Measurement Characteristics and Clinical Utility of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form in Individuals With Orthopedic Shoulder Dysfunction

      Shoulder dysfunction is a widely recognized problem that is associated with patients and economic burden.1 In 2000, shoulder dysfunction costs in the United States totaled $7 billion.1 Shoulder dysfunction has complex etiologies that can be diagnosed in most patients on the basis of medical history, focused physical examination, and radiographs.1 Rehabilitation is usually the first step in addressing shoulder dysfunction. The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) is a condition-specific scale that is intended to measure functional limitations and pain of the shoulder. This 11-item, public domain test can be administered in 5 minutes and is patient reported. The ASES has excellent reliability and validity in patients with shoulder dysfunction, including shoulder arthroplasty and shoulder pain.2. 3. 4. 5. Minimal detectable change scores are valuable in helping clinicians measure increased shoulder function as a result of treatment.
      This Rehabilitation Measures Database summary provides a review of the psychometric properties of the ASES in people with orthopedic shoulder dysfunction, including reliability, validity, standard error of measurement, minimum detectable change, and interpretation of the results. A full review of the ASES as well as reviews of more than 300 other instruments can be found at
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      • 1.
        Meislin RJ, Sperling JW, Stitik TP. Persistent shoulder pain: epidemiology, pathophysiology, and diagnosis. Am J Orthop (Belle Mead NJ) 2005;34(12 Suppl):5-9.
      • 2.
        Angst F, Goldhahn J, Drerup S, Aeschlimann A, Schwyzer HK, Simmen BR. Responsiveness of six outcome assessment instruments in total shoulder arthroplasty. Arthritis Rheum 2008;59:391-8.
      • 3.
        Dowrick AS, Gabbe BJ, Williamson OD, Cameron PA. Outcome instruments for the assessment of the upper extremity following trauma: a review. Injury 2005;36:468-76.
      • 4.
        Michener LA, McClure PW, Sennett BJ. American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section: reliability, validity, and responsiveness. J Shoulder Elbow Surg 2002;11:587-94.
      • 5.
        Beaton D, Richards RR. Assessing the reliability and responsiveness of 5 shoulder questionnaires. J Shoulder Elbow Surg 1998;7:565-72.
      This instrument summary is designed to facilitate the selection of outcome measures by trained clinicians. The information contained in this summary represents a sample of the peer-reviewed research available at the time of this summary's publication. The information contained in this summary does not constitute an endorsement of this instrument for clinical practice. The views expressed are those of the summary authors and do not represent those of authors' employers, instrument owner(s), the Archives of Physical Medicine and Rehabilitation, the Rehabilitation Measures Database, or the United States Department of Education. The information contained in this summary has not been reviewed externally.
      The Rehabilitation Measures Database and Instrument Summary Tear-sheets are funded by the National Institute on Disability and Rehabilitation Research, United States Department of Education through the Rehabilitation Research and Training Center on Improving Measurement of Medical Rehabilitation Outcomes (H133B090024).