Agel J Orthop Trauma  Volume 20, Number 8 Supplement, September 2006

1. Name of instrument Shoulder Pain and Disability Index (SPADI)

2. What it is designed to assess (specic anatomic area) Pain and disability in shoulder
3. Method of administration (patient, clinician, or combined) Patient
4. How to obtain the instrument Roach KE, Budiman-Mak E, Songsiridej N, et al. Development of
a shoulder pain and disability index. Arth Care & Res.
1991;4:143149.
5. Cost involved in obtaining instrument None
6. Method of design Consensus panel
7. Statistical validation Reliability, Validity, Responsiveness
8. Normative data available None
9. Disease-specic data available None
10. References for scientic basis and reference data Paul A, Lewis M, Shadforth MF, et al. A comparison of four
shoulder-specic questionnaires in primary care. Ann Rheum Dis.
2004;63:12931299.
Placzek JD, Lukens SC, Badalanmenti S et al. Shoulder outcome
measures: a comparison of 6 functional tests. Am J Sports Med.
2004;32:12701277.
11. Scoring module Roach KE, Budiman-Mak E, Songsiridej N, et al.
(see reference in #4)
12. What kind of total and subscales do you get Pain and disability
13. Format and number of questions VAS, 13 items
14. Time for administration 5-10 minutes
15. Additional notes None
16. The questionnaire See below

Shoulder Pain & Disability Index (SPADI)

Pain Scale

How severe is your pain

1. At its worst?
2. When lying on the involved side?
3. Reaching for something on a high shelf?
4. Touching the back of your neck?
5. Pushing with the involved arm?

Disability Scale

How much diculty do you have

1 Washing your hair?
2 Washing your back?
3 Putting on an undershirt or pullover sweater?
4 Putting on a shirt that buttons down the front?
5 Putting on your pants?
6 Placing an object on a high shelf?
7 Carrying a heavy object of 10 pounds?
8 Removing something from your back pocket?
Pain Scale

How severe is your pain?

Score
When lying on the involved sidey.No painWorst imaginable _______

Disability Scale

How much diculty do you have?

Score
Washing your backy.No dicultySo dicult required help _______
Roach KE, Budiman-Mak E, Songsiridej N, et al. Development of a shoulder pain and disability index. Arth Care & Res. 1991;4:143149. r 1991 by the American
College of Rheumatology. Reprinted with permission of Wiley-Liss, Inc., a subsidiary of John Wiley & Sons, Inc.

S134 r 2006 Lippincott Williams & Wilkins