Assuming you have had an MRI or a thorough orthopedic workup to rule out surgery, acupuncture can help in several ways: According the American Society of Orthopedic Surgeons (AAOS), continued pain is the main indication for surgery and when your pain does not improve with nonsurgical methods.. Highlight selected keywords in the article text. Previous systematic reviews have not assessed acupuncture and manual therapy for rotator cuff tears together. [3] In practice, people with rotator cuff tears seldom receive a single intervention in isolation. There will be no restrictions related to setting or location. I generally refer to orthopedic physicians for further evaluation if I suspect any of these conditions (while continuing to manage pain with acupuncture). Treatment for this disorder consist of 12 treatments for six weeks. We will contact the authors in China via telephone, and authors from elsewhere via email to obtain missing data, if necessary. Rotator cuff diseases (RCDs) are the most common underlying cause of shoulder pain, with estimates of prevalence ranging from 65% to 85% depending on the context and characteristics of the study population. cancer 1) The supraspinatus. Proportion of patients who finally ended up receiving shoulder surgery. The needles were applied to the area of the injured shoulder while the patient was lying in a lateral decubitus position on the stretcher. The treatment principle of rotator cuff tears is to reduce pain and improve the function of shoulder joint. Acupuncture techniques with a plastic insertion tube was used to introduce every needle. This acupressure point is great for everything involving your head. Trials in which acupuncture was compared with other forms of acupuncture or acupoint stimulation will be excluded. bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. Shoulder disorders in the elderly: a community survey. This systematic review would provide updated evidence of various types of acupuncture that specifically focuses on its effectiveness and safety for patients with RCDs. [10]. 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. A systematic summary of systematic reviews on the topic of the rotator cuff. No studies were excluded on the basis of outcome measure used. First the acupuncturist asks the patient to identify the exact location of the pain. 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. Provenance and peer review was not commissioned; externally peer reviewed. Shoulder pain or omalgia is one of the main types of osteoarticular pain that can be observed in every-day clinical practice and it is considered the third most common osteomuscular cause of medical consultation. [14] The 7 domains are as follows: random sequence generation, allocation concealment, blinding of participants, blinding of outcome assessors, incomplete outcome data, selective outcome reporting, and other sources of bias. An official website of the United States government. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Background: Shoulder pain is a common musculoskeletal disorder. Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. Chard MD, Hazleman R, Hazleman BL, et al. Medicine (Baltimore). 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. [8]. (rotator cuff impingement, shoulder bursitis). [14]. Project administration: Seoyoung Choi, Kun Hyung Kim. Open tendon repair. The dichotomous data will be presented as risk ratios with 95% CIs and the continuous data will be presented as weighted mean differences or standardized mean differences with 95% CIs. nutrition Home exercises performed without professional diagnosis and supervision may not yield intended results and may have adverse consequences. Herbal supplements can d, http://orthoinfo.aaos.org/topic.cfm?topic=a00406, Just a Few Sessions: You Can Dip In (and Out) of Acupuncture. You may be trying to access this site from a secured browser on the server. Disclaimer. [4]. These muscles work together to stabilize the joint, rotate the shoulder and move the arm. Methodology: Seoyoung Choi, Kun Hyung Kim. Keyword Highlighting [15]. [3]. Multiple treatment groups in a trial will be combined into a single pairwise comparison. Device: Acupuncture. Randomized controlled trials that include patients with rotator cuff tears receiving acupuncture and manual therapy versus a control group will be included. Shamseer L, Moher D, Clarke M, et al. I use local electroacupuncture treatment at acupuncture locations ("points") such at LI 14, 15, and 16; TW 14; and SI 10, 11, 12, . Choi, Seoyoung KMDa; Kim, Kun Hyung KMD, PhDa,b,, aDepartment of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital. doi: 10.1002/14651858.CD012224. For more information, please refer to our Privacy Policy. The popularity of different acupuncture methods in the nonsurgical treatment of shoulder pain has recently increased. Large Intestine Channel: LI4 - Located on the back side of the hand between the thumb and first finger, this point activates the immune system and helps pain, especially in the face. We will calculate 95% confidence intervals and two-sided P values for each outcome. 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. If considerable heterogeneity (I2>75%) is observed, we will not meta-analyze the trials and will qualitatively synthesize the data. HHS Vulnerability Disclosure, Help 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. If 1 of the primary outcome parameters demonstrated statistically significant differences between intervention groups, we will plan to use subgroup analyses. [17]. However, evidence regarding the efficacy of acupuncture for shoulder pain is inconsistent, and there is a lack of supporting evidence . The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. . Data sharing not applicable to this article as no datasets were generated or analyzed during the current study. J Manipulative Physiol Ther 2011;34:31446. to maintaining your privacy and will not share your personal information without Trigger point needling is especially effective in reducing pain caused by a rotator cuff injury. It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. Orthop J Sports Med 2018;6:2325967118797891. Glazier RH, Dalby DM, Badley EM, et al. Key points about rotator cuff injury. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. For all outcomes, we will carry out analyses, and both per-protocol analysis and intention-to-treat analysis will be accepted. Acupuncture is often used as the first line of treatment to help reduce pain and increase range of motion ahead of physiotherapy and exercise therapies. 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. Evidence quality will be rated high, moderate, low or very low according to the Grading of Recommendations Assessment, Development and Evaluation rating standards. [14]. 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]. 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). Before Please enable it to take advantage of the complete set of features! This work was supported by a Grant to Korean Medical Science Research Center for Healthy Aging from the National Research Foundation of Korean Government (2014R1A5A2009936). Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Acupuncture has been used to repair injured body sites as well as being able to help relieve pain. CMAJ 1998;158:103740. Presence of myofascial trigger points (MTrP) as a result of surgical procedure can aggravate postoperative shoulder pain. In my practice, I see first-hand the, Read More Finding & Treating the Causes of InsomniaContinue, PMS Pre-menstrual Syndrome and Pre-menstrual Dysphoric Disorder are two conditions on the same continuum, with PMDD being the more severe of the two. Kelly SM, Wrightson PA, Meads CA. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. I use local electro-acupuncture treatment at acupuncture locations (points) such at LI 14, 15, and 16; IM 14; and SI 10, 11, 12, 13, and 14, as well as extra point jianneiling. After removing duplicates, they will then use the full-text articles to determine which papers will finally be included in the review. We will exclude other methods of stimulating acupuncture points without needle insertion (such as laser stimulation or transcutaneous electrical stimulation). Highlight selected keywords in the article text. [9,11,12] The aim of the present systematic review is to assess the effectiveness and safety of a wide range of acupuncture techniques for managing symptoms in patients with RCD. Patients with unspecified shoulder pain with or without radiological evidence of RCDs will be included only if eligibility criteria or patient characteristics are deemed to be compatible with a diagnosis of RCD. Some systematic reviews have reported on various nonoperative treatments such as physical therapy, exercise therapy, manual therapy, corticosteroid or hyaluronate injection, analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), extracorporeal shockwave therapy, and acupuncture.[8,9]. Combinations of Medical Subject Headings (MeSH) and text words will be used. garlic http://creativecommons.org/licenses/by/4.0. Registration: Open Science Framework (OSF) Preregistration. Manual therapy and exercise for rotator cuff disease. In some situations, an open tendon repair may be a better option. Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. -. Pain intensity measured on validated scales, such as the visual analogue scale (VAS) or numeric rating scale (NRS), within 12 weeks. Two review authors will independently screen for titles and abstracts. Effects of dry needling trigger point therapy in the shoulder region on patients with upper extremity pain and dysfunction: a, [13]. The largest study of acupuncture treatment of shoulder pain to date (424 subjects), published in October 2010 in Pain, showed significant improvement in shoulder range-of-motion 3 months after treatment and documented: 65% response rate at 6 weeks compared with 24% with sham acupuncture and 37% with standard conservative orthopaedic treatmentChinese acupuncture is an effective alternative to orthopedic treatment of CSP (chronic shoulder pain).. What Causes Rotator Cuff Injuries? RCTs in English and Chinese will be included in the review. The rating results will be cross-checked and discrepancies resolved through discussions and the arbitration of a third reviewer. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. Your message has been successfully sent to your colleague. FOIA Ongoing trials with unpublished data will also be retrieved from the following clinical trial registries: the US National Institute of Health, the NIH clinical registry Clinical Trials. immunity Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. anxiety The Authors. 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). Jancuska J, Matthews J, Miller T, et al. Writing review & editing: Kun Hyung Kim. There is evidence that supports the effectiveness and safety of acupuncture for chronic musculoskeletal conditions, including shoulder pain. To address your, Read More Acupuncture can put you in a better moodContinue, Its not menopause that causes issues with womens health and well-being. Please try after some time. Search for Similar Articles liver qi stagnation Acupuncture is also an effective treatment as an adjunct or alternative option to surgery. Abbreviations: RCD = rotator cuff disease, PRISMA-P = Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols, RCTs = randomized controlled trials, VAS = visual analogue scale, NRS = numeric rating scale, CMS = Constant-Murley score, SPADI = Shoulder Pain and Disability Index, SDQ-NL = Dutch Shoulder Disability Questionnaire, DASH = Disabilities of the Arm, Shoulder and Hand, UCLA = University of California-Los Angeles, ASES = American Shoulder and Elbow Surgeons, SF-36 = Short-Form 36, PGIC = Patient Global Impression of Change, MeSH = Combinations of Medical Subject Headings, STRICTA = Standards for Reporting Interventions in Clinical Trials of Acupuncture, RR = risk ratio, SMD = standardized mean difference, GRADE = Grading of Recommendations Assessment, Development and Evaluation. Kidney Channel: KI3 - Located behind the inner ankle, this point treats asthma, insomnia, sore throat and lower back pain. I list them below. Patient global assessment of treatment outcomes, such as the Patient Global Impression of Change (PGIC). The searching strategy of PubMed is presented in Supplemental Digital Content (Appendix 1, https://links.lww.com/MD/E265). Manual therapy can stimulate peripheral mechanoreceptors and inhibit nociceptors to reducing pain, and can enhance exchange between synovial fluid and cartilage matrix to increasing joint mobility.[12]. See this image and copyright information in PMC. We will collect information on all outcomes for all periods of time assessed in the included studies, and we will then categories them as short-term (up to 3 months post-randomization), intermediate-term (up to 6 months post-randomization), and long-term (more than 6 months post-randomization). PRISMA flow diagram of study selection. We will try to contact the original investigators by email to request missing data. Introduction. [6,7], First line treatment options for RCD include nonoperative management. Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. . Effect sizes were calculated and combined in a pooled analysis if the study end-points population and intervention were homogenous. Ethical approval is not necessary as this review will not require data from individual patients. Acupuncture for treating acute ankle sprains in adults. Tang, Hongzhi MD, PhDa; Luo, Fei MBa; Fan, Huaying MDb; Huang, Li MBa; Liao, Shichuan MBa; Yu, Wenjing MMa; Chen, Yunbei MMa; Qin, Xuefei MMa,; Chen, Jiao MD, PhDb,, aOutpatient department of Sichuan orthopedic hospital. Jumpers knee? We define a definite diagnosis as a diagnosis of RCD that has been confirmed by both clinical assessments and diagnostic imaging (e.g., ultrasound, magnetic resonance imaging). Rotator cuff is an injury to the shoulder muscle and acupuncture is believed to be an effective treatment. Abstract Background: Rotator cuff disease (RCD) consists of subacromial impingement syndrome, rotator cuff tendinopathy or tendinitis, partial or full rotator cuff tear, calcific tendinitis, and subacromial bursitis. There are four primary rotator cuff muscles, but the one that is most commonly injured . -, Glazier RH, Dalby DM, Badley EM, et al. Clin Rehabil 2010;24:99109. Acta Orthop 2014;85:31422. Practice stretching and strengthening exercises for the shoulder joints. My answer? Patients with RCD accompanied by myofascial pain of the upper extremity will be included, as myofascial pain is a common comorbid condition in patients with chronic shoulder pain. Published by Wolters Kluwer Health, Inc. (1) Pain intensity (measured by validated scales, such as the visual analog scale or numeric rating scale); (2) Shoulder function (measured by validated scales, such as the Constant-Murley score, Shoulder Pain and Disability Index total scale, Dutch Shoulder Disability Questionnaire, Disabilities of the Arm, Shoulder and Hand score, University of California-Los Angeles Shoulder rating scale, or the American Shoulder and Elbow Surgeons rating scale). Minagawa H, Yamamoto N, Abe H, et al. CJ and HL will give analysis suggestions during data synthesis. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Acupotomy therapy for shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. modify the keyword list to augment your search. Eligible manual therapy interventions include mobilization, manipulation and massage. For more information, please refer to our Privacy Policy. 2016 Jun 10;2016(6):CD012224. Each outcome will be calculated with 95% confidence intervals. This site needs JavaScript to work properly. Post surgery, acupuncture, when used with the electric stimulation, can help stimulate tissue growth and generate muscle healing. If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. Happily, that trend seems to be changing. In some cases, however, people with rotator cuff injuries . When the studies assessed outcome variables at multiple time points, we will categorize the time frames of the included studies into short-term (up to 3 months post-randomization), intermediate-term (up to 6 months post-randomization), and long-term (more than 6 months post-randomization). Korean Medicine, including acupuncture and pharmacopuncture, is a part of conservative . Active range of motion of shoulder joint. Federal government websites often end in .gov or .mil. Open Science Framework Preregistration. The patient points to the low back area on the right side. The results of this review will be disseminated through peer-reviewed journal articles or conference presentations. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. Trials evaluating the primary or add-on effects of acupuncture and manual therapy, acupuncture alone, and manual therapy alone are eligible. The quality of evidence of a specific study will be assessed according to the risk of bias, inconsistency, indirectness, imprecision, publication bias, large effect, dose-response, and all plausible confounding. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. Read more to find out! Both. The good news is that acupuncture for rotator cuff tears can help reduce pain, inflammation, and speed healing. It correlates pretty well with the gluteus medius and gluteus minimus muscle trigger points. may email you for journal alerts and information, but is committed 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). women's health. You J, Yang F, Liu N, et al. Arthritis Rheum 1991;34:7669. 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. LI16: Jugu : On the shoulder girdle, in the depression between the acromial end of he clavicle and the spine of the scapula. [6]. Rotator cuff tears do not only happen during athletic activities. 2020 Jan;99(2):e18716. Follow Peninsula Acupuncture onFacebookandInstagram. Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. Patients are taking a much more active role in their care, Read More Using Acupuncture to Thrive During ChemotherapyContinue, Insomnia is one of the most common sleep disorders, with a prevalence of 40% in adults. 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. Ann Intern Med 2014;161:1619. Arthritis Rheum 1991;34:7669. There will be no restrictions related to setting or location. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. The rotator cuff comprises four muscles, listed below, each with a tendon that attaches on the humerus. Guyatt GH, Oxman AD, Schunemann HJ, et al. Please enable scripts and reload this page. Classifications are as follows: We will perform sensitivity analyses to determine whether the results have been influenced by trials where radiologic diagnosis of RCDs was not mentioned in the participant eligibility criteria, where measures of variance are missing, and where different methods of analysis were used (random-effects model or fixed-effect model). Step 1: Identify the "sick" meridian. Results of the quality assessment and rationale for the decisions will be presented in risk of bias tables, and will be used for grading the overall quality of evidence for each outcome. your express consent. Abbreviation: RCT = randomized controlled trials. Some error has occurred while processing your request. Background: THZ, LF, and FHY contributed to the conception and design of the study protocol. Cochrane Database Syst Rev 2019;10:ED000142. 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. From the inception dates to April 1, 2020, the following databases will be searched: EMBASE, the Cochrane Library, Ovid MEDLINE, PubMed, Web of Science, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, Wanfang Database, the Chongqing VIP. Press gently, just above the elbow, to stretch the shoulder. The objective of this systematic review is to evaluate the effectiveness and safety of acupuncture for managing symptoms in patients with RCD. Acupuncture can help but not heal a rotator cuff tear. These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. One review author will search potentially relevant studies. [2,6], The extrinsic theory hypothesizes that pressure damage occurs due to pathological contact between the rotator cuff and the acromion while lifting the arm. We will include randomized controlled trials of acupuncture for RCD. RCTs using single-blind, double-blind or open-label design will be included. 6. Correspondence: Xuefei Qin, Outpatient department of Sichuan orthopedic hospital, Chengdu city, Sichuan province, China (e-mail: [emailprotected]), Jiao Chen, The Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China (e-mail: [emailprotected]).
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