Background and aims
Pathology of the shoulder through the algo-dysfunctional sequelae represents  an important public health issue. A large number of these traumas affects young or young adults who are involved in professional activities, so the management of pain and disability is one of  the main requirement of rehabilitation programs.The purpose of this analysis is to reveal the link between pain intensity and disability in the rehabilitation of shoulder trauma.
 
Method:
We evaluated the patients in our clinic for a period of 4 months who presented shoulder injuries. We excluded patients with pathology older than 2 months and associated uncontrolled diseases (hypertension, malignancies, infectious diseases in acute stage).
Patients were evaluated at baseline and at the end of 10 days of treatment. All patients were re-evaluated at 1-month post-treatment. They received physical therapy and individual kinetotherapy. They were evaluated using VAS scale and DASH questionnaire for disability.
Results:
There was a decrease in the pain threshold (VAS) after the end of the treatment that correlated with improvement in function. It was found that patients who initially presented a painfully lower threshold had a favorable evolution. Patients who also had nerve damage had a degree of higher disability.
 
Conclusion:
Patients with nerve injuries in the posttraumatic shoulder trauma have a slower evolution in functional rehabilitation and may lead to long-term disabilities. They may also be associated with chronic neuropathic pain, which also determine disability and disfunction.

EVALUATION OF PAIN AND DISABILITY IN POSTTRAUMATIC PATHOLOGY OF SHOULDER