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The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain.
SHOULDER PAIN AND DISABILITY INDEX (SPADI) Patient Name ________________________________________________. Date ___________________________. Please read carefully: Instructions: Please circle the number that best describes the question being asked. Pain scale: No pain at all 0. 1. 2. 3.
The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain.
SHOULDER PAIN AND DISABILITY INDEX (SPADI) Patient Name ________________________________________________. Date ___________________________. Please read carefully: Instructions: Please circle the number that best describes the question being asked. Pain scale: No pain at all 0.
The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain.
SHOULDER PAIN AND DISABILITY INDEX (SPADI) NAME:___________________________________ DATE:______________ PAIN SCALE. How severe is your pain? Circle the number that best describes your pain where: 0 = no pain and 10 = the worst pain imaginable. DISABILITY SCALE. How much difficulty do you have?
Pain scale: On a scale of 0-10, How severe is your pain: 0 = “no pain at all” ---------------------------------------------10 = “worst pain imaginable” 1.
The Shoulder Pain and Disability Index (SPADI) is a 13-item questionnaire divided into pain and activity limitation categories. It focuses on the degree of pain or disability caused by shoulder problems during the last week. The patient answers the questions themselves using a VAS or NRS scale.
Shoulder Pain and Disability Index (SPADI) Name: ____________________________ Date of Birth: ___ / ___ / ____ MR#____________________. Mark each section by circling the number that best describes your problem. Pain scale. How severe is your pain?
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. Pain scale. How severe is your pain? Circle the number that best describes your pain where: 0 = no pain and 10 = the worst pain imaginable. Disability scale.
