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AOFAS Ankle-Hindfoot ScoreASES Shoulder ScoreConstant-Murley ScoreDASH ScoreFAAM ScoreFRAX ScoreHOOS ScoreHarris Hip ScoreIKDC Knee ScoreKOOS ScoreLysholm Knee ScoreMayo Elbow Performance ScoreNeck Disability IndexOswestry Disability IndexOttawa RulesOxford Knee ScoreQuickDASH ScoreRowe Shoulder Instability ScoreSPADI Shoulder ScoreTegner Activity ScaleUCLA Shoulder ScoreVTE Risk (Caprini)WOMAC Score
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ASES Shoulder Score

ASES Shoulder Score

American Shoulder & Elbow Surgeons Score

Pain VAS (0-10)

Rate your shoulder pain

No Pain0/10Worst Pain

No pain

Activities of Daily Living

0 = Unable, 1 = Very difficult, 2 = Somewhat difficult, 3 = Not difficult

Put on a coat
Sleep on painful side
Wash back / bra
Toilet hygiene
Comb hair
Reach high shelf
Lift 10 lbs overhead
Throw overhead
Do usual work
Do usual sport

Score Overview

Pain Index50
Function Score0
Guidelines & Evidence

Verified

Last Review: 2026-07-17

When to Use

When to Use

Shoulder pain and function assessment
Rotator cuff disease
Glenohumeral arthritis
Shoulder instability
Outcome tracking after shoulder surgery
Clinical trials evaluating shoulder interventions

How it Works

Formula

Total Score = Pain VAS (50%) + ADL Function (50%) Pain Scale: 10-point VAS converted to 0-50 ADL: 10 items each scored 0-3, summed and scaled to 0-50 Final score ranges 0-100, higher = better function

Clinical Pearls

Interpretation

ScoreClassification
90-100Excellent
70-89Good
50-69Fair
<50Poor

Key Points

MCID: 12-17 points
Reliability: ICC > 0.90
Most widely used shoulder PRO in the US

Next Steps

Clinical Actions

01
Interpret total score using classification thresholds
02
Compare to pre-treatment baseline
03
If score < 50: consider surgical intervention
04
Track scores over time to assess treatment response

The Evidence

Primary Reference

A standardized method for the assessment of shoulder function

Richards RR et al. • Journal of Shoulder and Elbow Surgery. 1994;3(6):347-352

Origins & History

Development

The ASES Shoulder Score was developed by the American Shoulder and Elbow Surgeons in 1994 as a standardized, validated outcome measure for shoulder conditions.

Last Comprehensive Review: 2026-07-17

Recent Journal Updates

PLOS MedicineJul 20, 2026
Progress and promise of CAR-T cell treatment in autoimmune diseases

Clinical Context

We think this might be relevant to the clinical guidance for ASES Shoulder.

PLOS MedicineJul 20, 2026
Assessing spatial transmission risk of respiratory infectious diseases across cities of different socioeconomic tiers in China: A modelling study

Clinical Context

We think this might be relevant to the clinical guidance for ASES Shoulder.

WHO NewsJul 15, 2026
New WHO guidelines: up to 45% of dementia risk could be prevented or delayed

Clinical Context

We think this might be relevant to the clinical guidance for ASES Shoulder.