Shoulder Pain and Disability Index (SPADI)

This article is currently under review and may not be up to date. Please come back soon to see the finished work! (6 December 2019)

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Simisola Ajeyalemi  


The Shoulder Pain and Disability Index (SPADI) is a patient completed questionnaire with 13 items assessing pain level and extent of difficulty with ADLs requiring the use of the upper extremities. The pain subscale has 5-items and the Disability subscale has 8-items.

The original version[1] was published in 1991 and has its items scored on the Visual analogue scale while the second version scores its items on the Numerical rating scale(NRS)

SPADI has been translated in many languages including Spanish, Greek, Dutch, Hindi, Thai and Italian each with its own validity and reliability.

Intended Population

SPADI can be used in the following patient population:

Method of Use

The patient is instructed to choose the number that best describes their level of pain and extent of difficulty using the involved shoulder. Each subscale is summed up and a total SPADI score is expressed as a percentage.

Total pain score : ......./50 ×100 = %

Total disability score: ......./80 × 100 = %

Total SPADI score: ....../130 × 100 = %

A score of 0 indicates best 100 indicates worst. A higher score shows more disability.

In scoring SPADI, any question missed should be taken out of the total score of each subscale. i.e if 1 question is omitted in the pain section, the total score is divided by 40.








  1. Roach KE, Budiman‐Mak E, Songsiridej N, Lertratanakul Y. Development of a Shoulder Pain and Disability Index. Arthritis Care Res 1991; 4: 143–9.
  2. Roach, K., Budiman-Mak, E., Songrsiridej, N., & Lertratanakul, Y. Development of a Shoulder Pain and Disability Index. Arthritis Health Profession Association, 4, 143-149. 1991
  3. Tveitå, E. K., Ekeberg, O. M., Juel, N. G., & Bautz-Holter, E. (2008). Responsiveness of the Shoulder Pain and Disability Index in patients with adhesive capsulitis. BMC Musculoskeletal Disorders, 9(161)
  4. Staples MP, Forbes A, Green S, Buchbinder R. Shoulder‐specific disability measures showed acceptable construct validity and responsiveness. J Clin Epidemiol 2010; 63: 163–70.