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Penn · Penn Shoulder Score

6 min · 0–100 · higher is better

1 Before you use it

What it is

Three subscales — pain, satisfaction and function — reported separately and as a total. Developed in a physiotherapy setting, which shows in the item selection.

The satisfaction subscale is unusual and useful: it asks how satisfied the patient is with their current shoulder function, which is a different question from how well it works.

When to reach for it

When you want more granularity than SPADI, or when expectation and satisfaction look like part of the clinical picture.

2 Giving it

Scoring

Pain (0–30), satisfaction (0–10) and function (0–60), totalling 0–100. Higher is better.

What it doesn’t measure

Instability, or throwing demand.

3 Reading the score

Interpreting it

Interpret against baseline.

Satisfaction diverging from function is the finding to look for — a shoulder working reasonably well that the patient is unhappy with is a different conversation from one that isn't working.

Is the change real?

MCID 11.4 points. MDC 12.1 points at 90% confidence. Compare the change against this patient's own baseline as well as the figure. SourceMeasured in shoulder complaints.

Student trap. Collapsing it to a total. The satisfaction subscale is the reason to choose this one.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

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