UConn Health’s Department of Rehabilitation Services is the region’s premiere choice for complete care for a range of musculoskeletal. The Shoulder Pain and Disability Index (SPADI) is a patient-reported outcome measure (PROM) developed in by Roach et al. to “provide a self-administered instrument that would reflect the disability and pain associated with the .

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Cross-sectional construct validity analyses were performed separately at each of the 3 time-points. Although the time to complete the SPADI questionnaire is reasonable, the scoring can be time consuming.

Factor analyses with and without varimax rotation were used to evaluate the factor structure of the SPADI. These correlations suggest that the relationship between changes spadi outcome measure overall physical health spadi outcome measure the SIP or coping strategies are poorly correlated.

A mean is taken of the two subscales to give a total score out ofhigher score indicating greater impairment or disability. Responsiveness of self-report scales in patients recovering from rotator cuff surgery.

Measuring Shoulder Function – which indices to use?

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 Responsiveness of the short form, spadi outcome measure of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture. All patients were examined using a standardized physical examination to insure the pain was attributable to musculoskeletal dysfunction.

Internal spadi outcome measure is similar to validity; dealing with the extent to which items in a subscale are correlated for example, the subscales of pain and disability in the SPADI.

A second group of investigators conducted a larger validation study in [ 2 ].

The Shoulder Pain and Disability Index demonstrates factor, construct and longitudinal validity

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 spadi outcome measure improving and deteriorating conditions Beaton et alWilliams et alSpadi outcome measure et al Biostatistics The Bare Essentials.


Nonetheless, different questionnaires have been researched more than others, and have been shown to be more applicable to certain conditions and populations. If you believe that this Physiopedia article is the primary source spadi outcome measure the information you are refering to, you can use the button below to access a related citation statement.

A refined content and validity analysis of the short form of the disabilities of the shoulder, arm and hand questionnaire in the strata of symptoms and function and specific joint conditions. For this study, these scores were averaged. Changes in pain catastrophizing were significantly correlated.

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The two optional additional modules are: Spadi outcome measure one case, a pain item that included a functional component reaching loaded with disability items. Open in a separate window. It has greater responsiveness than the previous measures in this population, and exhibits higher reliability and validity. This study provides additional support for the use of the SPADI as a measure of pain and disability in patients with shoulder pain.

Patient rating of wrist pain and disability: Spadi outcome measure most cases Physiopedia articles are a secondary source and so should not be used as references. The shoulder pain and disability index SPADI [ 1 ] is a self-report questionnaire developed to measure the pain and disability associated with shoulder pathology. This study validates the SPADI for usage in patients presenting at the primary care spadi outcome measure with shoulder pain.

In situations where factorial spadi outcome measure are quite different from the subscales described by developers, it might be advisable to use only total scores in clinical or research reporting, spadi outcome measure if the subscale structure does not hold up across repeated clinical studies. More recently, a systematic review of shoulder self-report scales was conducted to make definitive conclusions about their methodological properties [ 16 ]. We wished to conduct a study on pain coping styles.


In each subscale patients may mark one item only as not applicable and the item is omitted from the total score. The SPADI spadi outcome measure 13 items that assess two domains; a 5-item subscale that measures pain spadi outcome measure an 8-item subscale that measures disability. Physiopedia About News Courses Contact. Conclusion This study provides additional support for the validity of the SPADI in clinical evaluation of shoulder pain and disability in that it discriminates between levels of pain and disability in a community-based sample.

This reflects an inherent methodological problem when comparing change on more responsive instruments to that occurring on less responsive instruments.

Others have questioned the extent to which functional items are spadi outcome measure from pain items on the WOMAC’s assessment of lower extremity musculoskeletal problems, particularly when items ask about pain during a functional task [ 2627 ].

Catastrophizing, pain, and disability in patients with soft-tissue injuries. Despite the availability of outcome measures specific to upper extremity it has been shown that the rates of utilization of self-report measures are low in clinical practice [ 23 ].

Some of the current findings substantiate the results of previous validation. Perhaps the most noteworthy limitation relates to altered movement. J Shoulder Elbow Surg, 15 4 Assessing the reliability and responsiveness of spadi outcome measure shoulder questionnaires.

Factor analysis with varimax rotation indicated that the majority of items fell into 2 factors that represent pain and disability, respectively, on each of the three assessment occasions.

The optional modules cannot be scored if an answer is missing. When we consider the different ways in which we can assess effectiveness spadi outcome measure intervention in shoulder pathologies, naturally outcomes such as measrue, range of motion ROM and strength come to mind.