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We sought to develop a valid, reliable, and responsive shoulder scoring system that combines the points of view of physicians and patients and is easily understood for worldwide applicability.
The shoulder pain and disability index is a combined score reported to be one of the most responsive shoulder specific questionnaires available and more responsive than single subjective evaluations of pain and function or objective measures of range of motion.
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Results indicate that SPADI is more responsive than shoulder ROM measurements, which have been extensively employed as shoulder outcome variables in these patients.
Both instruments are applicable, reliable, valid, and responsive for assessing shoulder symptoms and quality of life in Spanish women with shoulder pain and disability after breast cancer treatment.
The OSS and SPADI Spanish versions are applicable, reliable, valid, and responsive to assess shoulder symptoms and quality of life in Spanish women with shoulder pain and disability after breast cancer treatment.
The SPADI has shown to be valid and highly responsive in assessing shoulder pain and function [ 90, 91]; it is therefore highly recommended for the use in patients with SIS [ 92].
We have confirmed the clinimetric properties of this index and found it to be more responsive than other shoulder-specific questionnaires (effect sizes 1.01 1.69) (Buchbinder et al unpublished data).
The DASH was shown to be reliable, valid, and responsive for patients with shoulder disabilities [ 36].
It has shown to be reliable, valid and responsive in patients with shoulder pathologies [ 1, 4, 7].
The main finding in this study is that SPADI was more responsive than measurements of shoulder ROM.
Clinimetric studies investigating the responsiveness of the shoulder pain and disability index and the Western Ontario rotator cuff index with other shoulder questionnaires indicate that both outcome measures are responsive.
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