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Comparison of Shoulder Joint Pain, Disability Index, Range of Motion, and Muscle Strength according to the Degree of Rotator Cuff Tear: A Cross-sectional Correlational Study

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2026, 21(1), pp.107~115
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : November 2, 2025
  • Accepted : November 27, 2025
  • Published : February 28, 2026

Min-Seo Jeon 1 Eun-Byeol Oh 1 Yong-Jun Cha ORD ID 1

1대전대학교

Accredited

ABSTRACT

PURPOSE: This study investigated the relationship between rotator cuff tear size and pain, range of motion (ROM), and muscle strength in patients diagnosed with rotator cuff tears. METHODS: Forty-eight patients were classified into three groups according to tear size: partial-thickness tear (PT group), full-thickness tear (FT group), and massive tear (MT group). Pain was assessed using the shoulder pain and disability index (SPADI), Active ROM (range of motion) was measured with a digital goniometer, and the muscle strength was evaluated using a handheld dynamometer. RESULTS: The SPADI scores were significantly different among the three groups (p < .05), with the MT group reporting higher scores than the PT and FT groups (56.75 scores vs. 39.56, p < .05; 56.75 scores vs. 39.06 scores, p < .05, respectively). The active ROM and muscle strength were similar in the three groups (p > .05). CONCLUSION: The size of the tear and the patient's pain level must be considered comprehensively. Furthermore, if various analyses including electromyography and psychosocial factors are conducted, it will be possible to identify the mechanism of rotator cuff tears and determine the necessity of surgical intervention in patients with rotator cuff tear.

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