COSMIN database

A review of self-report scales for the assessment of functional limitation and disability of the shoulder

Michener, L. A. and Leggin, B. G.
A shoulder disorder affects a patient's overall quality of life. Self-report outcome measures can be used to assess the effects of shoulder dysfunction in terms of patients' functional limitations and disabilities. Selection of a shoulder-specific scale from the numerous scales available can be overwhelming. The purpose of this study was to review the self-report scales in current use for assessing the shoulder joint. A MEDLINE literature search was performed to locate scales appropriate to the assessment of function and disability of the shoulder. Only scales with established measurement properties were selected for review. Eleven scales were reviewed. Methodological and practical criteria were established to evaluate each scale. All scales met the minimal criteria, but not all scales were equal with regard to the criteria established for analysis.
J Hand Ther
0894-1130 (Print)
Publication year:
Symptom status:
Cognitive/mental state
Physical state
Functional status:
Cognitive/mental functioning
Physical functioning
General health perceptions / HRQoL:
Health-related quality of life
Overall quality of life:
Overall quality of life
Adults (18-65)
Seniors (65+)
Diseases of and symptoms related to the musculoskeletal system and connective tissue
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
ASES - American Shoulder and Elbow Surgeons
Constant Score [alias: Constant-Murley Shoulder Score]   
DASH - Disabilities of the Arm, Shoulder and Hand (versions: DASH Modified)   
HAM-D - Hamilton Rating Scale for Depression [alias: HDRS][alias: HRSD]   
IIRS - Illness Intrusiveness Rating Scale
LQOLP - Lancaster Quality of Life Profile
PSS - Penn Shoulder Score [alias: Penn]
QLDS - Quality of Life in Depression Scale
QOLI - Lehman Quality of Life Interview/Index
SDQ - Shoulder Disability Questionnaire [alias: SDQ-NL or SDQ-UK]   
SF-12 - 12-item Short Form Health Survey [alias: RAND-12]
SF-20 - MOS short-form general health survey 20 item
SF-36 - 36-item Short Form Health Survey [alias: RAND-36][alias: Medical Outcomes Study (MOS) SF-36]]    |  | also see:
SPADI - Shoulder Pain and Disability Index   
SSI - Shoulder Severity Index
SSRS - Subjective Shoulder Rating Scale
SST - Simple Shoulder Test [alias; Patte score]   
Symptoms and Function of the Shoulder
TTO - Time Trade-Off
UEFS - Upper Extremity Functional Scale
WHOQOL-BREF - World Health Organization Quality of Life questionnaire–Abbreviated Questionnaire [alias: WHO-QOL BREF]