NOTE: Clinical use of the form requires permission of the Fowler Kennedy Sport Medicine Clinic in Ontario.
Domains:
(1) physical symptoms (items 1-6)
(2) impact on sports, recreation and work (items 7-11)
(3) lifestyle (items 12-16)
(4) emotions (items 17-19)
The instrument consists of 19 questions.
Scoring: from 0 to 100, based on the distance along a 100 mm (10 cm) visual analogue scale (VAS).
|
Response Along VAS
|
Points
|
|
none
|
0
|
|
extreme
|
100
|
total score =
= SUM(points for all 19 items)
total score as percent of maximum illness =
= (total score) / 1900 * 100%
total score as percent of normal =
= 100% - (total score as percent of maximum illness)
Subscores can also be determined for each of the 4 domains.
Interpretation:
• minimum total score: 0
• maximum total score: 1900
• maximum total score as percent of maximum illness: 100%
Performance:
• The index looks applicable to other shoulder conditions other than osteoarthritis.
• Validity was demonstrated by correlating with existing measures of shoulder and global status as well as range of motion studies.
• The index is responsive to change.
