COSMIN database

Evaluation of measurement properties of self-administered PROMs aimed at patients with non-specific shoulder pain and "activity limitations": a systematic review

Thoomes-de Graaf, M., Scholten-Peeters, G. G., Schellingerhout, J. M., Bourne, A. M., Buchbinder, R., Koehorst, M., Terwee, C. B., and Verhagen, A. P.
OBJECTIVE: To critically appraise and compare the measurement properties of self-administered patient-reported outcome measures (PROMs) focussing on the shoulder, assessing "activity limitations."

STUDY DESIGN: Systematic review. The study population had to consist of patients with shoulder pain. We excluded postoperative patients or patients with generic diseases. The methodological quality of the selected studies and the results of the measurement properties were critically appraised and rated using the COSMIN checklist.

RESULTS: Out of a total of 3427 unique hits, 31 articles, evaluating 7 different questionnaires, were included. The SPADI is the most frequently evaluated PROM and its measurement properties seem adequate apart from a lack of information regarding its measurement error and content validity.

CONCLUSION: For English, Norwegian and Turkish users, we recommend to use the SPADI. Dutch users could use either the SDQ or the SST. In German, we recommend the DASH. In Tamil, Slovene, Spanish and the Danish languages, the evaluated PROMs were not yet of acceptable validity. None of these PROMs showed strong positive evidence for all measurement properties. We propose to develop a new shoulder PROM focused on activity limitations, taking new knowledge and techniques into account.
Qual Life Res
Publication year:
Symptom status:
Physical state
Functional status:
Physical functioning
Role functioning
Social functioning
Adults (18-65)
Children (0-18)
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
DASH - Disabilities of the Arm, Shoulder and Hand (versions: DASH Modified)   
Quick DASH - Quick Disabilities of the Arm, Shoulder and Hand   
SDQ - Shoulder Disability Questionnaire [alias: SDQ-NL or SDQ-UK]   
SPADI - Shoulder Pain and Disability Index   
SRQ - Shoulder Rating Questionnaire [alias: L'Insalata]   
SST - Simple Shoulder Test [alias; Patte score]