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Shoulder Pain and Disability Index – Smart Health Training

Shoulder Pain and Disability Index

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Shoulder Pain and Disability Index
Please place a mark on the line that best represents your experience during the last week attributable to your shoulder problem.
Nameyour full name
1. Pain Scale
Drag the slider to indicate the number that best describes your pain where: 0 = no pain and 10 = the worst pain imaginable
At its worst?
0
0
10
When lying on the involved side?
0
0
10
Reaching for something on a high shelf?
0
0
10
Touching the back of your neck?
0
0
10
Pushing with the involved arm?
0
0
10
2. Disability scale
How much difficulty do you have?
Drag the slider to indicate the number that best describes your pain where: 0 = no difficulty and 10 = so difficult it requires help.
Washing your hair?
0
0
10
Washing your back?
0
0
10
Putting on an undershirt or jumper?
0
0
10
Putting on a shirt that buttons down the front?
0
0
10
Putting on your pants?
0
0
10
Placing an object on a high shelf?
0
0
10
Carrying a heavy object of 4.5 kilograms?
0
0
10
Removing something from your back pocket?
0
0
10
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