Components:
(1) pain scale
(2) disability score
Pain scale:
(1) severity of pain at its worse
(2) severity when lying on involved side
(3) severity when reaching for something on a high shelf
(4) severity when trying to touch the back of the neck
(5) severity when pushing with the involved arm
Disability scale:
(1) difficulty washing hair
(2) difficulty washing back
(3) difficulty putting on undershirt or pullover sweater
(4) difficulty puttiing on a shirt with buttons down the front
(5) difficulty putting on pants
(6) difficulty placing an object on a hard shelf
(7) difficulty carrying a 10 lb object
(8) difficulty removing something from a back pants pocket
Scoring is with a 10 cm VAS scale from 0 (none) to 10 (extreme).
In each subscale the patient may mark only one item as not applicable. This item is not included in the score.
subscore for pain =
= SUM(points for all 5 components)
subscore for disability =
= SUM(points for all 8 components)
Interpretation:
• minimum subscores and total score: 0
• maximum subscore for pain: 50
• maximum subscore for disability: 80
• maximum total score: 130
