Duruoz Hand Index (DHI): Assessing Hand Function

The Duruoz Hand Index is a self-report tool that assesses hand function in rheumatoid arthritis. It helps doctors track how well patients manage daily tasks like cooking, dressing and hygiene.

Duruoz Hand Index (DHI) PDF assessment form for evaluating hand function and disability.
DHI

Duruoz Hand Index (DHI)

The Duruoz Hand Index (DHI) is a practical survey assessing hand function in daily life. It's often used for rheumatoid arthritis, evaluating 18 activities like kitchen work and dressing. This measure helps clinicians track functional ability and guide treatment plans effectively.

Category

Physical health
Movement System
Rehabilitation

Disease

Assessment
Rehabilitation
Clinical Measurement
Quality of Life

Source

(Duruöz et al., 1996)

Author Name

Duruöz, M.T., Poiraudeau, S., Fermanian, J., Menkes, C.J., Amor, B. (1996)

What is Duruoz Hand Index (DHI)

The Duruoz Hand Index (DHI) is a practical tool for assessing hand function in rheumatoid arthritis. It measures functional disability in daily life. This eighteen-item questionnaire evaluates how well patients handle manual tasks. It focuses on common activities of daily living that require strong grip, pinch, and dexterity. Questions cover practical areas like kitchen work, dressing, personal hygiene, and office tasks. Patients rate their ability on a simple scale from zero to five, so higher scores show more difficulty with specific movements and hand strength. Clinicians use it to track changes over time or check if treatments are working. It is quick to complete and works well for conditions like osteoarthritis and scleroderma too. The DHI helps therapists understand exactly where a patient struggles, making it easier to plan effective rehab strategies.

DHI Scoring

The Duruoz Hand Index can be scored using one straightforward approach: a cumulative total sum. This tool looks at 18 specific daily tasks, covering areas like kitchen work, dressing, and hygiene. For each activity, patients rate their difficulty on a Likert scale from 0, meaning no trouble at all, to 5, which means it is impossible to do. You simply add these up to get a final score ranging from 0 to 90. Higher numbers suggest more severe hand disability. It is a handy way for clinicians to track how well a treatment plan works over time.

View scoring form

Advantages

Outcome validation

Measures treatment effectiveness through standardised tools.

Condition versatility

Applicable across multiple diseases and conditions.

User-friendly

Simple to understand and complete for patients.

Reliable data

Provides consistent measurements for clinical research.

5
Minutes
18
Questions

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