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=== Validity === The SPADI demonstrates good construct validity, correlating well with other region-specific shoulder questionnaires.<ref name=":2">Paul A, Lewis M, Shadforth MF, Croft PR, Van Der Windt DA, Hay EM: A comparison of four shoulder-specific questionnaires in primary care. Ann Rheum Dis. 2004, 63 (10): 1293-1299.</ref><ref name=":1" /><ref>Bot SD, Terwee CB, van der Windt DA, Bouter LM, Dekker J, de Vet HC: Clinimetric evaluation of shoulder disability questionnaires: a systematic review of the literature. Ann Rheum Dis. 2004, 63 (4): 335-341. </ref> It has been shown to be responsive to change over time, in a variety of patient populations and is able to discriminate adequately between patients with improving and deteriorating conditions.<ref>Williams JW, Holleman DR, Simel DL: Measuring shoulder function with the Shoulder Pain and Disability Index. J Rheumatol. 1995, 22 (4): 727-732.</ref><ref>Beaton DE, Richards RR: Measuring function of the shoulder. A cross-sectional comparison of five questionnaires. J Bone Joint Surg Am. 1996, 78 (6): 882-890.</ref><ref name=":1" />

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