The Combined Shoulder Assessment

Looking for a paper version? Download here: Shoulder Assessment (PDF)

Pain

How would you describe the pain you usually get from your shoulder?(Required)
How would you describe the worst pain from your shoulder?(Required)
How would you describe tingling in your arm, shoulder or hand?(Required)
How much difficulty have you had sleeping due to your shoulder?(Required)

Function

How much difficulty have you had carrying shopping bags due to your shoulder?(Required)
How much difficulty have you had dressing yourself due to your shoulder(Required)
Can you hang clothes in a wardrobe with your affected arm?(Required)
Can you use a knife and fork at the same time?(Required)

Activities

How has your shoulder interfered with normal occupational activities?(Required)
How has your shoulder interfered with normal social activities?(Required)
How has your shoulder limited your leisure and recreational activities?(Required)
Have you found difficulty in playing sport / instrument due to pain in your shoulder, arm or hand?(Required)

Abduction

Look at the illustrations below and try to carry out the movements one by one.
Abduction(Required)

Forward Flexion

Look at the illustrations below and try to carry out the movements one by one.
(Required)

External Rotation

Look at the illustrations below and try to carry out the movements one by one.
(Required)

Internal Rotation

Look at the illustrations below and try to carry out the movements one by one.
(Required)

Strength of Abduction (lb)

(To 90 degrees abduction or highest level patient can achieve)
(Required)

Scores

The Combined Shoulder Assessment

Looking for a paper version? Download here: Shoulder Assessment (PDF)

Pain

How would you describe the pain you usually get from your shoulder?(Required)
How would you describe the worst pain from your shoulder?(Required)
How would you describe tingling in your arm, shoulder or hand?(Required)
How much difficulty have you had sleeping due to your shoulder?(Required)

Function

How much difficulty have you had carrying shopping bags due to your shoulder?(Required)
How much difficulty have you had dressing yourself due to your shoulder(Required)
Can you hang clothes in a wardrobe with your affected arm?(Required)
Can you use a knife and fork at the same time?(Required)

Activities

How has your shoulder interfered with normal occupational activities?(Required)
How has your shoulder interfered with normal social activities?(Required)
How has your shoulder limited your leisure and recreational activities?(Required)
Have you found difficulty in playing sport / instrument due to pain in your shoulder, arm or hand?(Required)

Abduction

Look at the illustrations below and try to carry out the movements one by one.
Abduction(Required)

Forward Flexion

Look at the illustrations below and try to carry out the movements one by one.
(Required)

External Rotation

Look at the illustrations below and try to carry out the movements one by one.
(Required)

Internal Rotation

Look at the illustrations below and try to carry out the movements one by one.
(Required)

Strength of Abduction (lb)

(To 90 degrees abduction or highest level patient can achieve)
(Required)

Scores