COSMIN database

A review of functional status measures for workers with upper extremity disorders

Salerno, D. F., Copley-Merriman, C., Taylor, T. N., Shinogle, J., and Schulz, R. M.
In order to identify functional status measures for epidemiological studies among workers with mild to moderate disorders of the neck and upper extremity, a literature search was conducted for the years 1966 to 2001. Inclusion criteria were: (1) relevance to neck and upper extremity; (2) assessment among workers; and (3) relevance to mild to moderate disorders. Of 13 instruments reviewed, six measures were tested among workers. The three best measures, depending on the purpose of research, included the standardised Nordic Musculoskeletal Questionnaire, the Upper Extremity Questionnaire, and the Neck and Upper Limb Instrument. Development of a functional protocol is regarded as a realistic enhancement for research of neck and upper extremity disorders in the workplace. For research and clinical practice, measures of functional status, sensitive enough to measure the subtle conditions in mild to moderate disorders, may provide prognostic information about the risk of developing musculoskeletal disorders in apparently healthy patients. Appropriate use of functional status questionnaires is imperative for a meaningful portrayal of health.
Occup Environ Med
1351-0711 (Print)
Publication year:
Symptom status:
Physical state
Functional status:
Physical functioning
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
6 - Clinical rating scales
DASH - Disabilities of the Arm, Shoulder and Hand (versions: DASH Modified)   
DRI - Disability Rating Index   
FSS - Functional Status Scale
MFA - Musculoskeletal Function Assessment
MHQ - Michigan Hand outcomes Questionnaire   
NDI - Neck Disability Index    
NMQ - Nordic Musculoskeletal Questionnaires
NULI - Neck and Upper Limb Instrument
SFMA-D - Short Musculoskeletal Function Assessment Questionnaire
SPADI - Shoulder Pain and Disability Index   
SRQ - Shoulder Rating Questionnaire [alias: L'Insalata]   
SSS - Symptom Severity Scale
UEFS - Upper Extremity Functional Scale
UEQ - Upper Extremity Questionnaire