shoulder functional assessment questionnaire Navigation

Please provide an answer for each activity. Assessment: Most Relevant in Setting of Traumatic Injury •Assess the strength of the major muscle groups: •Hamstrings→flex the knee •Quadriceps→extend the knee •Assess distal pulses •Dorsalis pedis and posterior tibialis •Assessment of leg and foot perfusion •Distal sensation and reflexes→will learn w/the neuro exam 6940 Van Dorn St, Ste 103 Lincoln, NE 68506 402-483-4709 | Fax 402-483-4097. No difficulty Some difficulty Much difficulty Can’t do at all shoulder or hand problem? 12 3 4 5 10. 4 The WOOS is a 19-item self-administered questionnaire that was generated after reviewing the literature and preexisting scoring systems, interviewing orthopaedic surgeons and physical therapists, and interviewing patients with OA. with . joints, muscles, and capsuloligamentous complex. Assessments. The WOOS … Wylie JD, Beckmann JT, Granger E, Tashjian RZ. Other references. ). RFC FORMS. Assessing Physical Function in Adult Acquired Major Upper-Limb Amputees by Combining the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Questionnaire and Clinical Examination Archives of Physical Medicine and Rehabilitation, 2011 Performance Not Met: Osteoarthritis symptoms and functional status not assessed, Reason not otherwise specified (1006F . Purpose: To help describe the disability experienced by patients with upper limb disorders, and to assess changes in symptoms and function over time. The Munich shoulder questionnaire (MSQ) The MSQ is a 30-items self-assessment questionnaire (Additional file 1). The objective of this study was to determine the minimal This includes flexion, extension, abduction, adduction and internal and external rotation. Gait Assessment Rating Sheet 4. The Western Ontario Osteoarthritis of the Shoulder index (WOOS) was developed in Canada in 2001. This questionnaire may provide more clinically relevant information when used for overhead athletes compared to existing traditional shoulder and elbow scoring instruments. Tingling (pins and needles) in your arm, shoulder or hand. 58 The WOOS was meant to be used as the primary outcome measure in clinical trials involving patients with symptomatic primary OA of the shoulder. Combining a general health outcome measure, a general shoulder measure, a diseaseor condition-specific shoulder measure, and an activity measure allows for broad patient assessment. Outcomes of shoulder injuries and treatment have been evaluated with rating scales and scoring systems for years. Responsible for the movement of our ever-important hands, the shoulder is an extremely important part of the body when it comes to getting done what it is we want to get done. This is a health tool that evaluates both the pain and disability components of shoulder conditions based on the SPADI model. ICH GCP. For VA purposes, repetitive use testing must be included in all joint exams. The Western Ontario Shoulder Indices are 3 questionnaires for patients with shoulder instability (WOSI), rotator cuff pathology (WORC), and osteoarthritis of the shoulder (WOOS). The CMS is based on expert evaluation and measures pain level, activities of daily living (ADL), range of movement (ROM) and shoulder strength [ 9 ]. Before implementation in both intervention studies and in clinical practice it is essential to evaluate its responsiveness. Lifting TOTAL SPORTS: POINTS Same overhead sport, equal performance (normal) 4 Same non-overhead sport, equal performance (mild compromise) 3 Same sport, decreased performance (difficult) 2 Different sport (with aid) 1 Sports not possible (unable) 0 These encouraging results support the use of our new questionnaire for the functional assessment of overhead athletes in future studies. Versions. shoulder girdle. SHOULDER ASSESSMENT FORM Date: ………………………. Simple Shoulder Test The SST is a self-reported shoulder-specific questionnaire that measures functional limitations of the affected shoulder in patients with shoulder dysfunction.18 The SST consists of 12 questions with dichotomous (yes/ no) response options. jects with shoulder impairment were tested and then retested 24 hours later. J Shoulder Elbow Surg 1994;347–52 (1). 5. 12345 25. The Residual Capacity Function Form is a form you can bring to your doctor to help document your level of disability and functioning. The shoulder function was assessed by measuring the range of active shoulder abduction (ASA), while the qualitative recovery of the shoulder was assessed using a shoulder-specific quality-of-life (QOL) questionnaire . The ICC was computed using mean square values derived from a mixed model, 2- Before implementation in both intervention studies and in clinical practice, it is essential to evaluate its responsiveness. Number of items in scale. Screening questions that assess the musculoskeletal system should be incorporated into the routine systemic enquiry of every patient. The Shoulder Pain and Disability Index (SPADI) is a patient-reported outcome measure (PROM) developed in 1991 by Roach et al. A self-administered questionnaire was designed to assess the severity of symptoms related to and the functional status of the shoulder. Find out in this Anatomy of the Shoulder Quiz. ©Mr.ChristopherConstant.The!tools!listed!onthis!website!do!not!substitute!for!the!informed!opinionof!a!licensed! Available through Richards RR, An KN, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG, et al. Assessments related to general health and wellbeing Binary individualized outcome measure * Childhood health assessment questionnaire Clifton assessment procedures for the elderly * Comprehensive occupational therapy evaluation scale * Fatigue impact scale Health assessment questionnaire Modified health assessment questionnaire Visual analog scale Below are a wide assortment of forms you can print and bring to your doctor. Training. It is a set of 12 yes/no questions. Hand a.Jebsen Test of Hand Function 8. 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. published the Shoulder Rating Questionnaire “a self-administered questionnaire for the assessment of symptoms and function of the shoulder.”18 It is unknown how the items on the instrument were generated or selected. Estimate the range of movement or measure with a goniometer and compare the affected with the … The American Shoulder and Elbow Surgeons have adopted a standardized form for assessment of the shoulder. Functional shoulder disabilities are frequently reported by patients with a wide variety of conditions ... valid, highly reliable and free practical patient self-assessment tool. Reference : American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, p section: reliability, validity, and responsiveness.Michener LA, McClure PW, Sennett BJ.J Shoulder E Nov-De ASES - Orthopaedic Scores It includes domains of global assessment, pain, daily activities, recreational and athletic activities, work, satisfaction, and areas for improvement. Quiz 3: Shoulder Complex. There are 16 pain‐related disability questions. Because the SPADI consists of two components, with 5, respectively 8 items, there are three scores provided in the result: two preliminary ones, a pain and a disability score, and a final, total SPADI. 9. The DASH is a 30-item self-report questionnaire designed to assess musculoskeletal disorders of the upper limbs. Mea sures: Physical function and symptoms in patients with muscular-skeletal disorders of the upper limb. Below is a compilation of both standardized and non-standardized assessments to use with individuals who are diagnosed with Complex Regional Pain Syndrome (CRPS). Questionnaire. Functional Assessment: Use of a shoulder specific functional capacity questionnaire is recommended to establish postoperative status and to objectively and subjectively monitor progress. Clinical assessment of the shoulder for dysfunctional movement patterns is reviewed in this edition of clinical rounds. The patient self-evaluation section of the form contains visual analog scales for pain and instability and an activities of daily living questionnaire. It ultimately improves Use of the Functional Activities Questionnaire in Older Adults with Dementia By: Ann M. Mayo, DNSc, RN, FAAN Hahn School of Nursing & Health Science, University of San Diego WHY: Dementia is a neurodegenerative disease where functional ability in individuals with … Cost/availability. It is simply stated that “A preliminary questionnaire was developed.” SHOULDER AND ARM CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE 1B. Content. For comparability, the raw numbers are divided by 314 giving a percentage ranging from 0 to 100 in which higher scores represent a better function of the shoulder. During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder or hand? World J Orthop 2014; 5(5): 623-633. Arm, shoulder or hand pain. This can be used as a self assessment questionnaire and the main instruction is that the patient should assess 12345 28. As discussed, the main symptoms arising from disorders of the musculoskeletal system are pain, stiffness, swelling, and associated functional problems. A standardized method for the assessment of shoulder function. 3 Comments. SHOULDER DISABILITY QUESTIONNAIRE General Description Purpose. The Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) is a regional questionnaire consisting of 30 questions, rather specific to evaluate the functional capacity of the affected upper limb, also being self-administered.9 It has a score that ranges from zero to 100, the higher the score, the greater the functional disability. Please comment below to let us know if any links to forms stop working. The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. Time to administer/complete. Data were collected at the baseline, at the end of the intervention, and at 3-month follow-up. J Shoulder Elbow Surg 1994; (November/December):347–52. Since beginning therapy for your shoulder, would you say that your shoulder has: Gotten much worse Gotten moderately worse Gotten slightly worse Stayed the same Gotten slightly better Gotten moderately better Gotten much better PLEASE TURN OVER TO COMPLETE QUESTIONNAIRE OFFICE USE ONLY PENN SHOULDER SCORE Visit Date Last visit ___/___/___ Today 12345 26. Subscales. Tinetti Assessment Form 3. Only 1. Shoulder Rating Questionnaire : Severity of symptoms and functional status of the shoulder : 21 questions in total, including 1 global rating on a VAS and 18 questions in a Likert format; 4 pain, 5 activities daily living (ADL), 3 recreation, 4 work, 1 satisfaction : High internal consistency and test–retest reliability Sequential SST's indicate the length of time required to achieve maximum functional benefit after treatment. 6. The Hawkins' test is another commonly performed assessment of impingement.5 It is performed by elevating the patient's arm forward to 90 degrees while forcibly internally rotating the shoulder . If you want the head instructor Eddie Lester to text you Free ACE Test questions, study materials and bonus tips: TEXT “ACE Questions” to 31996. They were developed for use as a primary outcome measure in clinical trials evaluating treatments, and were comprehensively tested during development. For each question, the patients indicate that they are able or The Selective Functional Movement Assessment (SFMA) is a systematic method that focuses on whole body movement patterns. Functional Assessment: Use of a shoulder specific functional capacity questionnaire is recommended to establish early post-op status and track progress. None. 4 minutes. This study evaluates how the trunk and proximal girdle muscles are affected in male patients with ankylosing spondylitis, compared to healthy controls.. Registret för kliniska prövningar. The Shoulder Pain and Disability Index (SPADI) is a patient-reported outcome measure (PROM) developed in 1991 by Roach et al. 12345 27. The pain started after he returned a particularly forceful serve during a tennis match earlier that afternoon. The shoulder complex is an intricately designed combination of three joints that link the upper extremity to the thorax – it is … In each case it is important to be familiar with some basic examination tools that can help us confirm the presence of a shoulder lesion. 1999). Explain how poor movement patterns and dysfunctional movement strategies can result in injury or reinjury. The joint-specific functional scales derive from the following validated questionnaires: Hip disability and Osteoarthritis Outcome Score - Short Form (HOOS-PS) for patients undergoing hip replacement; Knee injury and Osteoarthritis Outcome Score - Short Form (KOOS-PS) for patients undergoing knee replacement; the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment … Shoulder Pain and Disability (SPADI) Patient Health (PHQ-9) Fear-Avoidance Belief (FABQ) Tampa Kinesiophobia (TSK-11) EPIC Hand Function Sort PACT Spinal Function Sort Pain Disability Index (PDI) McGill Pain Questionnaire (MPQ-SF) World Health Organization Disability Assessment … A fitness assessment is a test or measurement completed by a fitness professional to get fitness or health information about a client. He states that it has a similar quality to the shoulder pain he typically feels at night, but more intense and not improving with analgesia. Shoulder a. Wolfgang's Criteria 6. The shoulder instruments reviewed include the Rating Sheet for Bankart Repair (Rowe), ASES Shoulder Evaluation Form, UCLA Shoulder Score, The Constant Score, Disabilities of the Arm, Shoulder and Hand (DASH), the Shoulder Rating Questionnaire, the Simple Shoulder Test (SST), the Western Ontario Osteoarthritis of the Shoulder Index (WOOS), the Western Ontario Rotator Cuff Index (WORC), the Western Ontario Shoulder … 12 3 4 5 NO MILD MODERATE SEVERE SO MUCH DIFFICULTY DIFFICULTY DIFFICULTY DIFFICULTY DIFFICULTY THAT I CAN’T SLEEP 11. 2550 Superior St, … The disability of the arm, shoulder and hand (DASH) questionnaire is an upper-extremity specific outcome measure that was introduced by the American Academy of Orthopedic Surgeons in collaboration with a number of other organizations[].The rationale behind the use of one outcome measure for different upper extremity disorders is that the upper extremity is a functional unit[]. Patient reported outcome measure of shoulder function. The form has a patient self-evaluation section and a physician assessment section. The SST is a questionnaire with 12 questions designed for “yes/no” answers. the arm, shoulder, and hand (DASH) questionnaire developed to assess shoulder function inpatients with subacromial pain. Shoulder assessment tests. This scale has been utilized in the literature. For every body part, there are a number of tests which help the practitioner to confirm a suspected injury. Inclusion criteria were: (1) relevance to neck and upper extremity; (2) assessment among workers; and (3) relevance to mild to moderate disorders. Populations Developmental/target Simple Shoulder Test The SST is a self-reported shoulder-specific questionnaire that measures functional limitations of the affected shoulder in patients with shoulder dysfunction.18 The SST consists of 12 questions with dichotomous (yes/ no) response options. Explain the use and components of the Functional Movement Screen and the Selective Functional Movement Assessment. A pre-employment functional is an evaluation of an individual’s physical capacity to safely perform the demands of a certain job. Tingling (pins and needles) in your arm, shoulder or hand. Besides basic anatomy and function of the shoulder, this article discusses the most important clinical examinations and tests of the shoulder, the. 12 3 4 5 25. Scoring the DASH 30-item disability/symptom section: physicianor!other!health!care!provider. Quick DASH (Disability of Arm, Shoulder, Hand) Initial Exam Survey; Follow-up/Discharge Survey; Patient Satisfaction Insert. Weakness in your arm, shoulder or hand. The patient performs active movements in all functional planes for the shoulder. Client questionnaires can serve as an assessment to collect personal information or additional health information. A standardized method for the assessment of shoulder function. (circle number) 12 3 4 5 Please rate the severity of the following symptoms in the last week. There are 16 items. 24. SFMA: Multi-Segmental Flexion and Breakouts. Chapter 7 – Functional Assessments: Posture, Movement, Core, Balance, and The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is a 30-item questionnaire that looks at the ability of a patient to perform certain upper extremity activities. This questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5 point Likert scale.. Arm, shoulder or hand pain when you performed any specific activity. It can be biometric (related to the body) or assess the current level of fitness. The following can be used in the shoulder: Empty can (tinny) test: Hold your arm out straight in front of you with the thumb facing downwards. The use of invalidated or unreliable PROMs may improperly estimate patient pain and functional status, which could affect treatment options, patient satisfaction, reimbursement, and/or quality of life. In our experience, pre-employment functionals provide maximum benefit when based upon the specific physical requirements of an applicant’s proposed role. The American Shoulder and Elbow Surgeons Shoulder Score (ASES) is a mixed outcome reporting measure, applicable for use in all patients with shoulder pathology regardless of their specific diagnosis. A 58 year old right hand dominant painter presents to the emergency department with right shoulder pain. The FMS is a screen that can be used by any fitness professional. The index is addressed to patients diagnosed with pain of the shoulder and other debilitating conditions that affect the function of the shoulder. The patient self-assessment (pASES) includes 6 pain items and 10 functional items that are shoulder specific (Angst, 2008). The test-retest reliability coef- ficient for the functional assessment questionnaire was shown to be 0.81 intraclass correlation coeffi- cient (ICC) of (3,l). Additionally, the association between … Functional outcomes assessment in shoulder surgery. Stiffness in your arm, shoulder or hand. The items (Table 1) ask about the degree of difficulty in performing various physical activities because of an arm, shoulder or hand problem (21 Equipment needed. Disability of the Arm, Shoulder and Hand (DASH) Outcome Measure. Background: Shoulder outcome measures are used to assess patient self-report levels of pain, satisfaction, and function. questionnaire for patient care and clinical research purposes. A higher score represents better shoulder function. The form has a patient self-evaluation section and a physician assessment section. 6940 Van Dorn St, Ste 103 Lincoln, NE 68506 402-483-4709 | Fax 402-483-4097. Arm, shoulder or hand pain. (circle number) NONE MILD MODERATE SEVERE EXTREME 24. SPORTS INJURY SHOULDER FUNCTION ASSESSMENT QUESTIONNAIRE Author: gaynor kanes Last modified by: Simon Roberts Created Date: 8/10/2004 12:00:00 PM Company: gay sports Other titles: SPORTS INJURY SHOULDER FUNCTION ASSESSMENT QUESTIONNAIRE Its raw score ranges from 0 to 314. The DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure is a 30-item, self-report questionnaire that measures physical function and symptoms in people with musculoskeletal disorders of the upper limb. Functional activities are assessed with eight questions See original reference (1). Following the initial assessment of ROM, perform repetitive use testing. The patient self-evaluation section of the form contains visual analog scales for pain and instability and an activities of daily living questionnaire. 12 3 4 5 26. Clinical examination is the core element in orthopedic shoulder diagnostics. 11/27/2013. The Disability of Arm, Shoulder and Hand (DASH) Questionnaire 9 (Table 2) is a standardized questionnaire which evaluates impairments and activity limitations, as well as participation restrictions for both leisure activities and work. Use the following satisfaction inserts to collect patient satisfaction questions with the OMT questionnaires below that do not have the satisfaction questions already integrated. The goal of this study was to investigate the correlation between physical function, pain interference, and depression in patients undergoing shoulder and elbow surgery as measured by PROMIS computer adaptive testing (CAT) forms and to determine the impact of …