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Table 6 PROMIS v1.2 Upper Extremity item bank

From: The responsiveness of the PROMIS instruments and the qDASH in an upper extremity population

Item ID Question
1 PFA16r1 Are you able to dress yourself, including tying shoelaces and buttoning your clothes?
2 PFA17 Are you able to reach into a high cupboard?
3 PFA18 Are you able to use a hammer to pound a nail?
4 PFA20 Are you able to cut your food using eating utensils?
5 PFA28 Are you able to open a can with a hand can opener?
6 PFA29r1 Are you able to pull heavy objects (10 pounds/5 kg) towards yourself?
7 PFA35 Are you able to open and close a zipper?
8 PFA38 Are you able to dry your back with a towel?
9 PFA44 Are you able to put on a shirt or blouse?
10 PFA48 Are you able to peel fruit?
11 PFA54 Are you able to button your shirt?
12 PFB21 Are you able to pick up coins from a table top?
13 PFB22 Are you able to hold a plate full of food?
14 PFB30 Are you able to open a new milk carton?
15 PFB33 Are you able to remove something from your back pocket?
16 PFB36 Are you able to put on a pullover sweater?
  1. Response options for questions 1–16 are 1 = Unable to do; 2 = With much difficulty; 3 = With some difficulty; 4 = With a little difficulty; or 5 = Without any difficulty