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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
010
When lying on the involved side?
0
010
Reaching for something on a high shelf?
0
010
Touching the back of your neck?
0
010
Pushing with the involved arm?
0
010
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
010
Washing your back?
0
010
Putting on an undershirt or jumper?
0
010
Putting on a shirt that buttons down the front?
0
010
Putting on your pants?
0
010
Placing an object on a high shelf?
0
010
Carrying a heavy object of 4.5 kilograms?
0
010
Removing something from your back pocket?
0
010
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