Shoulder Pain Index Paper

The shoulder pain and disability index (SPADI) is defined as “a self-administered questionnaire consisting of items grouped into pain and disability subscales”. (2) The questionnaire is designed to calculate current shoulder pain and disability in an outpatient setting. The SPADI has progressed to being able to test mixed diagnoses such as Subacromial impingement syndrome, adhesive capsulitis and joint replacement surgery. There are two version’s used to score a patient’s pain and disability.
In the first version, the patient is instructed to place a mark on the VAS for each item that best represented their experience of their shoulder problem over the last week. (3) Each subscale is summed and transformed to a score out of 100. (3) A mean is taken of the two subscales to give a total score out of 100. A higher score indicates greater impairment or disability. (3)
“The second version the VAS is replaced by a 0-10 scale and the patient is asked to circle the number that best describes the pain or disability. The total score is derived in exactly the same manner as the first version.” (3)
These questions are answered during the patient’s initial visit and final visit. During the final visit, the therapist also makes an independent judgment of the patient’s shoulder pain in order to compare whether the pain has been cured, improved or worsened. I have concluded that the shoulder pain and disability index questionnaire is reliable tool for targeting patients pain in their shoulder if the therapist knows the diagnosis, for example, the Subacromial impingement syndrome. The therapist is able to perform a test such as the Neer impingement test or Hawkins Kennedy test to pin point the patient’s pain. From there, the therapist is able to create interventions for that specific muscle and