Michigan Hand Outcomes Questionnaire

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Overview[edit | edit source]

The Hand Outcomes Questionnaire (MHQ) was developed in 1998 by the hand surgeon Chung and his colleagues Pillsbury, Walters and Hayward.[1] The assessment was devised by hand surgeons, hand therapists and hand clinic patients and has been reviewed in multiple studies over the course of the last two decades.

Objective & Intended Population[edit | edit source]

The questionnaire was developed as a tool to evaluate the health state in various domains that are experienced by patients with hand disorders as a standardised instrument.[1] Its strength lies in the detection and measuring of the patients' symptoms, function, aesthetics, and satisfaction of the hand function of conditions and diseases of the hand and the upper extremity. [2] It was designed as an assessment that reflect the subjective impression of the hand function.[2] The authors intended to focus on the domains that were important to the patients which are mainly function and overall well-being/quality of life, which were hard to quantify with usual measurements. [1]

Method of Use[edit | edit source]

The MHQ was designed as a patient-rated questionnaire, which means the patients evaluate their health state themselves. It was developed using the psychometric principles for psychological assessments (Reliability, Validity, Standardisation, and Freedom from bias). The questionnaire consists of 37 items that can be grouped into six main categories (see Figure 1).

Reference[edit | edit source]

Evidence[edit | edit source]

In 2013, Shauver and Chung reviewed the published evidence on the MHQ for the 15 years since release of the first version of the assessment. The study identified 18 published papers concerning the psychometric properties and 58 clinical research papers which were included in the review. [2]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous[edit | edit source]

Links[edit | edit source]

An online version of the assessment can be found on the following link: | Michigan Hand Outcomes Questionnaire

References[edit | edit source]

  1. 1.0 1.1 1.2 Chung KC, Pillsbury MS, Walters MR, Hayward RA. Reliability and validity testing of the Michigan Hand Outcomes Questionnaire. J Hand Surg Am. 1998;23(4):575-87.
  2. 2.0 2.1 2.2 Shauver MJ, Chung KC. The Michigan hand outcomes questionnaire after 15 years of field trial. Plast Reconstr Surg. 2013;131(5):779e-87e.