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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