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.

Study Overview

• Status: Completed
• Conditions: Shoulder Pain
• Intervention / Treatment: Other: Cyriax's functional examination; Device: Ultrasound examination

Detailed Description

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.

• Study Type: Observational
• Enrollment (Actual): 206

Contacts and Locations

Study Locations

• Taiwan
  • Taipei, Taiwan
    • Shin Kong Wu Ho-Su Memorial Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 85 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients with or without shoulder pain

Description

Inclusion Criteria:

Study group:

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

Control group:

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

Exclusion Criteria:

1) 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.

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Control
• Time Perspectives: Cross-Sectional

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Shoulder pain group; The participants receive Cyriax's functional examination after history taking, and will be examined by ultrasound in one week.	Other: Cyriax's functional examination; included active range of motion, passive range of motion, resisted test and accessory test for shoulder pain evaluation; Device: Ultrasound examination; to evaluate rotator cuff, acromio-clavicular joint, and subdeltoid-subacromial bursa
Without shoulder pain group; The participants receive Cyriax's functional examination after history taking, and will be examined by ultrasound in one week.	Other: Cyriax's functional examination; included active range of motion, passive range of motion, resisted test and accessory test for shoulder pain evaluation; Device: Ultrasound examination; to evaluate rotator cuff, acromio-clavicular joint, and subdeltoid-subacromial bursa

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cyriax's functional examination for diagnosis	After Cyriax's functional examination for evaluating shoulder pain, a clinical diagnosis is made by the physician	1 week
Ultrasound examination for diagnosis	Ultrasound examination is done in one week after Cyriax's functional examination for detailed shoulder pathology evaluation.	1 week

Collaborators and Investigators

• Sponsor: Shin Kong Wu Ho-Su Memorial Hospital
• Investigators: Principal Investigator: Lin-Fen Hsieh, M.D., Shin Kong Wu Ho-Su Memorial Hospital

Study record dates

Study Major Dates

• Study Start: March 1, 2014
• Primary Completion (Actual): June 1, 2015
• Study Completion (Actual): December 1, 2015

Study Registration Dates

• First Submitted: May 15, 2015
• First Submitted That Met QC Criteria: February 22, 2016
• First Posted (Estimate): February 23, 2016

Study Record Updates

• Last Update Posted (Actual): December 23, 2020
• Last Update Submitted That Met QC Criteria: December 22, 2020
• Last Verified: February 1, 2016

More Information

Terms related to this study

• Keywords: Ultrasound; Correlation; Cyriax's functional examination; Resisted test
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Joint Diseases; Musculoskeletal Diseases; Arthralgia; Shoulder Pain
• Other Study ID Numbers: 20140107R; SKH-8302-103-DR-37 (Other Grant/Funding Number: Shin Kong Wu Ho-Su Memorial Hospital)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided