www.orthopaedicscores.com
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Date of completion
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| The Western Ontario Shoulder Instability Index (WOSI) |
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| Clinician's name (or ref)
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Patient's name (or ref)
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| The following questions concern the symptoms you have experienced due to your shoulder problem. In all cases, please enter the amount of the symptom you have experienced in the last week. (please move the slider on the horizontal line.) |
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| 1. How much pain do you experience in your shoulder with overhead activities? |
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12. How much has your shoulder affected your ability to perform the specific skills required for your sport or work? (If your shoulder affects both sports and work, consider the area that is most affected.) |
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Not affected
Extremely affected
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| 2. How much aching or throbbing do you experience in your shoulder? |
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13. How much do you feel the need to protect your arm during activities? |
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No aching/throbbing
Extreme aching/throbbing
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| 3. How much weakness or lack of strength do you experience in your shoulder? |
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14. How much difficulty do you experience lifting heavy objects below shoulder level |
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No weakness
Extreme weakness
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No difficulty
Extreme difficulty
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| 4. How much fatigue or lack of stamina do you experience in your shoulder? |
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15. How much fear do you have of falling on your shoulder? |
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No fatigue
Extreme fatigue
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| 5. How much clicking, cracking or snapping do you experience in your shoulder? |
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16. How much difficulty do you experience maintaining your desired level of fitness |
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No clicking
Extreme clicking
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No difficulty
Extreme difficulty
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| 6. How much stiffness do you experience in your shoulder? |
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17. How much difficulty do you have “roughhousing” or “horsing around” with family or friends |
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No stiffness
Extreme stiffness
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No difficulty
Extreme difficulty
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| 7. How much discomfort do you experience in your neck muscles as a result of your shoulder? |
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18. How much difficulty do you have sleeping because of your shoulder |
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No discomfort
Extreme discomfort
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No difficulty
Extreme difficulty
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| 8. How much feeling of instability or looseness do you experience in your shoulder? |
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19. How conscious are you of your shoulder |
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No instability
Extreme instability
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Not conscious
Extremely conscious
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| 9. How much do your compensate for your shoulder with other muscles? |
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20. How concerned are you about your shoulder becoming worse |
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No concern
Extremely concerned
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| 10. How much loss of range of motion do you have in your shoulder? |
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21. How much frustration do you feel because of your shoulder |
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No frustration
Extremely frustrated
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| 11. How much has your shoulder limited the amount you can participate in sports or recreational activities? |
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Not limited
Extremely limited
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| Link for Reference: |
The Development and Evaluation of a Disease-Specific Quality of Life Measurement Tool for Shoulder Instability
The Western Ontario Shoulder Instability Index (WOSI)Am J Sports Med November 1998 vol. 26 no. 6 764-772
Alexandra Kirkley, MD, FRCSC*, Sharon Griffin, CSS, Heidi McLintock, BSc, PT, MSc and, Linda Ng, BSc, PT, http://ajs.sagepub.com/content/26/6/764.abstract
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