[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. You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search. Rotator cuff tears do not only happen during athletic activities. 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. The authors have no conflicts of interest to disclose. Some error has occurred while processing your request. Details of the search strategy for MEDLINE are available in Appendix, https://links.lww.com/MD/D572. Unauthorized use of these marks is strictly prohibited. sciatica The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. [2]. Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis. Distance consults available during Coronavirus. 1. diagnosis of the study population (i.e., rotator cuff tear or without tear). We will calculate 95% confidence intervals and two-sided P values for each outcome. On the back of the body, there are . Management of common musculoskeletal problems: a survey of Ontario primary care physicians. cardiovascular The needles were applied to the area of the injured shoulder while the patient was lying in a lateral decubitus position on the stretcher. doi: 10.1002/14651858.CD009065.pub2. acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. Electrotherapy modalities for. There are 2 main causes of rotator cuff tears: injury and degeneration. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Trials evaluating the primary or add-on effects of acupuncture and manual therapy, acupuncture alone, and manual therapy alone are eligible. Karjalainen TV, Jain NB, Page CM, et al. I list them below. [2,3] Subacromial pain syndrome is a comprehensive term, that describes non-traumatic shoulder problems with subacromial pain during abduction of the arm. The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. Overview of treatment guidelines and clinical practical guidelines that recommend the use of. Trials in which acupuncture was compared with other forms of acupuncture or acupoint stimulation will be excluded. National Library of Medicine First the acupuncturist asks the patient to identify the exact location of the pain. Search for Similar Articles However, evidence regarding the efficacy of acupuncture for shoulder pain is inconsistent, and there is a lack of supporting evidence . In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. dietary supplements Shoulder pain is a common complaint in outpatient clinics and can result in an inability to work or perform household activities, leading to significant socioeconomic burden. I believe this is because the shoulder is mostly composed of muscles and tendons, and . gan mao ling A wide range of acupuncture techniques as they are currently practiced was not fully reflected in the scope of the previous evidence, which implies an evidence-practice gap to be covered. After removing duplicates, they will then use the full-text articles to determine which papers will finally be included in the review. 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. Acupressure point for shoulder pain: LI10 (large intestine meridian). [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. Discussion: 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. hormones You J, Yang F, Liu N, et al. Bethesda, MD 20894, Web Policies 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).. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. 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). Multiple treatment groups in a trial will be combined into a single pairwise comparison. Follow Peninsula Acupuncture onFacebookandInstagram. The updated evidence that would be provided by this review will offer useful information for patients and practitioners, and also have implications for future studies and the development of clinical practice guidelines of RCD. Its clinical manifestations are neck and shoulder pain, shoulder weakness, and . 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). insomnia Acupuncture techniques with a plastic insertion tube was used to introduce every needle. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. Consequently, we decided to conduct a systematic review based on the best currently available evidence and methodology to evaluate whether acupuncture and manual therapy is effect and safety for pain and function of rotator cuff tears. Published by Wolters Kluwer Health, Inc. These muscles work together to stabilize the joint, rotate the shoulder and move the arm. 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. 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). How can alternative medicines, like acupuncture, effect my mood? Precise knowledge of shoulder orthopedic anatomy is necessary to safely and effectively stimulate these acupuncture points and the underlying muscles, tendons and ligaments to promote tissue healing effects. Micallef J, Pandya J, Low AK. This point helps relieve headaches, vertigo, and neck problems. [14] Six aspects (randomly generated sequence number, allocation concealment, blinding of participants and personnel, blinding of outcome assessment, incomplete outcome data, selective reporting, and other bias when required) will be assessed. 8600 Rockville Pike 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. We will use funnel plots to evaluate reporting bias if we retrieve a minimum of 10 trials reporting the same outcome. emotional health Santa Cruz Acupuncture Orthopedics and Sports Medicine Clinic, Acupuncture for Pain and Injuries in Santa Cruz, Scotts Valley, San Lorenzo Valley, Capitola since 2003, Acupuncture treatment of rotator cuff tendonitis, Evidence basis for acupuncture for rotator cuff tendonitis, My clinical experience with acupuncture for shoulder pain, Self-care and exercise for rotator cuff tendonitis, Risks of delayed or non-treatment of rotator cuff tendonitis, largest study of acupuncture treatment of shoulder pain, recent study of acupuncture for shoulder impingement syndrome, Acupuncture Orthopedics and Sports Medicine. The results of this will be published through peer-reviewed journal articles or conference presentations. Background: Shoulder pain is a common musculoskeletal disorder. It's the one right on the outer side of the hip / buttock. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. 88 views, 4 likes, 0 loves, 0 comments, 3 shares, Facebook Watch Videos from ITeraCare - PRIFE International Chicago: What is iTeraCare? doi: 10.1136/bmjopen-2016-015461. Before Please try again soon. The purpose of this protocol is to describe a randomized controlled trial design to evaluate the effect . Acupuncture for rotator cuff injuries is a safe, noninvasive . If there is more than 1 outcome measurement in the same time frame, we will extract the last measurement data within the time frame. You may be trying to access this site from a secured browser on the server. PRISMA flow diagram of study selection. PRISMA flow diagram of study selection. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. The Authors. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. According to the Cochrane Handbook for Systematic Reviews of Interventions, assessment of between-trial heterogeneity will be based on visual inspection of the forest plot, and more formally on the I2 statistic. 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). The mechanisms of. 2014 Jun 23;(6):CD009065. 1 The most prevalent cause (approx. [6] Manual therapy is also commonly used in the management of rotator cuff tears. THZ, LF, and FHY contributed to the conception and design of the study protocol. skin & beauty allergies The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. Open tendon repair. This acupressure point is great for everything involving your head. It helps restore health to your eyes, ears, nose, and throat. It is argued that poor regenerative properties within a zone of hypovascularity and repetitive stresses, which result in inflammatory changes, could be significant factors in the degeneration process. Quality assessment will be performed using the Cochrane risk of bias tool. The objective of this systematic review is to evaluate the effectiveness and safety of acupuncture for managing symptoms in patients with RCD. [5]. Birch S, Lee MS, Alraek T, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Here are few more guidelines for when to consider surgery: Learn more about rotator cuff tears here at AAOS. The detailed process of study selection will be shown in a the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols flow diagram (Fig. Combinations of Medical Subject Headings (MeSH) and text words will be used. Find this point on the front side of the forearm, about three inches below the elbow. Clin Rehabil 2010;24:99109. 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. Prevalence of symptomatic and asymptomatic. We will include randomized controlled trials (RCTs) of acupuncture treatment for pain and dysfunction caused by rotator cuff tears. Rotator cuff tendonitis, bursitis and impingement are common causes of shoulder pain, particularly in middle-aged patients. A third review author will resolve disagreements. 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). Previous systematic reviews have not assessed acupuncture and manual therapy for rotator cuff tears together. Device: Acupuncture. sleep I also find that some patients respond equally well or better to treatment of the related acupuncture zones/meridians on the calf and wrist, instead of locally. Eligible manual therapy interventions include mobilization, manipulation and massage. bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. Ethical approval is not necessary as this study will not require data from individual patients. The rotator cuff comprises four muscles, listed below, each with a tendon that attaches on the humerus. Orthop J Sports Med 2018;6:2325967118797891. We will not perform funnel plots to assess the reporting bias due to the lack of sufficient studies (fewer than 10). In anatomy, the rotor cuff is the group of muscles and their tendons that act to stabilize the shoulder and move the upper arm in a variety of directions. Acupotomy therapy for shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. Its incidence increases with age . 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]. Each of these medicines has within its constructs the ability to diagnose and treat disharmonies. Crossover randomized trials, if any, will be included, but only the pre-crossover data will be analyzed in order to avoid carryover effects. 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. [14]. [1-4] BOOK AN APPOINTMENT. Orthop Res Rev 2018;10:8391. Two review authors will independently screen for titles and abstracts. Symptoms can include weakness in the arm and throbbing pain while sleeping. The search strategy was developed and run by THZ, CJ, and QXF, who will also screen the title and abstract of the studies after running the search strategy. 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]. For all outcomes, we will carry out analyses, and both per-protocol analysis and intention-to-treat analysis will be accepted. The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. Tang H, Fan H, Luo F, Huang L, Liao S, Yu W, Chen Y, Chen J, Qin X. YWJ will check the accuracy and completeness of the data entry. The good news is that acupuncture for rotator cuff tears can help reduce pain, inflammation, and speed healing. Keyword Highlighting Acupuncture, applied at trigger points in the muscles of the shoulder and arm, can help unbind points of tension and relax the muscles. Cochrane Database Syst Rev 2019;10:ED000142. Orthop J Sports Med 2018;6:2325967118797891. The needles were perpendicularly inserted to a depth of 2-3 cm. Acupuncture is also an effective option in treating torn rotator cuff as an alternative to, or after, surgery. Would you like email updates of new search results? Registration number 10.17605/OSF.IO/M3NKV. We will exclude trials that include any participants with a history of significant trauma or systemic inflammatory conditions such as rheumatoid arthritis, osteoarthritis, hemiplegic shoulders, or pain in the shoulder region as part of a complex myofascial neck/shoulder/arm pain condition. Supplemental Digital Content is available for this article. Medicine (Baltimore). Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. Please enable scripts and reload this page. 3 Prevalence and incidence of shoulder pain are reported to be . anxiety The site is secure. 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 contact the corresponding author to retrieve additional information if necessary. [1] RCD is an umbrella term that refers to anatomical deformities, as well as symptoms and signs of rotator cuff pathologies, including subacromial impingement syndrome, rotator cuff tendinopathy or tendinitis, partial or full rotator cuff tear, calcific tendinitis, and subacromial bursitis. Useful but incomplete data will be obtained for data synthesis from the contact trial researcher. immune system Background: Acupuncture will be considered only of it involves needle insertion at acupuncture points, pain points, or trigger points, and had to be described as acupuncture. 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. Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. The treatment principle of rotator cuff tears is to reduce pain and improve the function of shoulder joint. The detailed process of study selection will be shown in a PRISMA flow diagram (Fig. Jumpers knee? 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. Get new journal Tables of Contents sent right to your email inbox, http://creativecommons.org/licenses/by/4.0, MD_2019_12_18_KIM_MD-D-19-09550_SDC1.docx; [Word] (14 KB), Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis, Articles in Google Scholar by Seoyoung Choi, KMD, Other articles in this journal by Seoyoung Choi, KMD, Comparison of MRI and MRA for the diagnosis of rotator cuff tears: A meta-analysis, The clinical effect of rehabilitation following arthroscopic rotator cuff repair: A meta-analysis of early versus delayed passive motion, Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: A meta-analysis of RCTs, Systemic immune-inflammation index (SII) is a useful prognostic indicator for patients with squamous cell carcinoma of the esophagus, Diabetes mellitus and prognosis in women with breast cancer: A systematic review and meta-analysis, Privacy Policy (Updated December 15, 2022). For more information, please refer to our Privacy Policy. Shamseer L, Moher D, Clarke M, et al. [10]. In some situations, an open tendon repair may be a better option. If you've experienced a rotator cuff injury, one method of relieving the pain is by trying acupressure. [3]. Careful assessment of shoulder range-of-motion, muscle strength, and joint stability is essential to identify which acupuncture locations to use for maximum benefit. We will resolve disagreements by discussion or with a third review author. [16] Effects of manual therapy may be similar to those of glucocorticoid injection and arthroscopic subacromial decompression, but this is also based on low quality evidence. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. [17]. (rotator cuff impingement, shoulder bursitis). 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. Arthritis Rheum 1991;34:7669. If an adequate number of studies are available, subgroup analysis will be performed to find possible sources of the heterogeneity. Hold the stretch for 15 to 20 seconds. We will use the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess the overall quality of the evidence for each main outcome with respect to the following domains: the risk of bias across studies, directness of evidence, heterogeneity, precision of effect estimates and risk of publication bias. It starts from the shoulder rib and attaches around the humeral head, forming a sleeve like structure at the anatomical neck of the humeral head. Get new journal Tables of Contents sent right to your email inbox, http://creativecommons.org/licenses/by/4.0, MD_2020_04_30_CHEN_MD-D-20-03478_SDC1.docx; [Word] (14 KB), Acupuncture and manual therapy for rotator cuff tears: A protocol for systematic review and meta analysis, Articles in PubMed by Hongzhi Tang, MD, PhD, Articles in Google Scholar by Hongzhi Tang, MD, PhD, Other articles in this journal by Hongzhi Tang, MD, PhD, The efficacy of Tai Chi for depression: A protocol for systematic review and meta-analysis, The comparative effectiveness of traditional Chinese medicine exercise therapies in elderly people with mild cognitive impairment: A protocol for a network meta-analysis, Discrimination between pain and contracture in limited passive motion patients with rotator cuff tear: A STROBE-compliant cross-sectional study, Arthroscopic labral debridement versus labral repair for patients with femoroacetabular impingement: A meta-analysis, Effectiveness of supervised early exercise program in patients with arthroscopic rotator cuff repair: Study protocol clinical trial, Privacy Policy (Updated December 15, 2022). [Electro-acupuncture promotes repair of rotator cuff injury in rats]. Search for Similar Articles [16]. 1) The supraspinatus. There will be no restrictions related to setting or location. According to the Cochrane Handbook for Systematic Reviews of Interventions, assessment of between-trial heterogeneity will be based on visual inspection of the forest plot, and more formally on the I2 statistic. 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. Project administration: Seoyoung Choi, Kun Hyung Kim. 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. [7]. RCTs using single-blind, double-blind or open-label design will be included. Acupuncture has been used for a number of conditions for thousands of years. Korean Medicine, including acupuncture and pharmacopuncture, is a part of conservative . In addition, it may help reduce muscle soreness during workouts. A meta-analysis will be performed using RevMan software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen). Management of common musculoskeletal problems: a survey of Ontario primary care physicians. 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. 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). The research shows that acupuncture can promote the release of -endorphin[10] and increase the concentration of 5-hydroxytryptamine in brain tissue,[11] so as to reduce the sensitivity of tissue to pain and improve joint activity. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Open Science Framework Preregistration. 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]. Hall ML, Mackie AC, Ribeiro DC. Glazier RH, Dalby DM, Badley EM, et al. 2016 Jun 10;2016(6):CD012224. Methods: At a recent presentation to a group of physical therapists I was asked about acupunctures ability to treat shoulder injuries. In some cases, however, people with rotator cuff injuries . Please call the clinic at 831-459-6762 or use our Request Appointment form. 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. Dry needling works by eliciting a twitch response in the muscle, which relaxes it and decreases pain. [4]. [13]. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). PRISMA flow diagram of study selection. Post surgery, acupuncture, when used with the electric stimulation, can help stimulate tissue growth and generate muscle healing.

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