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

Overview

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.

Full Title of Study: “Correlation Between Cyriax’s Functional Examination and Ultrasound Examination in Patients With Shoulder Pain”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Cross-Sectional
  • Study Primary Completion Date: June 2015

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.

Interventions

  • 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

Arms, Groups and Cohorts

  • Shoulder pain group
    • The participants receive Cyriax’s functional examination after history taking, and will be examined by ultrasound in one week.
  • Without shoulder pain group
    • The participants receive Cyriax’s functional examination after history taking, and will be examined by ultrasound in one week.

Clinical Trial Outcome Measures

Primary Measures

  • 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.

Participating in This Clinical Trial

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.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 85 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Shin Kong Wu Ho-Su Memorial Hospital
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Lin-Fen Hsieh, M.D., Principal Investigator, Shin Kong Wu Ho-Su Memorial Hospital

Clinical trials entries are delivered from the US National Institutes of Health and are not reviewed separately by this site. Please see the identifier information above for retrieving further details from the government database.

At TrialBulletin.com, we keep tabs on over 200,000 clinical trials in the US and abroad, using medical data supplied directly by the US National Institutes of Health. Please see the About and Contact page for details.