GRAPPA video project: module descriptions.
| Module | Description/Notes |
|---|---|
| PASI and BSA | Psoriasis Area and Severity Index and Body Surface Area4,7 |
| Background and rationale for PASI, with photographic examples of erythema, induration, and scale, methods of assessing area score, and BSA instruction (handprint = 1%) | |
| Video: 16½-min | |
| Certification module available (3 examples) | |
| 6-point sPGA, v. 1 | Static Physician Global Assessment, version 18,9,10 |
| Erythema, induration, and scale assessed 0–5, then averaged and rounded to nearest whole numbers | |
| Video: 1½-min | |
| Certification module available (3 examples) | |
| 6-point sPGA, v. 2 | Static Physician Global Assessment, version 2 |
| Erythema, induration, scale each scored 0–5 over entire body, averaged and rounded to nearest whole number, using slightly different definitions than the NPF description | |
| Certification module available (3 examples) | |
| 6-point sPGA, v. 3 | Static Physician Global Assessment, version 3 |
| Erythema, induration, scale assessed and a single score of 0–5 assigned (no mathematical rounding) | |
| Certification module available (3 examples) | |
| 5-point sPGA | 5-point Static Physician Global Assessment11 |
| Erythema, induration, and scale assessed individually, then averaged and rounded to nearest whole numbers | |
| Certification module available (3 examples) | |
| NAPSI | Nail Psoriasis Severity Index12 |
| Description of the features of matrix and nail bed psoriasis and how to perform this measure | |
| Certification module available (3 examples) | |
| mNAPSI | Modified Nail Psoriasis Severity Index13 |
| Description of the rationale and method for performing this measure | |
| Video: 3:41 min | |
| Certification: Testing available, 3 patient examples, no consensus scores available | |
| PSSI | Psoriasis of the Scalp Severity Index14 |
| Adaptation of PASI for scalp assessment | |
| Video: 3:23 min | |
| PPPASI | Palmar-Plantar Psoriasis Area and Severity Index15 |
| Adaptation of PASI for scoring palmar-plantar pustular or non-pustular psoriasis | |
| Video 7:09 min | |
| Certification: 4 patient examples, without consensus scoring | |
| TPSS | Total Plaque Severity Score16 |
| Assessment tool for target plaques, scores erythema, induration, and scale 0–4, then summed. Video: 6:37 min | |
| Certification: 9 target plaques with consensus scores | |
| Dactylitis and Enthesitis | Presenters: Philip Helliwell, MD, and Philip Mease, MD, rheumatologists |
| Video: 24:58 min [first 8:14 is dactylitis background and use of dactylometer; remaining portion is enthesitis background, evaluation using Leeds Enthesitis Index, MASES Enthesitis Index, the Enthesitis Skeletal examination; includes coverage of SPARCC Enthesitis Index (18 sites), SPARCC Enthesitis Index (8 sites), Major Enthesitis Index, and 4-point Enthesitis Index] | |
| Certification: testing not available17,18 | |
| Synovitis | Includes joint examination and synovitis introductions, video demonstration of examining joints: TMJ, AC, SC, shoulder, wrist, hand/digits, hip, knee, ankle, foot/digits |
| Video: 37:37 min18 | |
| Axial Disease Assessment | Includes background and video demonstration of measuring cervical rotation (INSPIRE method with goniometer), chest expansion, occiput-to-wall/tragus-to-wall distance, forward flexion with Schober test, lateral bending of spine with Domjan and INSPIRE methods, examination of the hip (internal rotation and intramalleolar distance). |
| Video: ∼9 min19,20 |
SPARCC: Spondyloarthritis Research Consortium of Canada; MASES: Maastricht Ankylosing Spondylitis Enthesis Score; TMJ: temporomandibular joint; AC: acromioclavicular; SC: sternoclavicular; NPF: National Psoriasis Foundation.