Table 4

Studies reporting on muscle strength, endurance and functional disability and pain

StudyDisease duration (years)*Disease activityPain severity*Findings
SF-36 BP (additive 0–100, norm-based mean 50, SD 10); lower score, more pain
Ponyi et al28Median (range)
8.9 (3.0–22.8)
Active disease 13%Mean±SD
DM: 54±18
PM: 58±20
OM: 66±18
Pain correlated weakly with MMT8 (higher scores, stronger; r=−0.27, p=0.01) and moderately with HAQ-DI (higher scores, more limitation; r=0.52, p<0.001)
Regardt et al32Mean±SD
6.8±5.5
N/AMean
All: 58
DM:55
PM: 58
Pain not significantly correlated with grip strength or hand mobility
Xu et al43Median (IQR)
5 (2.5–7.4)
VAS score (0–100)
Median (IQR)
PhGA: 17 (5–31)
PtGA: 29 (11–49)
Mean±SD
63±26
Pain weakly correlated with MMT-8 (higher score, stronger; r=0.30, p=0.03)
van de Vlekkert et al35Median
Baseline: 0.3
Scheduled visit at 18 months from baseline
At inclusion: early AIM with active disease
18 months: remission 33%, polyphasic 33%, chronic course 35%
Mean
Baseline: 42
18 months: 70
Last follow-up*: 65
Pain worse with higher disability measured with the modified Rankin score
Poulsen et al36Median (IQR)
6.7 (4.1–13)
VAS score (0–10)
Median (IQR)
PhGA 4.4 (2.2–6.7)
Mean±SD
60+26
Pain not associated with MMT-8 (higher score, stronger; β=0.09, p=0.88) in multiple linear regression
Alexanderson et al16Fixed visit 1 year after diagnosisVAS score (0–100)
Median (IQR)
PhGA: 10 (4–24)
PtGA: 27 (7–49)
Median (IQR)
74 (51–74)
BP scores weakly correlated with FI2 (higher scores, less limitation; r=0.36, 95% CI 0.05 to 0.61). No significant correlation with MMT-8 (higher score, stronger; r=0.20, 95% CI −0.12 to 0.49)
VAS score (0–100); higher score, more pain
Heikkila et al24Mean±SD
6.4±6.1
68% stable medication for >3 months, 27% immunosuppression reduction in previous monthMean±SD
26±27
Pain moderately correlated with Functional Index (higher scores, less limitation; r=−0.52, p<0.01) at baseline
Baschung Pfister et al17Median (IQR)
1.5 (0.3–4.5)
Acute 19%
Subacute 15%
Chronic 67%
Median (IQR)
14 (0–31)
Pain weakly correlated with Myositis Activity Profile (higher score, more limitation; r=0.38, 95% CI 0.10 to 0.62)
Saygin et al42Mean±SD
3±4.2
VAS score (0–10)
Mean±SD
3.1±2.3
Mean±SD
2.7±2.6
Pain moderately correlated with PROMIS PF-20 (higher score, less limitation; r=−0.60, p<0.0001), SF-36 PF-10 (higher score, less limitation; r=−0.62, p<0.0001) and HAQ-DI (higher score, more limitation; r=0.60, p<0.0001)
  • *If not shown, measure of dispersion not provided.

  • AIM, autoimmune inflammatory myopathy; DM, dermatomyositis; FI2, Functional Index 2; HAQ-DI, Health Assessment Questionnaire–Disability Index; MMT-8, Manual Muscle Testing-8; N/A, not available; OM, overlap myositis; PhGA, Physician Global Assessment; PM, polymyositis; PROMIS PF-20, Patient-Reported Outcomes Measurement Information System physical function-20; PtGA, Patient Global Assessment; SF-36 BP, 36-Item Short Form Bodily Pain; VAS, visual analogue scale.