Purpose

Composition

Patient Rated
Wrist
Evaluation
(PWRE)
Questionnai
re designed
to measure
wrist pain
and
disability in
ADLs
Also helps
determine
change
over time,
set
treatment
goals

Shoulder Pain
and Disability
Index (SPADI)

Neck Disability
Index (NDI)

Developed
to measure
should pain
and
disability in
an
outpatient
setting

Contains 13
items on
two
domains: a
5-item
subscale
that
measures
pain, and
an 8-item
subscale
for
disability

Two

Subscales
to rate
level of
wrist pain
with 5
items, and
functional
(disability)
subscale
with 10
items (6
specific and
4 usual
activities)

Disability of
the Arm,
Shoulder and
Hand (DASH)
Designed to A
measure
questionnai
self-rated
re that
disability of
evaluates
patients
symptoms
with neck
and
pain
physical
function of
A
the upper
modificatio
limb and
n of the
monitor
Oswestrychange or
Low Back
function
Pain Index
over time
Developed
by the
AAOS
Most items 30-item
could be
questionnai
regarded as
re with 1
specific
(no
ADLs
difficulty of
strongly
10-item
disagree) to
questionnai
5 (unable
re
to do or
strongly
agree)
also twooptional
four-item
modules to
either
assess
workers
whose daily
living
requires
high level
of physical
activity or

Scoring

Psychometric
Properties

Each
question is
scored 0-10
(unable to
do)
Can be
given either
an
individual
sub score
or total
score out of
100
To get score
out of 100
divide
disability
score by 2
so that pain
and
disability
scores are
equally
weighted
When item
is missing
you can
replace the
item with
the mean
score of the
subscale
Excellent
test-retest
reliability
over the
short and
long term
Highly
sensitive to

Each

question is
scored 0-10
Can get
individual
sub scores
or get total
out of 130
and

transform
to out of
100%
If items
missing just
subtract 10
per
question
from either
sub-score
total or
grand total
out of 130
(e.g. if 1
missing out
of 120)

Very high
internal
consistency
More
responsive
than the
DASH in
shoulder

each item
is scored
out of 5 for
a max
score of 50
(or could be
a
percentage
out of 100)
when 1
item is
missing
could just
subtract 5
from 50,
when 2 are
missing
take the
mean, and
if 3 are
missing the
score is
invalid
Interpretati
on: 0-4
none, 5-14
mild, 15-24
moderate,
25-34
severe,
>34
complete
Validity and
reliability
are good
Correlated
well to
McGill Pain
Questionnai
re

high
performing
athletes/per
forming
arts
Sum of
((n/n)1)X25 n
being the
number of
completed
response
If more
than 3
items
missing
than do not
score
For the 4item
question
sum
values/41X25

MDC: 10
MCID: 15

determine
if
improveme
nt has
occurred
compared
to SF-36
MDC (true
change not
just chance
[SEM]): 12
MCID
(noticeable
change by
the
patient): 24

specific
pathologies
Good
construct
validity
(correlates
well with
other
shoulder
specific
questionnai
res)
MDC: 18

MDC: 5 for
uncomplica
ted neck
pain and 10
for cervical
radiculopat
hy
MCID
inconsisten
t: anywhere
from 5-19