Disability Assessment Scale (DAS)

Purpose of the measure

The Disability Assessment Scale (DAS) evaluates upper-limb functional disability in patients with spasticity following stroke. The DAS was developed as a tool that objectively evaluates functional impairment resulting from spasticity.

Available versions

None reported.

Features of the measure

Items :

  • Hand hygiene
    • Extent of palm maceration, ulceration or infection.
    • Cleanliness of the palm, ease of cleaning, nail trimming.
    • Effect of hygiene-related disability on other areas of functioning.
  • Dressing
    • Ability to dress.
    • Effect of dressing-related disability on other areas of functioning.
  • Limb position abnormality.
    • Amount of abnormal limb position.
  • Pain
    • Intensity of pain or discomfort related to upper-limb spasticity.
    • Interference with activities of daily living.

Description of tasks:
Patients are interviewed to determine the extent of functional impairment for the following 4 areas:

  • Hygiene: The rater assesses the extent of palm maceration, ulceration, or infection; cleanliness of the palm, ease of cleaning, and nail trimming; and the effect of hygiene-related disability on other areas of functioning.
  • Dressing: The rater assess the patient’s ability to dress and the effect of dressing-related disability on other areas of functioning.
  • Limb position: The rater assesses the amount of abnormal position of the limb; and
  • Pain: The rater assesses the intensity of pain or discomfort related to upper-limb spasticity and interference with activities of daily living.

Scoring and Score Interpretation:
The DAS Scale uses a 4-point rating scale according to the following criteria:

  • 0 – no disability.
  • 1 – mild disability (noticeable but does not interfere significantly with normal activities.
  • 2 – moderate disability (normal activities require increased effort and/or assistance).
  • 3 – severe disability (normal activities limited).

Time:
Not typically reported.

Training requirements:
None reported.

Subscales:
None

Equipment:
None reported.

Alternative Forms of the Disability Assessment Scale

None reported.

Client suitability

Can be used with:

  • Clients with stroke with spasticity.

Should not be used with:

  • Clients without spasticity.
Languages of the measure

None reported.