The Shoulder Pain and Disability Index: The Construct Validity and Responsiveness of a Region-Specific Disability Measure

Heald, Susan L; Riddle, Daniel L.; Lamb, Robert L

doi:10.1093/ptj/77.10.1079

Cited by 152 publications

(108 citation statements)

References 7 publications

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“…We used the Shoulder Pain and Disability Index (SPADI) which is a self-administered instrument developed to measure pain (five items) and disability (eight items) associated with shoulder complaints. 8,9 In order to provide a frame of reference, the questions related to the preceding week. Patients assessed their status on an analogue scale in which a score of zero was given for 'no pain' and 100 for the 'worst pain imaginable' for the five pain items, and zero for 'no difficulty' and 100 for 'difficulty requiring assistance' for the eight disability items.…”

Section: Methodsmentioning

confidence: 99%

“…8 The index is sensitive to clinical changes in patients with pathology of the shoulder. 9 The recommendations for conducting a randomised, controlled trial emphasise the importance of the use of patient-based outcome measures such as the SPADI in order to reflect clearly the patient's concerns. 10,11 This contrasts with the Constant-Murley shoulder score, 12 which is not completely patient-based.…”

Section: Methodsmentioning

confidence: 99%

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Extracorporeal shock-wave therapy for tendonitis of the rotator cuff

Speed

Richards

Nichols

et al. 2002

The Journal of Bone and Joint Surgery. British volume

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W e have performed a double-blind placebo-controlled trial of moderate doses of extracorporeal shock-wave therapy (ESWT) for non-calcific tendonitis of the rotator cuff. Adults (74) with chronic tendonitis of the rotator cuff were randomised to receive either active (1500 pulses ESWT at 0.12 mJ/mm 2 ) or sham treatment, monthly for three months. All were assessed before each treatment, and at one and three months after the completion of treatment. The outcome was measured with regard to pain in the shoulder, including a visual analogue score for night pain, and a disability index. There were no significant differences between the two groups before treatment. The mean duration of symptoms in both groups was 23.3 months. Both showed significant and sustained improvements from two months onwards. There was no significant difference between them with respect to change in the Shoulder Pain and Disability Index (SPADI) scores or night pain over the six-month period. A mean (±SD; range) change in SPADI of 16.1 ± 27.2 (0 to 82) in the treatment group and 24.3 ± 24.8 (-11 to 83) in the sham group was noted at three months. At six months the mean changes were 28.4 ± 25.9 (-24 to 69) and 30.4 ± 31.2 (-12 to 88), respectively. Similar results were noted for night pain.We conclude that there is a significant and sustained placebo effect after moderate doses of ESWT in patients with non-calcific tendonitis of the rotator cuff, but there is no evidence of added benefit when compared with sham treatment. Extracorporeal shock-wave therapy (ESWT) by singlepressure pulses of microsecond duration can be guided by ultrasound to focus on a specific site. Having revolutionised the treatment of urolithiasis, ESWT has more recently been used in the treatment of a number of musculoskeletal conditions, including tendinopathies and enthesopathies, at doses of 10% to 20% of those used in lithotripsy for renal calculi.1-5 The theoretical benefits are the stimulation of tissue healing and the breakdown of calcification. [4][5][6][7] In spite of the increasing popularity of this method of treatment, there has been no randomised, controlled trial of its use in specific musculoskeletal conditions. Benefit from ESWT has been demonstrated in calcific tendonitis of the rotator cuff. 4 We present our findings of a double-blind, randomised, controlled trial in non-calcific tendonitis of the rotator cuff. Patients and MethodsWe recruited adult patients with a clinical diagnosis of tendonitis of the rotator cuff. Informed consent was obtained. The patients were more than 18 years of age and had had pain in the shoulder for at least three months with clinical signs of a unilateral tendonitis of the rotator cuff. These included a painful arc and/or an impingement sign and pain, without weakness on resisted testing of one or more musculotendinous units of the rotator cuff. Exclusion criteria were demonstrable shoulder pathology including glenohumeral or acromioclavicular arthritis, instability, polyarthritis, neck pain, a local dermatological condition, n...

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Extracorporeal shock-wave therapy for tendonitis of the rotator cuff

Speed

Richards

Nichols

et al. 2002

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

show abstract

“…The SPADI has been studied extensively and determined to be a valid and reliable instrument that is responsive to change. 3,15,23,34 The minimal clinically important change has been defined as greater than a 10-point decrease in score. 34 We used a 10-point change by day 6 to define success.…”

Section: Taping Techniquesmentioning

confidence: 99%

The Clinical Efficacy of Kinesio Tape for Shoulder Pain: A Randomized, Double-Blinded, Clinical Trial

Thelen

Dauber²,

Stoneman³

2008

J Orthop Sports Phys Ther

466

384

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“…The SPADI is reliable, 40 valid, 39 and responsive 4 for shoulder pain of musculoskeletal, neurogenic, or undetermined origin. 27,56,57 The minimal clinically important difference (MCID) for the SPADI is 10 points. 42,67 The ASES scale consists of equally weighted pain and disability subscales, where the 2 subscales are combined to produce a total score ranging from 0 (highest levels of pain and functional difficulty) to 100 (no pain and no functional difficulty).…”

Section: Outcome Measuresmentioning

confidence: 99%

Manual Physical Therapy for Injection-Confirmed Nonacute Acromioclavicular Joint Pain

Harris

Deyle²,

Gill³

et al. 2012

J Orthop Sports Phys Ther

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The Shoulder Pain and Disability Index: The Construct Validity and Responsiveness of a Region-Specific Disability Measure

Abstract: Most correlations between SPADI and SIP scores provided support for the construct validity of the SPADI. The SPADI does not appear to strongly reflect occupational and recreational disability and is more responsive than the SIP.

Cited by 152 publications

References 7 publications

Extracorporeal shock-wave therapy for tendonitis of the rotator cuff

Extracorporeal shock-wave therapy for tendonitis of the rotator cuff

The Clinical Efficacy of Kinesio Tape for Shoulder Pain: A Randomized, Double-Blinded, Clinical Trial

Manual Physical Therapy for Injection-Confirmed Nonacute Acromioclavicular Joint Pain

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