Oxford Instability Score Oxford Instability Score All fields are required. Your name * Your DOB * Date of filling * 01. During the last six months, how many times has your shoulder slipped out of joint (or dislocated)? * Not at all in 6 months 1 or 2 in 6 months 1 or 2 times per months 1 or 2 times per week More often than 1 or 2 times/ week 02. During the last three months, have you had any trouble (or worry) dressing because of your shoulder? * No trouble at all Slight trouble or worry Moderate trouble or worry Extreme difficulty Impossible to do 03. During the last three months, how would you describe the worst pain you have had from your shoulder? * None Mild ache Moderate Severe Unbearable 04. During the last three months, how much has the problem with your shoulder interfered with your usual work (including school, college or housework)? * Not at all A little bit Moderately Greatly Totally 05. During the last three months, have you avoided any activities due to worry about your shoulder feared that it might slip out of joint? * Not at all Very occasionally Some day Most days or maore than oane activity Evey day or many activities 06. During the last three months, has the problem with your shoulder prevented you from doing things that are important to you? * No, Not at all Very occasionally Some days Most days or more than one activity Evey day or many activities 07. During the last three months, how much has the problem with your shoulder interfered with your social life (including sexual activity if applicable)? * Not at all Occasionally Some days Most days Every day 08. During the last four weeks, how much has the problem with your shoulder interfered with your sporting activities or hobbies? * Not at all A little/ occasionally Some of the time Most of the time All of the time 09. During the last four weeks, how often has your shoulder been 'on your mind' & how often have you thought about it? * Never, or only if someone asks Occasionally Some days Most days Every day 10. During the last four weeks, how much has the problem with your shoulder interfered with your ability or willingness to lift heavy objects? * Not at all Occasionally Some days Most days Every day 11. During the last four weeks, how would you describe the pain which you usually had from your shoulder? * None Very Mild Mild Moderate Severe 12. During the last four weeks, have you avoided lying in certain positions, in bed at night, because of your shoulder? * No Nights Only 1 or 2 Nights Some Nights Most Nights Every Nights Score 0.00 Submit
