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Related Experiment Videos

Measuring shoulder function with the Shoulder Pain and Disability Index

J W Williams1, D R Holleman, D L Simel

  • 1Division of General Internal Medicine, University of Texas Health Sciences Center at San Antonio, USA.

The Journal of Rheumatology
|April 1, 1995
PubMed
Summary

The Shoulder Pain and Disability Index (SPADI) is a valid tool for assessing shoulder pain and function, even when administered by telephone. This study confirms its reliability and responsiveness to clinical changes in patients with shoulder discomfort.

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Health Outcomes Research

Background:

  • Shoulder pain significantly impacts patient function and quality of life.
  • Validated instruments are crucial for accurately measuring shoulder pain and disability.
  • The Shoulder Pain and Disability Index (SPADI) is a commonly used measure.

Purpose of the Study:

  • To adapt the SPADI for telephone administration.
  • To establish the convergent validity of the SPADI with other health status measures.
  • To assess the responsiveness of the SPADI to clinical changes in shoulder discomfort.

Main Methods:

  • A cohort of primary care patients with shoulder discomfort was followed for 12 weeks.
  • Patients completed the SPADI (numeric and visual analog scales), Health Assessment Questionnaire (HAQ), and SF-20 at baseline.

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  • The numeric SPADI was administered via telephone at 2, 4, and 12 weeks.

    • Main Results:

    • The numeric SPADI demonstrated high concordance with the visual analog scale (ICC=0.86).
    • SPADI scores showed substantial correlations with HAQ (r=0.61) and SF-20 domains (physical function r=-0.50, pain r=-0.43).
    • The SPADI accurately discriminated between patients who improved and those who did not (ROC=0.91).

    Conclusions:

    • The numerically scaled SPADI is a valid and reliable measure for assessing shoulder pain and disability.
    • Telephone administration of the SPADI is feasible and maintains validity.
    • The SPADI is responsive to clinical changes, making it valuable for tracking patient progress.