PRWE Score
Original Editor - Aarti Sareen
Top Contributors - Aarti Sareen, Kim Jackson, Janine van Dyk, Admin, Evan Thomas, WikiSysop and Amrita Patro
Introduction
PRWE is the Patient-Rated Wrist Evaluation.The PRWE is a 15-item questionnaire designed to measure wrist pain and disability in activities of daily living. Developed in 1998 for clinical assessment and is used for specific wrist problems.It is one of the reliable upper extremity outcome instrument.[1]
The PRWE allows patients to rate their levels of wrist pain and disability from 0 to 10, and consists of 2 subscales:[2]
- Pain subscale: contains 5 items each of which is further rated from 1-10. The maximum score in this section is 50 and minimum 0
- Function subscale: contains total 10 items which are further divided into 2 sections i.e specific activities (having 6 items) and usual activities (having 4 items). The maximum score in this section is 50 and minimum 0.
Development of PRWE
Scale items were generated using information obtained from patient and expert interviews, biomechanical literature, and other questionnaires.
Items were reduced and refined through expert interviews and pilot testing on small groups of patients. It Surveyed 100 (66 responded) international wrist investigators (IWIW) to generate items particularly. After developing the items PRWE was tested.[3]
Objectives
- To determine level of wrist disability
- To set treatment goals
- To determine whether change has occurred
- To communicate in a meaningful way to payers
Technique/ Scoring
There are 3 steps to score PRWE
Step 1: Measure the pain score of all 5 items
Step 2: Measure the function score of all the 10 items and divide it by 2
Step 3: Add pain and function score.
Total Score = Sum of pain+ function scores (Best Score = 0, Worst Score = 100)
Less score = better outcome
Evidence
The PRWE is a reliable and sensitive measurement of wrist and hand related pain and can assisit with a variety of hand or wrist disorders.[2]Accross all patient reported categoeirs of pain and function there was a siginificant diffrences in PRWE scores. The questionnaire demonstrated strong internal consistency with Cronbach's aplha values of 0.98 and 0.95 irrespectively for pain and function.[4]
PRWHE
Patient rate wrist/hand evaluation (PRWHE) is the modified version of PRWE. The PRWHE has the same items and scoring system as the PRWE. The PRWHE is preferred in hand/wrist clinics as it is more specific and easier to use and also asses the hand along with wrist.
Changes between the PRWE and PRWHE
1) In the PRWHE, the term “wrist” is replaced with “wrist/hand”.
2) The PRWHE has an optional aesthetics question on the form (not part of the scale scoring).
Resources
PRWE systematic reviews
References
- ↑ Angst F, John M, Goldhahn J, Herren DB, Pap G, Aeschlimann A, et al. Comprehensive assessment of clinical outcome and quality of life after resection interposition arthroplasty of the thumb saddle joint. Arthritis & Rheumatism. 2005;53(2):205–13.
- ↑ 2.0 2.1 Mehta SP, MacDermid JC, Richardson J, MacIntyre NJ, Grewal R. A systematic review of the measurement properties of the patient-rated wrist evaluation. The Journal of Orthopaedic and Sports Physical Therapy [Internet]. 2015 Apr 1;45(4):289–98.
- ↑ MacDermid JC, Turgeon T, Richards RS, Beadle M, Roth JH. Patient Rating of Wrist Pain and Disability: A Reliable and Valid Measurement Tool. Journal of Orthopaedic Trauma [Internet]. 1998 Nov 1;12(8):577.
- ↑ Walenkamp MMJ, de Muinck Keizer RJ, Goslings JC, Vos LM, Rosenwasser MP, Schep NWL. The Minimum Clinically Important Difference of the Patient-rated Wrist Evaluation Score for Patients With Distal Radius Fractures. Clinical Orthopaedics and Related Research®. 2015 Jun 4;473(10):3235–41.