Table 1.

GRAPPA Video Project: module descriptions.

ModuleDescription/notes
PASI and BSAPsoriasis Area and Severity Index and body surface area: photographic examples of erythema, induration, and scale, methods of assessing area score, and BSA instruction.
6-point sPGA, v. 1Static Physician Global Assessment, v. 1: erythema, induration, and scale assessed 0–5, then averaged and rounded to nearest whole numbers.
6-point sPGA, v. 2Static Physician Global Assessment, v. 2: erythema, induration, scale each scored 0–5, using slightly different definitions from the National Psoriasis Foundation description.
6-point sPGA, v. 3Static Physician Global Assessment, v. 3: erythema, induration, scale assessed and a single score of 0–5 assigned (no rounding).
5-point sPGA5-point Static Physician Global Assessment: erythema, induration, and scale assessed individually, then averaged and rounded to nearest whole numbers.
5-point IGA 2011 “modified” (new assessment instrument)5-point Static Investigator Global Assessment6: erythema, induration, and scale assessed 0–4. Certification module available (3 examples).
NAPSINail Psoriasis Severity Index: describes features of matrix and nail bed psoriasis and how to perform this measure.
mNAPSIModified Nail Psoriasis Severity Index: description of the rationale and method.
PSSIPsoriasis of the Scalp Severity Index: adaptation of PASI for scalp assessment.
PPPASIPalmar-Plantar Psoriasis Area and Severity Index: adaptation of PASI for scoring palmar-plantar pustular or nonpustular psoriasis.
TPSSTotal Plaque Severity Score: assesses target plaques; scores erythema, induration, and scale.
Dactylitis and enthesitisDactylitis background and use of dactylometer; enthesitis background, evaluation using Leeds Enthesitis Index, MASES Enthesitis Index, the Enthesitis Skeletal exam, SPARCC Enthesitis Index, Major Enthesitis Index, and 4-point Enthesitis Index.
SynovitisIncludes joint examination and synovitis introductions, video demonstration of examining joints: TMJ, AC, SC, shoulder, wrist, hand/digits, hip, knee, ankle, foot/digits.
Axial disease assessmentIncludes background and video demonstration of measuring cervical rotation, chest expansion, occiput-to-wall/tragus-to-wall distance, forward flexion, lateral bending of spine, examination of the hip.
BSADescribes background and rationale for the handprint method of determining BSA involvement of psoriasis.
  • GRAPPA: Group for Research and Assessment of Psoriasis and Psoriatic Arthritis; AC: acromioclavicular; MASES: Maastricht Ankylosing Spondylitis Enthesis Score; SC: sternoclavicular; SPARCC: Spondyloarthritis Research Consortium of Canada; TMJ: temporomandibular joint.