What is the Pedi-ASES Score?
The American Shoulder and Elbow Surgeons (ASES) Score is an 18-question survey designed to assess shoulder and elbow pain, instability, range of motion, and strength. However, the literature regarding the ASES score has largely been limited to the adult population until the creation of the Pediatric and Adolescent ASES (Pedi-ASES) outcome measure. The Pedi-ASES survey contains the same subsections of the adult ASES survey with wording and question modification to increase comprehension by patients ages 10-18 years old.

Key Features of the Pedi-ASES Survey
The Pedi-ASES survey contains question types including yes/no questions and 4-point Likert scales (total points available per question: 0-3) with a total of 28 scored questions. The final total score of the Pedi-ASES can range from 0-84, with higher scores representing lower symptom burden.
Strengths of the Pedi-ASES Score
The development of the Pedi-ASES utilized several rounds of cognitive interviewing to maximize comprehension by the child and adolescent patients. Based on the well-validated ASES and QuickDASH scores, this 28-item survey comprehensively analyzes shoulder and elbow function, pain, range of motion, and the effect on recreational activities such as sports or playing musical instruments in the pediatric population.
Considerations When Using the Pedi-ASES
Due to its more recent development, the Pedi-ASES has not been well-studied in literature, with minimal available data on its psychometric properties, such as validity, reliability, internal consistency, and floor or ceiling effects. Standardization and identification of gold-standard outcome measures in the pediatric population with shoulder and elbow injuries has yet to be fully elucidated, making analysis of results tricky for the user.
Costs and Licensing for Pedi-ASES
The Pedi-ASES score does not require any licensing or fees for use. It has been published in literature and is readily available online to the general public.
Pedi-ASES Shows Promise, But Additional Validation Needed
The Pedi-ASES score presents a promising way to analyze shoulder and elbow outcomes in the pediatric population. However, further work needs to be done to demonstrate its utility and validity prior to widespread use of this tool.
Sources | [[1] Validity and comprehensibility of outcome measures in children with shoulder and elbow disorders: creation of a new Pediatric and Adolescent Shoulder and Elbow Survey (Pedi-ASES)] | [[2] Patient-Reported Outcome Measures for Pediatric Patients With Sport-Related Injuries: A Systematic Review] | [[3] Age-Appropriate Pediatric Sports Patient-Reported Outcome Measures and Their Psychometric Properties: A Systematic Review]
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