men's health There are no limitations on the methods of stimulation (e.g., electro-acupuncture, pharmacopuncture, thread-embedding therapy, acupotomy), points of stimulation (e.g., auricular points, scalp acupuncture points, tender points), types of needle, duration of treatment, or number of treatments. Most people want to know if acupuncture just treats the pain or actually helps injuries heal. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Classifications are as follows: We will perform sensitivity analyses to determine whether the results have been influenced by trials where radiologic diagnosis of Rotator cuff tears is not mentioned in the participant eligibility criteria, where measures of variance are missing, and where different methods of analysis are used (random-effects model or fixed effect model). We will include randomized controlled trials of acupuncture for RCD. Shamseer L, Moher D, Clarke M, et al. Overview of treatment guidelines and clinical practical guidelines that recommend the use of, [12]. What Causes Rotator Cuff Injuries? Data is temporarily unavailable. This article focuses on alternative . Registration: Open Science Framework (OSF) Preregistration. Previous systematic reviews for chronic shoulder pain observed considerable heterogeneity associated with a wide range of different diagnoses, which provide, at best, limited evidence for the effectiveness of acupuncture for RCDs. For each aspect, the trial will be rated as high, low risk, or unclear of bias. The weighted mean difference will be used for the same scale or the same assessment instrument; standard mean difference will be used for different assessment tools. While the only allopathic protocol is treat with hormones, TCM excels at addressing both the root cause as well as the symptoms of these conditions. The X's in the diagram are the location of the trigger points, and the red areas are the referral . Stand facing a wall at a distance of about three-quarters of an arm's length away. Acupuncture can help but not heal a rotator cuff tear. Shoulder pain is described in Traditional Chinese Medicine as stagnation or obstruction of the flow of qi and blood in the tendons and muscles of the Large Intestine, Small Intestine, and Internal Membrane acupuncture meridians. Shamseer L, Moher D, Clarke M, et al. women's health. Games, Puzzles, and Crossword. The aim of this review is to assess the effectiveness and safety of such interventions in patients with pain and dysfunction caused by rotator cuff tears. Background: Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). Shoulder Pain and Stiffness - Treating Infraspinatus Acupressure point for shoulder pain: LI10 (large intestine meridian). Trigger Point acupuncture on patient experiencing symptoms like a rotator cuff injury. . Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. The site is secure. Correspondence: Kun Hyung Kim, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Republic of Korea (e-mail: [emailprotected]). Improve blood flow to the tendon and muscle tissue accelerating the body's natural tissue healing response. Medicine. We will contact the first or corresponding authors via email and ask them to provide additional information if necessary. Acupuncture and manual therapy for rotator cuff tears: A - PubMed The following information will be extracted: study characteristics (e.g., design, authors, date of publication, country, language, sample size), participants (e.g., age, gender, severity of symptoms at baseline), acupuncture and control intervention (e.g., number of sessions, duration, acupuncture points), outcome measures, results of intervention, duration of follow-up assessments, funding, conflict of interest, and reported adverse effects. [7]. We will obtain full texts of all remaining references and the same 2 review authors will screen and exclude clearly irrelevant papers according to the selection criteria. Wolters Kluwer Health Registration: Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. Two review authors (THZ and LF) will independently screen all abstracts identified from the literature search, then exclude those that are clearly irrelevant (eg, studies focusing on other conditions, reviews, and so on). Please enable scripts and reload this page. fatigue and transmitted securely. emotional health Shoulder pain is the third most common specific reason U.S. patients seek acupuncture treatment. Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. Acupuncture Points Used for Rotator Cuff Tendinitis. Please try again soon. Dry Needling vs Acupuncture: Benefits and Risks - Healthline Tang H, Fan H, Luo F, Huang L, Liao S, Yu W, Chen Y, Chen J, Qin X. CJ and HL will give analysis suggestions during data synthesis. One-year outcome of subacromial corticosteroid injection compared with manual physical therapy for the management of the unilateral shoulder impingement syndrome: a pragmatic randomized trial. We will exclude studies that only compare different forms or methods of acupuncture (eg, transcutaneous electrical nerve stimulation) and compare acupuncture with any complementary and alternative therapies for which the efficacy is not yet established (eg, Chinese herbs). 6. We will try to contact the original investigators by email to request missing data. Our review will include all patients with a definite diagnosis or provisional diagnosis of RCD. Rhon DI, Boyles RB, Cleland JA. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. Clin Rehabil 2010;24:99109. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. Next the acupuncturist identifies what channels are affected. [10] However, previous systematic reviews of acupuncture for shoulder pain included heterogeneous shoulder disorders that might respond to given treatments differently based on the underlying pathophysiology, and these reviews did not completely address the role of acupuncture in the management of RCDs. Postural correction with scapular stabilization exercises, kinesiotaping and ergonomic modifications are often important to correct the underlying faulty biomechanics that put the shoulder at risk of injury. Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture The symptoms of a rotator cuff tear may resemble other conditions or medical problems. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.md-journal.com). The results of this will be published through peer-reviewed journal articles or conference presentations. . Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. Diercks R, Bron C, Dorrestijn O, et al. I believe this is because the shoulder is mostly composed of muscles and tendons, and acupuncture triggers powerful muscle relaxation/re-balancing, anti-inflammatory, and soft-tissue healing responses. Song W, Han X, Li K, Chen C, Wang H, Zheng X. Nan Fang Yi Ke Da Xue Xue Bao. These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. The search terms consist of 2 parts: rotator cuff disease (e.g., rotator cuff, impingement, subacromial) and acupuncture (e.g., acupuncture, electroacupuncture, needling, pharmacopuncture, embedding therapy, acupotomy). How to cite this article: Tang H, Luo F, Fan H, Huang L, Liao S, Yu W, Chen Y, Qin X, Chen J. Acupuncture and manual therapy for rotator cuff tears: a protocol for systematic review and meta analysis. Attrition rates, for example dropouts, losses to follow up, and withdrawals, will be investigated. Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E. Cochrane Database Syst Rev. Acupuncture and Rotator Cuff | AcuWiki Democratic Acupuncture The relative safety of acupuncture for shoulder pain makes it worthy of trying in almost all cases. Trigger point needling is especially effective in reducing pain caused by a rotator cuff injury. Acta Orthop 2014;85:31422. Abbreviation: RCT = randomized controlled trials. Acupuncture for Rotator Cuff Injuries - Peninsula Acupuncture The Liver Governs Blood From a Chinese, Over the last ten years, it wouldve been much more likely for me to see a patient who had cancer in the past than to see a patient actively seeking to manage the side effects of treatment. allergies Pain intensity measured on validated scales, such as the visual analogue scale (VAS) or numeric rating scale (NRS), within 12 weeks. Treatment is aimed at stopping pain, decreasing inflammation, and restoring range-of-motion and strength by moving qi and blood, clearing heat and obstruction, and draining dampness from the shoulder region. Shoulder function measured on validated scales, such as the CMS, SPADI total scale, SDQ-NL, DASH score, UCLA Shoulder rating scale, or the ASES rating scale, over 12 weeks. Frontiers | Acupuncture for Atraumatic Shoulder Conditions: Protocol I generally refer to orthopedic physicians for further evaluation if I suspect any of these conditions (while continuing to manage pain with acupuncture). BMJ Open. [14]. Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. Herbal supplements can d, http://orthoinfo.aaos.org/topic.cfm?topic=a00406, Just a Few Sessions: You Can Dip In (and Out) of Acupuncture. 2020 Oct 30;40(10):1513-1517. doi: 10.12122/j.issn.1673-4254.2020.10.19. Open tendon repair. Acupuncture for Shoulder Pain from Rotator Cuff Syndrome It is important to talk with your healthcare provider for a diagnosis. J Orthop 2013;10:812. Swelling of the bursa and thickening of the rotator cuff can push the tendon up into the bony arch of the scapular acromion, creating a vicious cycle of tendon injury that can eventually lead to complete tears of the rotator cuff. Chard MD, Hazleman R, Hazleman BL, et al. If an adequate number of studies are available, subgroup analysis will be performed to find possible sources of the heterogeneity. [4,5] Acupuncture and manual therapy usually delivered together as components of a physical therapy intervention, are commonly used in the management of rotator cuff tears. Trials in which acupuncture was compared with other forms of acupuncture or acupoint stimulation will be excluded. In addition to the needles from acupuncture, moxibustion can also be used which may hasten recovery. Acupuncture for rotator cuff injuries is a safe, noninvasive . A third review author will resolve disagreements. Two authors will independently extract relevant data from each of the eligible studies using a standardized data extraction form. Perimenopause Causes Pain: Acupuncture Can Help, Finding & Treating the Causes of Insomnia, Using Acupuncture to Thrive During Chemotherapy, Tennis elbow? Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. Home exercises performed without professional diagnosis and supervision may not yield intended results and may have adverse consequences. Injuries range from acute strains, swelling and bruising, to chronic inflammation and fibrotic thickening and weakening of the rotator cuff tendon. Find this point on the front side of the forearm, about three inches below the elbow. Clipboard, Search History, and several other advanced features are temporarily unavailable. Background: Shoulder pain is a common musculoskeletal disorder. Those are three of the, Symptoms are trying to tell you something. [16]. There are four primary rotator cuff muscles, but the one that is most commonly injured . neck pain We will search the following databases from their inception to November 30, 2019: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Allied and Complementary Medicine (AMED), Physiotherapy Evidence Database (PEDro), 3 Chinese databases (China Academic Journal Full-text Database (CAJ), China Doctoral Dissertations Full-text database and China Masters Thesis Full-text Database), 6 Korean databases (Korean studies Information Service System (KISS), National Digital Science Library (NDSL), Research Information Sharing Service (RISS), Korean Medical Database (KMBASE), Korea Institute of Science and Technology Information (KISTI), Oriental Medicine Advanced Searching Integrated System (OASIS)), and 3 trial registries (ClinicalTrials.gov, International Standard Randomized Controlled Trials Number (ISRCTN) Registry, WHO International Clinical Trials Registry Platform (ICTRP)). low back pain may email you for journal alerts and information, but is committed We will calculate 95% confidence intervals and two-sided P values for each outcome. Step 1: Identify the "sick" meridian. National Library of Medicine migraine Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. [13]. Quasi-randomized, non-randomized controlled trials, uncontrolled clinical trials (e.g., case studies), qualitative studies, and laboratory studies will be excluded. YWJ will check the accuracy and completeness of the data entry. sharing sensitive information, make sure youre on a federal Acupuncture for shoulder pain - PubMed Ethical approval is not necessary as this review will not require data from individual patients. Discussion: doi: 10.1002/14651858.CD012224. Vickers AJ, Vertosick EA, Lewith G, et al. The function of the rotator cuff is to support and stabilize the shoulder and humeral joint, maintain the sealing function of the shoulder joint cavity, maintain the synovial fluid to nourish the articular cartilage, and prevent the secondary osteoarthritis. Untreated or under-treated rotator cuff impingement can lead to complete tears of the rotator cuff, shoulder joint degeneration (arthritis), frozen shoulder, and neck and arm pain. Supplemental Digital Content is available for this article. Highlight selected keywords in the article text. [2,3] Subacromial pain syndrome is a comprehensive term, that describes non-traumatic shoulder problems with subacromial pain during abduction of the arm. The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. Management of common musculoskeletal problems: a survey of Ontario primary care physicians. The kin, Having trouble sleeping? FOIA 3 Prevalence and incidence of shoulder pain are reported to be . Supplemental digital content is available for this article. Arthritis Rheum 1991;34:7669. Please enable it to take advantage of the complete set of features! Page MJ, Green S, Mrocki MA, et al. Karjalainen TV, Jain NB, Page CM, et al. Ethical approval is not necessary as this review will not require data from individual patients. Bookshelf If we do not succeed, we will exclude those trials. Consigliere P, Haddo O, Levy O, et al. Medicine (Baltimore). The authors have no conflicts of interest to disclose. Prevalence of symptomatic and asymptomatic. We define that an I2 of less than 40% is low, 30% to 60% is moderate, 50% to 90% is substantial, and 75% to 100% is considerable.[14]. Treatment for this disorder consist of 12 treatments for six weeks. Proportion of patients who finally ended up receiving shoulder surgery. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. Gradual onset of pain, swelling and weakness at the side and front of the shoulder and upper arm, made worse by overhead motions such as reaching and throwing. It is also unlikely to work alone - it is best used in conjunction with other therapies. Please call the clinic at 831-459-6762 or use our Request Appointment form. Active range of motion of shoulder joint. Adult patients (aged 18 years) diagnosed with Rotator cuff tears will be included, with the symptoms of shoulder joint pain or dysfunction enrollment in the research. Please try again soon. orthopedics This systematic review would provide updated evidence of various types of acupuncture that specifically focuses on its effectiveness and safety for patients with RCDs. How to cite this article: Choi S, Kim KH. manifesting Bethesda, MD 20894, Web Policies We will extract details of the acupuncture treatment and control interventions on the basis of the revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA). We will exclude trials for patients having shoulder or arm pain due to systemic inflammatory conditions such as rheumatoid arthritis, fractures, adhesive capsulitis, osteoarthritis, hemiplegic shoulders, or myofascial pain of the upper extremity. There are two main types of rotator cuff tears: acute and degenerative. meditation Prospective registration of this study was approved by the Open Science Framework (OSF) registries (osf.io/n2e6t), and the protocol was written following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement guidelines[13]. Relieve muscle spasms in the joint area, thereby lessening the load on the joint. A random effects model will be used to calculate the pooled effect estimates, because substantial clinical heterogeneity is expected among the studies included in this review. Minagawa H, Yamamoto N, Abe H, et al. Kidney Channel: KI3 - Located behind the inner ankle, this point treats asthma, insomnia, sore throat and lower back pain. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Two review authors will independently screen for titles and abstracts. [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. For more information, please refer to our Privacy Policy. Two review authors (THZ and LF) will independently use a specially designed form to extract information on participants, methods, interventions, outcomes, and results. Acupuncture for Rotator Cuff Symptoms - YouTube In addition, it may help reduce muscle soreness during workouts. There are 2 main causes of rotator cuff tears: injury and degeneration. PRISMA flow diagram of study selection. If you've experienced a rotator cuff injury, one method of relieving the pain is by trying acupressure. However, evidence regarding the efficacy of acupuncture for shoulder pain is inconsistent, and there is a lack of supporting evidence . Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. Rehabilitation of An Analgesic Bracelet Based on Wrist-Ankle The aims of both types of interventions are to improve function, promote healing, increase joint range, strengthen weakened muscles and correct imbalance in the stabilizing function of the rotator cuff. depression Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Some other causes of shoulder pain may require additional treatment beyond acupuncture, including recurrent shoulder dislocation from large cartilage tears (TUBS lesions), severe joint degeneration, and complete rotator cuff tears. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. FHY and HL will extract information from the included studies and enter into the electronic database. CMAJ 1998;158:103740. shoulder pain IntroductionShoulder pain is one of the most common musculoskeletal disorders among adults and is caused by a variety of shoulder conditions. Be used in conjunction with an ongoing rehabilitation program, You have significant weakness and loss of function in your shoulder, Your tear was caused by a recent, acute injury. There is evidence that supports the effectiveness and safety of acupuncture for chronic musculoskeletal conditions, including shoulder pain. -, Glazier RH, Dalby DM, Badley EM, et al. exercise Crossover randomized trials, if any, will be included, but only the pre-crossover data will be analyzed in order to avoid carryover effects. Ann Intern Med 2014;161:1619. [15]. Background: The tears of rotator cuff is caused by the tears or aseptic inflammation of tendon tissue such as subscapular muscle, supraspinatus muscle, infraspinatus muscle, teres minor muscle, and so on, which make up the rotator cuff.