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Date of completion
Oxford Instability Score    
Clinician's name (or ref) Patient's name (or ref)
 
Please answer the following 12 multiple choice questions.  
During the past 4 weeks......  
1. During the last six months, how many times has your shoulder slipped out of joint (or dislocated)?   7. 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 in 6 months   Not at all
1 or 2 times in 6 months   Occasionally
1 or 2 times per month   Some days
1 or 2 times per week   Most days
More often than 1 or 2 times/week   Every day

 

2.During the last three months, have you had any trouble (or worry) dressing because of your shoulder?   8)During the last four weeks, how much has the problem with your shoulder interfered with yoursporting activities or hobbies?
No trouble at all   Not at all
Slight trouble or worry   A little/occasionally
Moderate trouble or worry   Some of the time
Extreme difficulty   Most of the time
Impossible to do   All of the time
     
3)During the last three months, how would you describe the worst pain you have had from your shoulder?   9) During the last four weeks, how often has your shoulder been 'on your mind' & how often have you thought about it?
None   Never, or only if someone asks
Mild ache   Occasionally
Moderate   Some days
Severe   Most days
Unbearable   Every day

 

4) During the last three months, how much has the problem with your shoulder interfered with your usual work (including school, college or housework)?   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   Not at all
A little bit   Occasionally
Moderately   Some days
Greatly   Most days
Totally   Every day
     
5) During the last three months, have you avoided any activities due to worry about your shoulder feared that it might slip out of joint?   11) During the last four weeks, how would you describe the pain which you usually had from your shoulder?
Not at all   None
Very occasionally   Very mild
Some days   Mild
Most days or more than one activity   Moderate
Every day or many activities   Severe

 

6) During the last three months, has the problem with your shoulder prevented you from doing things that are important to you?   12) During the last four weeks, have you avoided lying in certain positions, in bed at night, because of your shoulder?
No, not at all   No nights
Very occasionally   Only 1 or 2 nights
Some days   Some nights
Most days or more than one activity   Most nights
Every day or many activities   Every night

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The Oxford Instability Score is:

Interpreting the Oxford Instability Score

Score 0 to 19 Poor Score 20 to 29 Fair Score 30 to 39 Good Score 40 to 48 Excellent

Reference for Score: The assessment of shoulder instability THE DEVELOPMENT AND VALIDATION OF A QUESTIONNAIRE Dawson J, Fitzpatrick R, Carr A, JBJS B, 81-B (3): 420. (1999) Link

Reference for grading: Website