Correlation Between Cyriax's Functional Examination and Ultrasound Examination in Patients With Shoulder Pain

Shoulder problems cause substantial disability in daily living, work, leisure activity, and exercise. The presence of shoulder problem such as rotator cuff pathology reported was highly predictive of impaired health-related quality of life.

Many tests were used for physical examination of the shoulder. The reliability and validity of the tests have been studied before. However, a systemic review concluded that there was conflicting evidence in reliability of each or combined tests. Functional examination of the shoulder by Cyriax is composed of a series of tests to evaluate a shoulder problem. It includes three arm elevation, three tests for glenohumeral joints, and six resisted tests.

As far as the investigators know, correlation of Cyriax functional examination with the ultrasonographic findings has never been reported before. Therefore, the aim of this study is to compare the clinical diagnosis by Cyriax's functional examination with ultrasound findings in patients with shoulder pain.

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Key information

Conditions

Shoulder Pain Arthralgia Joint Diseases Musculoskeletal Diseases Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Shin Kong Wu Ho-Su Memorial Hospital

Taipei, Taiwan

About this study

There are two groups with fifty patients in each group. First group is patients who have unilateral or bilateral shoulder pain from the outpatient clinic of Department of Physical Medicine and Rehabilitation in Shin Kong Wu Ho-Su Memorial Hospital. The other group is control group who has no shoulder problems. Both groups will receive Cyriax's functional examination of the shoulder after history taking, and will be examined by shoulder ultrasound in one week.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Study group:

patients with unilateral or bilateral shoulder pain with unknown causes;
age≥ 20 years old.

Control group:

patients without unilateral or bilateral shoulder pain;
age≥ 20 years old.

Exclusion criteria

chronic inflammatory joint disease, infections or tumors of the shoulder, previous fracture or surgery of shoulder, and referred pain from cervical origin or visceral organs.

Treatment and study plan

Cyriax's functional examination

Other

included active range of motion, passive range of motion, resisted test and accessory test for shoulder pain evaluation

Ultrasound examination

Device

to evaluate rotator cuff, acromio-clavicular joint, and subdeltoid-subacromial bursa

Primary outcomes

Cyriax's functional examination for diagnosis

Time frame: 1 week

After Cyriax's functional examination for evaluating shoulder pain, a clinical diagnosis is made by the physician
Ultrasound examination for diagnosis

Time frame: 1 week

Ultrasound examination is done in one week after Cyriax's functional examination for detailed shoulder pathology evaluation.

Sponsors and collaborators

Lead sponsor

Shin Kong Wu Ho-Su Memorial Hospital

Other

Registry information

Important dates

Study start: 2014
Primary completion: 2015
Study completion: 2015
First posted: Feb 23, 2016
Registry last updated: Dec 23, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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