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Measuring up to shoulder pain
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Shoulder pain is common, affecting 15-30% of adults at any one time,1 of whom 1 in 20 will visit a general practitioner in the course of a year.2 What is the most useful way to categorise such a common symptom to measure its impact, study its aetiology, and determine the efficacy and effectiveness of treatment?
The clinical literature gives primacy to classifications based on
presumed pathology. There is little concrete evidence that exalting
most shoulder pain with terms such as tendonitis, bursitis or
impingement syndrome is either reliable or useful, and such classifications cannot anyway provide a measure of outcome. Clinical measures of shoulder function, such as range of movement, provide a
means to classify shoulder problems into subgroups and to assess change
over time. However, they do not necessarily reflect patient well being
or the ability to carry out usual activities. So the field is open for
self completed questionnaires that
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