNE-S sum revealed a moderate and strong association (3 months [n = 26]: r = −0.58, P = 0.002; 12 months [n = 12]: r = −0.84, P = 0.001, respectively). Conclusions:. Despite limitations in sample size, the PRUNE-S, with new subscale categorization, shows good to excellent psychometric properties with promising responsiveness and usefulness in clinical practice and research.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007044 |
| spellingShingle | Antonia Papadopoulou, MD Ingela K. Carlsson, PhD Lotta Fornander, MD, PhD Lars B. Dahlin, MD, PhD Erika Nyman, MD, PhD Translation and Validation of the Swedish Patient-Rated Ulnar Nerve Evaluation in Ulnar Nerve Entrapment Plastic and Reconstructive Surgery, Global Open |
| title | Translation and Validation of the Swedish Patient-Rated Ulnar Nerve Evaluation in Ulnar Nerve Entrapment |
| title_full | Translation and Validation of the Swedish Patient-Rated Ulnar Nerve Evaluation in Ulnar Nerve Entrapment |
| title_fullStr | Translation and Validation of the Swedish Patient-Rated Ulnar Nerve Evaluation in Ulnar Nerve Entrapment |
| title_full_unstemmed | Translation and Validation of the Swedish Patient-Rated Ulnar Nerve Evaluation in Ulnar Nerve Entrapment |
| title_short | Translation and Validation of the Swedish Patient-Rated Ulnar Nerve Evaluation in Ulnar Nerve Entrapment |
| title_sort | translation and validation of the swedish patient rated ulnar nerve evaluation in ulnar nerve entrapment |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007044 |
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