Quality of Life Concepts

Secondary Health Conditions

Physical Activity Scale for Individuals with Physical Disabilities (PASIPD)

Description: A measure of physical activity for persons with disabilities [1].

Format: Respondents are asked to report the number of days and average hours in a day spent engaging in 13 activities (including leisure, household, and work-related activities) over the last 7 days. Frequency responses range from 1 (never) to 4 (often), and duration responses range from 1 (less than 1 hour) to 4 (more than 4 hours).

Scoring: The total score is the product of the average hours spent in an activity daily and the metabolic equivalents (MET) summed over each item for questions 2 through 13, with question 1 operating as a practice question. Scores range from 0 (no activity) to over 100 METS hr/day (very high).

Administration and Burden: Interviewer-administered; Self-administered. Approximately 15 minutes.

Psychometrics for SCI: Preliminary evidence suggests good construct validity [1] and test-retest reliability [2].

Languages: English; Dutch.

QoL Concept: The PASIPD measures Activities of Daily Living, which corresponds to Box C (achievements; activities of daily living) of Dijker’s Model.

Permissions/Where to Obtain: Not available.


  1. Washburn RA, Zhu W, McAuley E, Frogley M, Figoni SF. The physical activity scale for individuals with physical disabilities: Development and evaluation. Arch Phys Med Rehabil 2002;83:193-200.

  2. van der Ploeg HP, Streppel KR, van der Beek AJ, van der Woude LH, Vollenbroek-Hutten M, van Mechelen W. The Physical Activity Scale for Individuals with Physical Disabilities: test-retest reliability and comparison with an accelerometer. J Phys Act Health 2007;4:96-100.


Pain SCI Studies: One cross-sectional survey.

  1. Gutierrez DD, Thompson L, Kemp B, Mulroy SJ. The relationship of shoulder pain intensity to quality of life, physical activity, and community participation in persons with paraplegia. J Spinal Cord Med 2007;30:251-5.

Sensitivity to Impact: Gutierrez and colleagues (2007) examined the relationship between self-reported shoulder pain with quality of life (QoL), physical activity, and community activities in persons with paraplegia resulting from spinal cord injury (SCI; N = 80). Main outcome measures were: the Wheelchair User's Shoulder Pain Index (WUSPI), the Subjective Quality of Life Scale (SQoL), the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD), and the Communities Activity Checklist (CAC). Results showed an inverse, moderate relationship between shoulder pain intensity (measured by the WUSPI) and physical activity, as measured by the PASIPD.

Suggestions for Use: The PASIPD only assesses the standard Metabolic equivalents (MET) for each item and does not distinguish how the activity was actually performed, which may result in similar scores for individuals even though the activity was performed at quite different intensity levels. In addition, the PASIPD has been used in few SCI studies, and scores correlated only moderately with activity and fitness parameters in patients with SCI. Given these characteristics, further research is recommended to establish its psychometric properties and clinical utility.

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