- Hypotheses were based on these fundamental assumptions: the FIHOA scores reflected the severity of physical dysfunction of the hands and the Japanese version was equivalent to the validated versions of the FIHOA. Correlations were shown between the J-FIHOA and other validated PROMs: Hand20, HAQ, NRS pain and each component summary score of SF-36. *p < 0.05, Spearman’s rank correlation. PCS: physical component summary score, MCS: mental component summary score, RCS: role-social component summary score. ○: met our expectation, ◑: failed to meet our expectation but consistent with construct of the FIHOA, ●: disproved the hypothesis