Shoulder Pain
Shoulder Pain and Disability Index (SPADI).Please mark the number that best represents your experience during the last week attributable to your shoulder problem.
Pain
How much pain are you having?
Pain scale where 0 = no pain and 10 = the worst pain imaginable.
Rows
0
1
2
3
4
5
6
7
8
9
10
At its worst?
When lying on the involved side?
Reaching for something on a high shelf?
Touching the back of your neck?
Pushing with the involved arm?
Total Pain score __/50
Disability scale
How much difficulty do you have?
Disability that best describes your experience where:0 = no difficultyand 10 = so difficult it requires help.
Rows
1
2
3
4
5
6
7
8
9
10
Washing your hair?
Washing your back?
Putting on an undershirt or jumper?
Putting on a shirt that buttons down the front?
Putting on your pants?
Placing an object on a high shelf?
Carrying a heavy object of 10 pounds (4.5 kilograms)
Removing something from your back pocket?
Total Disability score __/80
Name Combined Pain and Disability Score __/130
First Name
Score
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Submit
Should be Empty: