The Shoulder Pain and Disability Index (SPADI) was developed to measure current shoulder pain and disability in an outpatient setting. The SPADI contains 9 Sep The SPADI was developed to assess pain and disability related to shoulder problems. It was designed to measure the impact of shoulder pathology on pain and disability in an outpatient setting. Patient Reported Outcomes. Free online Shoulder Pain and Disability Index (SPADI) calculator . It was intended to measure both the current status of shoulder pain as well as changes over.

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Didn’t get the message? In the NRS version Williams et al the VAS is replaced by a scale and the patient is asked to circle the number that best describes the pain or disability.

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It has been shown to be responsive to change over time, in a variety of patient populations and is able to discriminate adequately between patients with epadi and deteriorating conditions Beaton et alWilliams et alRoy et al The latter version was outcomw to make the tool easier to administer and score Williams et al In each subscale patients may mark one item only as not applicable and the item is omitted from the total score.


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A change score of less than this value could be attributed to measurement error. The SPADI demonstrates good construct validity, correlating well with other region-specific shoulder questionnaires Paul et alBot et alRoy et al outcme Please review our privacy policy.

A mean is taken of the two subscales to give a total outcom out ofhigher score indicating greater impairment or disability. Both versions take less than five minutes to complete Beaton et alWilliams et al Thus some caution is advised with regard to repeated use of the instrument on the same patient. In the original version the patient was instructed to place a mark on the VAS for each spadii that best represented their experience of their shoulder problem over the last week Roach et al Each subscale is summed and transformed to a score out of The questionnaire was developed and initially tested in a mixed diagnosis group of male patients presenting to ambulatory care reporting shoulder pain Roach et al The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that oucome disability.


The SPADI has since been used in both primary care on mixed diagnosis Beaton et alMacDermaid et al and surgical patient populations including rotator cuff disease Ekeberg et alosteoarthritis, and rheumatoid arthritis Christie et aladhesive capsulitis Staples et alTveita et aljoint replacement surgery Angst et aland in a large population-based study of shoulder symptoms Hill et al The total score is derived in exactly the same manner as the VAS version.

The minimal clinically important difference has been reported to be 8 points; this represents the smallest detectable change that is important to the patient Paul et al If a patient marks more than two items as non applicable, no score is calculated Roach et al Generate a file for use with external citation management software.