Which outcome measure for adhesive capsulitis has a 0-100 scale with lower scores indicating better function and a MCID of 10?

Which outcome measure for adhesive capsulitis has a 0-100 scale with lower scores indicating better function and a MCID of 10?

• A. DASH
• B. SPADI
• C. ASES
• D. WOOS

Answer: (A)

Focusing on the pattern of the scoring helps you pick the right measure. The Disabilities of the Arm, Shoulder and Hand (DASH) is scored from 0 to 100, where 0 means no disability and 100 means maximum disability, so lower scores reflect better function. Its minimal clinically important difference is about 10 points, which matches the scenario given. Other common shoulder PROMs either score higher values as better function (so the direction is opposite) or have different MCID ranges, making them a poor fit for the described 0-100 scale with lower-is-better interpretation. Therefore, DASH is the best match.

Focusing on the pattern of the scoring helps you pick the right measure. The Disabilities of the Arm, Shoulder and Hand (DASH) is scored from 0 to 100, where 0 means no disability and 100 means maximum disability, so lower scores reflect better function. Its minimal clinically important difference is about 10 points, which matches the scenario given. Other common shoulder PROMs either score higher values as better function (so the direction is opposite) or have different MCID ranges, making them a poor fit for the described 0-100 scale with lower-is-better interpretation. Therefore, DASH is the best match.