Article

PURPOSE: To discover whether there are differences between patients with RA with
and without active motion deficit in the shoulder (passive ROM greater than
active ROM) concerning disease characteristics and shoulder function, and examine
the role of active motion deficit in explaining limitations of shoulder function
in daily life. METHODS: This cross-sectional study included 123 patients with RA
having shoulder pain. Disease activity and duration of shoulder pain and disease
were registered, active and passive shoulder ROM, pain and muscle strength were
measured. Shoulder function in daily life was assessed by Disability of the Arm,
Shoulder and Hand (DASH). RESULTS: Patients with active motion deficit (36%) had
statistical significant worse scores on disease activity, shoulder pain, muscle
strength, and DASH function than those without active motion deficit (p </=
0.05). No differences between the groups were found for duration of shoulder pain
or disease (p > 0.05). Active motion deficit, passive ROM, muscle strength and
pain explained 33.7% of the variation in the DASH function score. CONCLUSION:
Active motion deficit in the shoulder seems frequent in patients with RA.
Together with passive ROM, muscle strength and pain, active motion deficit
explained about one-third of the limitations in shoulder function in daily life.

Langue : ANGLAIS