SHOULDER PAIN AND DISABILITY INDEX (SPADI) Name:_________________________________________ Date: _____/_____/_____ I. PAIN (For each of the following questions, rate your pain on a scale of 0-10. 0 = no pain and 10 = severe pain. NA = not applicable) 1.) How much pain at its worst? _____ 2.) How much pain when lying on the involved side? _____ 3.) How much pain when reaching for something on a high shelf? _____ 4.) How much pain when touching the back of your neck? _____ 5.) How much pain when pushing with involved arm? _____ II. DISABILITY (For each of the following questions, rate your difficulty with specified activities on a scale of 0-10. 0 = no difficulty and 10 = unable to do. NA = not applicable.) 1.) How much difficulty when washing your hair? _____ 2.) How much difficulty when washing your back? _____ 3.) How much difficulty putting on an undershirt or pullover shirt? _____ 4.) How much difficulty putting on a shirt that buttons down the front? _____ 5.) How much difficulty when putting on your pants? _____ 6.) How much difficulty when placing an object on a high shelf? _____ 7.) How much difficulty when carrying a heavy object of 10 lbs. or more? _____ 8.) How much difficulty when removing something from your back pocket? _____ PAIN score = __________/50 x 100% = _______________% DISABILITY score = __________/80 x 100% = _______________% TOTAL score = _________/130 x 100% = _______________%