Correlation between pain intensity and upper limb limitation in subjects with cuff tendinopathy

Main Article Content

Alyssa Conte da Silva
Juliana Falcão Padilha
Jefferson Luiz Brum Marques
Cláudia Mirian de Godoy Marques


Introduction: Rotator Cuff Tendinopathy (RMR) causes pain and impairment in shoulder function, but it is not known if both in the same proportion. Objective: Verify whether pain intensity correlates with upper limb function in subjects with RMR. Methods: Cross-sectional observational study of 60 individuals with RMR. The Visual Analogue Scale (VAS) was used to assess pain and the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) for shoulder function. For data analysis, descriptive statistics (means and standard deviation, numerical and percentage presentation) were performed and Spearman correlation was applied using a significance level of 5%. Results: The average pain by VAS was 5.02 (moderate). Mild limitation (mean score 34.43) was found in the 30 questions of the DASH questionnaire. Regarding the optional modules, in the module intended for athletes/musicians, there was no limitation of the subjects who practiced this (average score of 11.82). In the work module there was a slight limitation (average score 35.38). There was a low correlation between pain and shoulder function (rs=0.2949; p=0.0222). Conclusion: Although subjects with RMR had moderate pain, the correlation was weak between pain and shoulder function.


Download data is not yet available.

Article Details

How to Cite
Silva, A. C. da, Padilha, J. F., Marques, J. L. B., & Marques, C. M. de G. (2019). Correlation between pain intensity and upper limb limitation in subjects with cuff tendinopathy. ABCS Health Sciences, 44(3).
Original Articles


1. Teunis T, Lubberts B, Reilly BT, Ring D. A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age. J Shoulder Elbow Surg. 2014;23(12):1913-21.

2. Motta GR, Amaral MV, Rezende E, Pitta R, Vieira TC, Duarte ME, et al. Evidence of genetic variations associated with rotator cuff disease. J Shoulder Elbow Surg. 2014;23(2):227-35.

3. Saggini R, Cavezza T, Di Pancrazio L, Pisciella V, Saladino G, Zuccaro MC, et al. Treatment of lesions of the rotator cuff. J Biol Regul Homeost Agents. 2010;24(4):453-9.

4. Lasbleiz S, Quintero N, Ea K, Petrover D, Aout M, Laredo JD, et al. Diagnostic value of clinical tests for degenerative rotator cuff disease in medical practice. Ann Phys Rehabil Med. 2014;57(4):228-43.

5. Braman JP, Zhao KD, Lawrence RL, Harrison AK, Ludewig PM. Shoulder impingement revisited: evolution of diagnostic understanding in orthopedic surgery and physical therapy. Med Biol Eng Comput. 2014;52(3):211-9.

6. Esculier JF, Bouyer LJ, Dubois B, Fremont P, Moore L, McFadyen B, et al. Is combining gait retraining or an exercise programme with education better than education alone in treating runners with patellofemoral pain? A randomised clinical trial. Br J Sports Med. 2018;52(10):659-666.

7. Camargo PR, Alburquerque-Sendín F, Avila MA, Haik MN, Vieira A, Salvini TF. Effects of Stretching and Strengthening Exercises, With and Without Manual Therapy, on Scapular Kinematics, Function, and Pain in Individuals With Shoulder Impingement: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2015;45(12):984-97.

8. Factor D, Dale B. Current concepts of rotator cuff tendinopathy. Int J Sports Phys. Ther. 2014;9(2):274-88.

9. Orfale AG, Araújo PMP, Ferraz MB, Natour J. Translation into Brazilian Portuguese, cultural adaptation and evaluation of the reliability of the Disabilities of the Arm, Shoulder and Hand Questionnaire. Braz J Med Biol Res. 2005;38(2):293-302.

10. Pinho AB, Borghesan FHP, Lotufo MN, Allet MA. Avaliação dos tratamentos cirúrgicos das sequelas de hanseníase pelas escalas Salsa e Dash. Rev Bras Ortop. 2014;49(3):292-6.

11. Shin KM. Partial-thickness rotator cuff tears. Korean J Pain. 2011;24(2):69-73.

12. Braman JP, Zhao KD, Lawrence RL, Harrison AK, Ludewig PM. Shoulder impingement revisited: evolution of diagnostic understanding in orthopedic surgery and physical therapy. Med Biol Eng Comput. 2014;52(3):211-9.

13. Macdermid J, Ramos J, Drosdowech D, Faber K, Patterson S. The impact of rotator cuff pathology on isometric and isokinetic strength, function, and quality of life. J Shoulder Elbow Surg. 2004;13(6):593-8.

14. Tekeoglu I, Ediz L, Hiz O, Toprak M, Yazmalar L, Karaaslan G. The relationship between shoulder impingement syndrome and sleep quality. Eur Rev Med Pharmacol Sci. 2013;17(3):370-4.

15. Michener LA, Walsworth MK, Doukas WC, Murphy KP. Reliability and diagnostic accuracy of 5 physical examination tests and combination of tests for subacromial impingement. Arch Phys Med Rehabil. 2009;90(11):1898-903.

16. Tashjian RZ, Deloach J, Porucznik CA, Powell AP. Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease. J Shoulder Elbow Surg. 2009;18(6):927-32.

17. Munro BH. Statisticals methods for health care research. 4. ed. Philadelphia: Lippincott; 2001.

18. Ashmawi HA, Freire GMG. Sensibilização periférica e central. Rev Dor. 2016;17(Suppl 1):S31-4.

19. Meeus M, Nijs J, Van Wilgen P, Noten S, Huijnen I. Moving on to movement in patients with chronic joint pain. Pain: Clin Updates. 2016;24(1):1-8.

20. Meeus M, Roussel NA, Truijen S, Nijs J. Reduced pressure pain thresholds in response to exercise in chronic fatigue syndrome but not in chronic low back pain: an experimental study. J Rehabil Med. 2010;42(9):884-90.

21. Meeus M, Hermans L, Ickmans K, Struyf F, Van Cauwenbergh D, Bronckaerts L, et al. Endogenous pain modulation in response to exercise in patients with rheumatoid arthritis, patients with chronic fatigue syndrome and comorbid fibromyalgia, and healthy control a double-blind randomized controlled trial. Pain Pract. 2015;15(2):98-106.

22. Burrows NJ, Booth J, Sturnieks DL, Barry BK. Acute resistance exercise and pressure pain sensitivity in knee osteoarthritis: a randomised crossover trial. Osteoarthritis Cartilage. 2014;22(3):407-14.

23. Lautenbacher S, Peters JH, Heesen M, Scheel J, Kunz M. Age changes in pain perception: A systematic-review and meta-analysis of age effects on pain and tolerance thresholds. Neurosci Biobehav Rev. 2017;75:104-13.

24. Almeida CGSTG, Fernandes RCP. Distúrbios musculoesqueléticos em extremidades superiores distais entre homens e mulheres: resultados de estudo na indústria. Rev Bras Saude Ocup. 2017;42:e3.

25. Pieretti S, Di Giannuario A, Di Giovannandrea R, Marzoli F, Piccaro G, Minosi P, et al. Gender differences in pain and its relief. Ann Ist Super Sanita. 2016;52(2):184-9.

26. Desjardins-Charbonneau A, Roy JS, Dionne CE, Desmeules F. The efficacy of taping for rotator cuff tendinopathy: a systematic review and meta-analysis. Int J Sports Phys Ther. 2015;10(4):420-33.

27. Amrood MN, Asl HS, Salariyeh M, Safari MB. Pain, disability and sleep quality in patients with rotator cuff tendinopathy and concurrent myofascial pain. Shafa Ortho J. 2016;3(2):e4481.

28. Bury J, West M, Chamorro-Moriana G, Littlewood C. Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: A systematic review and meta-analysis. Man Ther. 2016;25:35-42.