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SST · Simple Shoulder Test

12 items · 2 min · 0–12 (or 0–100%) · higher is better

1 Before you use it

What it is

Twelve yes/no questions and the fastest real shoulder PROM there is. Can you sleep on it, reach a shelf, lift a coin to a shelf, throw a ball, work full time?

When to reach for it

When SPADI won't get done. A busy list, a brief review, a patient who won't fill in a form.

Also good for post-operative shoulders, where the items map neatly onto milestones.

2 Giving it

Scoring

Count the yes answers: 0–12, often reported as a percentage. Higher is better — the opposite direction to SPADI.

What it doesn’t measure

Pain intensity, and gradation within a task. Pair with the NPRS.

Repeat it

Intake, each 4-week review, discharge. Two minutes; no reason to skip it.

3 Reading the score

Interpreting it

Interpret against baseline.

Yes/no is its strength and its weakness. It's fast and unambiguous, but it can't detect improvement within a task that's still a "no".

Is the change real?

MCID 2.3 points overall, 1.6 to 3.7 depending on the procedure. Compare the change against this patient's own baseline as well as the figure. SourceMeasured in shoulder arthroplasty cohorts.

On placement

Rotator cuff-related shoulder pain, 8 weeks of loading. SST 5/12 at intake, 8/12 today.

Read it as 3 more yes answers, over the 2.3-point MCID — measured in shoulder arthroplasty cohorts, where the figure runs 1.6 to 3.7 by procedure. This patient hasn't had surgery, so the transfer is stated. And yes/no can't see improvement inside a task that is still a no.

Do read which items flipped. If the overhead and lifting items are still no, that is the next block, and the number won't move until they do.

Student trap. Recording it like SPADI. Higher is better here — get the direction wrong and an improving shoulder looks like a failing one.

Official source: orthop.washington.edu. We don't host the form.

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

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