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 intrument.
[1]
The PRWE allows patients to rate their levels of wrist pain and disability from 0 to 10, and consists
of 2 subscales:
1.
Pain subscale: it contain 5 items each of which is further rated from 1-10. The maximam
score in this section is 50 and minimum 0
2.
Function subscale: It contain 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.
[2]
Objectives
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
Reliable
Demerits
Region-specific
No hand dominance
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).