Things arent always as they appear, and thats certainly true when it comes to measuring the success of rehab therapy treatment. The abbreviation for shoulder pain and disability index is spadi. Spanish version of spadi shoulder pain and disability. In this setting, the spadi had a bidimensional structure with both pain. The shoulder pain and disability index spadi is a patientreported outcome measure prom developed in 1991 by roach et al.
Measure numerator options functional outcome assessment documented as positive and care plan documented. The spadi and quickdash are similarly responsive in. The shoulder pain and disability index spadi is a valid and reliable. One question might be capable of replacing the shoulder. The spadi takes 5 to 10 minutes for a patient to complete and is the only reliable and valid regionspecific measure. Sf36 a commercial site provides an online version of the sf36s standard form, which patients complete at least four weeks following an incident that affects their health this site provides. The dash is a 30item selfreport questionnaire designed to assess musculoskeletal disorders of the. Roach ke, budimanmak e, songsiridej n, lertratanakul y. Pdf spanish version of spadi shoulder pain and disability.
Spanish version of spadi shoulder pain and disability index. Measuring shoulder function with the shoulder pain and disability index. Pdf the shoulder pain and disability index spadi was developed to measure current shoulder pain and disability in an outpatient setting. The spadi is a valid measure to assess pain and disability in people with shoulder pain in a populationbased study. An evaluation of the structural validity of the shoulder pain. Nov 29, 2017 rasch model analysis of the spadi has identified some strengths and limitations not previously observed using ctt methods. The spadi takes 5 to 10 minutes for a patient to complete and is the only reliable and valid regionspecific measure for the shoulder. Good data management is required to maintain quality and process control, evaluate therapies, and to meet regulatory requirements for bmt programs.
The spadi was developed to assess pain and disability related to shoulder problems. A prerequisite for meaningful use of such patientreported outcome. While some validation has been conducted, broader analyses are indicated. The aim of this study was to cross culturally adapt a spanish version of the spadi for spanish population with a musculoskeletal shoulder pain, and to determine the psychometric properties of this instrument using confirmatory factor analysis cfa. The shoulder pain and disability index demonstrates factor. Predictors of shoulder pain and disability index spadi. Secondary analyses of data from a randomized clinical controlled trial were performed. Disabilities of the arm, shoulder, and hand questionnaire.
Development of a shoulder pain and disability index. Responsiveness of the shoulder pain and disability index. Spadi and quickdash are similarly responsive in patients. It consists of 30 questions and eight optional questions that assess work, sports, and activities of daily living. All patients received the spadid, the sdq, the substitute question, and the global perceived effect gpescale 26 weeks after initial presentation. If a person does not answer all questions divide by the total possible score, eg. There is more information about the index and how it is interpreted below the form. It was designed to measure the impact of shoulder pathology on pain and disability. Within this period, the patient received individualized physical therapy treatment for 1 or more sessions. Outcome measures foto measured at discharge by taking the risk adjusted difference between the expected score and the actual score.
Both have been widely used and are available in different language versions. The shoulder pain and disability index spadi evaluates how impaired functional status is, based on activities of daily living. The objectives were to identify predictors for pain and. Shoulder pain and disability index spadi calculator this shoulder pain and disability index spadi calculator evaluates shoulder functional impairment due to painful and debilitating conditions. Numerous items rated 2 or 3 are prioritized according to risk or magnitude of impact on client treatment team andor family may choose to hold off on certain needs. If a person does not answer all questions divide by the total possible score, eg if 1 question missed divide by 120 minimum detectable change. Spadi is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms. Shoulder form 209083 rev 0709 physical therapy page 2 of 2 shoulder pain and disability index spadi please place a mark on the line that best represents your experience during the last week attributable to your shoulder problem. Participants completed the spanish versions of the spadi, general health sf12, the simple shoulder test sst, disability of arm, shoulder.
Shoulder pain is a common complaint in primary health care and has an unfavourable outcome in many patients. To use many of these scoring systems online we recommend. Predictors of shoulder pain and disability index spadi and. Shoulder pain and disability index spadi page 2 shoulder pain and disability index spadi please place a mark on the line that best represents your experience during the last week attributable to your shoulder problem. The shoulder pain and disability index demonstrates factor, construct and longitudinal validity. The most important measure of outcome in athletes recovering from an injury is a return to the same preinjury level of sporting performance. Instruments designed to measure the subjective impact of painful shoulder conditions have become essential in shoulder research. Dec 21, 2015 the shoulder pain disability index spadi is a recently published but widely used outcome measure. The spadi is a widely used outcome measure in clinical practice and research. Outcome measure was perceived recovery by the patient, measuring with the gpescale. Spadi abbreviation stands for shoulder pain and disability index.
Sep 23, 2010 shoulder pain is a common complaint in primary health care and has an unfavourable outcome in many patients. Suprascapular nerve block in the treatment of frozen shoulder. Outcome measures the primary outcome measure was the shoulder pain and disability index spadi roach et al 1991 which is a selfadministered questionnaire designed to measure the. Things arent always as they appear, and thats certainly true when it comes to measuring the success of rehab therapy. The shoulder pain and disability index spadi is a pro measure that was developed for use in an outpatient setting. In this setting, the spadi had a bidimensional structure with both pain and. The spadi demonstrated significant changes over time, but these were poorly correlated to the sip or csq suggesting that these scales measure different parameters. The aim of this study was to cross culturally adapt a spanish version of. It was designed to measure the impact of shoulder pathology in terms of pain and disability, for both current status, and change on status over time 11. The spadi and quickdash are similarly responsive in patients. The original spadi research and the subsequent validations do not provide specific cut off points to separate the results into limited, medium, high or extreme disability.
Spadi shoulder pain and disability index acronymfinder. A minimum of 23 of items in each subscale must be answered in order to. Shoulder form 209083 rev 0709 physical therapy page 2 of 2 shoulder pain and disability index spadi please place a mark on the line. Outcome measures the primary outcome measure was the shoulder pain and disability index spadi roach et al 1991 which is a selfadministered questionnaire designed to measure the effect of pathology of the shoulder on pain and disability. Mar 01, 2016 a correlation spearmans rho coefficient of 0. It is considered that the higher the score in each scale, the higher the impairment to the shoulder function. Dash is a patientreported outcome pro tool that attempts to determine the amount of difficulty a patient has when doing an activity. Dash shoulder score patientreported outcome measure.
The dash is designed to evaluate disorders and measure disability of the upper extremities, and monitor change or function over time. A questionnaire found diseasespecific worc index is not. Feb 10, 2006 the spadi demonstrated significant changes over time, but these were poorly correlated to the sip or csq suggesting that these scales measure different parameters. Shoulder pain and disability index spadi page 2 shoulder pain and disability index spadi please place a mark on the line that best represents your experience during the last week. Implementation of practicesprocesses for developing regular individual care plans. Potential cost of postage if mailed to patient at home and cost of printed form. Shoulder pain and disability index rehabmeasures database.
Items rated 2 or 3 that are related to symptoms andor functioning should be addressed in the treatment plan. Standardized outcome measures provide a common language with which to evaluate the success of physical therapy interventions, thereby providing a basis for comparing. The objective of this study was to investigate reproducibility and responsiveness of the spadi in patients with adhesive capsulitis. The shoulder pain and disability index spadi has been extensively evaluated for its psychometric properties using classical test theory ctt. Conclusion the spadi is a valid measure to assess pain and disability in communitybased patients reporting shoulder pain due to musculoskeletal pathology. Spadi was first translated and backtranslated and then subjected to psychometric validation. The objectives were to identify predictors for pain and disability spadi and work status in patients with subacromial shoulder pain. If a person does not answer all questions divide by the total possible score, eg if 1 question missed divide by 120 minimum detectable change 90% confidence points change less than this may be attributable to measurement error source. The shoulder pain disability index spadi is a recently published but widely used outcome measure. This study determined aspects of crosssectional and longitudinal validity of the spadi. The minimal detectable changes at 90% confidence are 18% for the. This study included 6 patients with shoulder disorders. Shoulder pain and disability index spadi calculator. The shoulder pain and disability index spadi is an outcome tool that is widely used to measure shoulder pain and disability in patients with shoulder symptoms.
A key component of assessing clinical effectiveness is to compare instruments measuring similar outcomes and to. It was designed to measure the impact of shoulder pathology on pain and disability in an outpatient setting. The spearman rho correlations between the anchor and the change scores of oss, spadi, and worc ranged from 0. One question might be capable of replacing the shoulder pain. Outcome measures were the absolute values of the combined. Rating is on visual analogue scales, and the means of the two subscales are combined to produce a total score ranging from 0 best to 100 worst. If a person does not answer all questions divide by the total possible score, e. The shoulder pain and disability index spadi is a selfreport measure developed to evaluate patients with shoulder pathology. To determine the effectiveness of suprascapular nerve block in the treatment of frozen shoulder.
The spadi should be treated as two separate subscales. The outcome was measured using the shoulder pain and disability index spadi and the results were significant after 15 treatments with a decrease in spadi of 44 points, a measure. Spadi total and subscale scores were highly negatively correlated with shoulder range of motion rom. Minimal clinically important difference of the disabilities. The shoulder pain and disability index spadi is one of the most extensively used scales of this type. A questionnaire found diseasespecific worc index is not more. This useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition.
The index is addressed to patients diagnosed with pain of the shoulder and other debilitating conditions that affect the function of the shoulder. The spadi was designed to measure the impact of shoulder pathology in terms of pain and disability, for both current status and change over time. Writing treatment plans use of cans items in treatment plans. The aim of this study was to cross culturally adapt a spanish version of the spadi. Spadi shoulder pain and disability index, all acronyms, viewed january 31, 2020. Measuring shoulder function with the shoulder pain. Seventynine of 112 71% patients rated themselves as improved at 2 weeks and 65 of 100 65% patients at 6 weeks according to the.
1302 1527 1108 1374 72 1576 1352 1106 1640 200 1223 1486 834 1512 1011 1473 1299 1262 556 894 1016 763 315 1005 1636 76 1502 431 159 220 927 943 1403 1216 176 280 1416 482