背景與目的：為了協助物理治療支付制度之架構及標準，建立疾患適當之評估表是有需要的。本研究以修正之德菲法(modified Delphi method)設計冰凍肩病患之評估表格，測試其專家效度及信度，並檢驗此評估表是否可反應冰凍肩病患之療程及各階段之療效。方法：23位資深骨科物理治療師協助設計評估表，最後有18位參與評估表之效度評估，其中14位(78%)同意評估表之設計，4位(22%)認為評估表有1個以上的項目需要修改。14位冰凍肩病患，接受1位物理治療師以本研究最後修訂之量表連續2次評估(間隔小於3天)，及接受另一位物理治療師評估，做為評估表測試者內及測試者間之信度分析。結果：除了肩胛骨外滑度測試者內及測試者間信度值略微偏低(分別為0.61及0.66)，其他項目均有良好測試者內及測試者間信度值(0.85-0.99)。33位冰凍肩病患完成評估表之追蹤分析，22位接受3次評估、5位接受4次評估、6位接受5次評估，冰凍肩病患之物理治療評估總分在26星期內由31-46分進步到停止物理治療的78-84分(p<0.01)。結論：此評估表有良好之信、效度，而且可以反應出冰凍肩病患接受物理治療之進步情形，可作為評估療效的依據。

Background and Purposes: It is important to establish a comprehensive assessment form for patients who receive physical therapy services in the era of managed care and evidence based medicine. This study was conducted to (1) develop a physical therapy assessment form for frozen shoulder using modified Delphi method; (2) examine its validity and reliability; and (3) investigate the responsiveness of this assessment form. Methods: Twenty-three senior physical therapists were invited to develop a physical therapy assessment form for frozen shoulder. Eighteen of them (78%) went through the expert validation process. Seventy-eight percent (14 physical therapists) agreed with this assessment form, while 22% (4 physical therapists) did not agree completely on some items of the form. Fourteen patients participated in reliability tests. One physical therapist assessed these patients twice to test intra-tester reliability. These patients were also assessed by another physical therapist at the same time for inter-tester reliability. Results: Good intra-tester and inter-tester reliability were found(ICC=O.85-0.99)in all items except scapula sliding test (inter- tester reliability=O.61, inter-tester reliability=O.66).Thirty-three patients with frozen shoulders were assessed for the responsiveness of these diseases. These patients had significant improvement from 31-46 to 78-84 in total scores on the final evaluation (p<0.01) ,which include the assessment of pain, function, scapula sliding, muscle strength, range of motion, and satisfaction according to the developed form. Conclusion: The physical therapy assessment form for frozen shoulders developed in this study can be used as a reference for evaluating physical therapy treatment outcomes.