Constant-Murley Shoulder Score

Enter pain level, activity limitations, range of motion, and shoulder strength to compute the Constant-Murley Score (0–100) with domain breakdown.

Clinical Parameters

A Pain (0–15 pts)

15 = no pain  |  0 = severe pain

15
Severe (0)No pain (15)

B Activities of Daily Living (0–20 pts)

C Range of Motion (0–40 pts)

D Abduction Strength (0–25 pts)

Measured with arm abducted to 90° in scapular plane. 1 pt per pound (lb), max 25 pts.

lbs  →  25 pts

Enter 0–25 lbs. Values above 25 are capped at 25 points.

Result

/100

Constant-Murley Score

For clinical decision support only. Always combine with full clinical assessment and specialist judgment. Age- and sex-adjusted norms are not applied here.

Summary

Enter pain level, activity limitations, range of motion, and shoulder strength to compute the Constant-Murley Score (0–100) with domain breakdown.

How it works

  1. Rate the patient's pain level on a 0–15 scale (15 = no pain, 0 = severe pain).
  2. Score daily activities: work level, recreation/sport level, sleep quality, and positioning of the hand (each sub-item weighted).
  3. Measure and enter range of motion for forward flexion, lateral elevation, internal rotation, and external rotation.
  4. Measure shoulder abduction strength using a spring balance or dynamometer; enter the value in kilograms (up to 25 lbs mapped to 25 points).
  5. The calculator sums all four domains and displays the total CMS out of 100 with a functional grade.

Use cases

  • Track shoulder function before and after rotator cuff repair surgery.
  • Quantify outcomes following physiotherapy for shoulder impingement or frozen shoulder.
  • Document shoulder disability for insurance or medicolegal reporting.
  • Compare shoulder function between the injured and contralateral side.
  • Screen patients for surgical candidacy based on pre-operative shoulder function.
  • Teach clinical assessment skills to physiotherapy and orthopaedic trainees.

Frequently Asked Questions

Last updated: 2026-07-22 · Reviewed by Nham Vu