However, evidence regarding the efficacy of acupuncture for shoulder pain is inconsistent, and there is a lack of supporting evidence . Management of common musculoskeletal problems: a survey of Ontario primary care physicians. [8]. Hold the stretch for 15 to 20 seconds. Another recent study of acupuncture for shoulder impingement syndrome in Family Practice found benefits comparable to cortico-steroid injection. [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. acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. Dry needling in a multimodal rehabilitation protocol following rotator The results of a review that provide systematically view and evidence of acupuncture and manual therapy for Rotator cuff tears for clinical practice and further research, and it will be disseminated through peer-reviewed journal articles or conference presentations. [7]. allergies 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]. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. BMJ 2015;350:g7647. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. A repetitive tear may be caused by overuse, lack of blood supply or a bone spur fraying the tendon. 2018 Jan 26;8(1):e015461. 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. My answer? Follow Peninsula Acupuncture onFacebookandInstagram. Provenance and peer review was not commissioned; externally peer reviewed. BMJ Open. There is evidence that supports the effectiveness and safety of acupuncture for chronic musculoskeletal conditions, including shoulder pain. It most often occurs from repetitive actions, like throwing a ball, lifting, or even sitting at a computer. migraine Our review will include all patients with a definite diagnosis or provisional diagnosis of RCD. Different units of analysis will be planned to be subjected to a sensitivity analysis. 1). You may search for similar articles that contain these same keywords or you may For each item, risk of bias will be graded as high, low, or unclear. Guyatt GH, Oxman AD, Schunemann HJ, et al. [6]. Next the acupuncturist identifies what channels are affected. 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).. Minagawa H, Yamamoto N, Abe H, et al. 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. In some cases, however, people with rotator cuff injuries . 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). For each aspect, the trial will be rated as high, low risk, or unclear of bias. For more information, please refer to our Privacy Policy. We will include randomized controlled trials of acupuncture for RCD. Birch S, Lee MS, Alraek T, et al. [5]. manifesting We will contact the authors in China via telephone, and authors from elsewhere via email to obtain missing data, if necessary. to maintaining your privacy and will not share your personal information without Acupoints selected for this treatment consist of local and distal acupoints. A meta-analysis will be performed using RevMan software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen). Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. 2020 Aug 14;99(33):e21748. First the acupuncturist asks the patient to identify the exact location of the pain. Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. There are four primary rotator cuff muscles, but the one that is most commonly injured . Wolters Kluwer Health 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. This systematic review would provide updated evidence of various types of acupuncture that specifically focuses on its effectiveness and safety for patients with RCDs. Methodology: Seoyoung Choi, Kun Hyung Kim. Page MJ, Green S, Mrocki MA, et al. 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). Methods: 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. Its clinical manifestations are neck and shoulder pain, shoulder weakness, and . 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. [2] The rotator cuff is composed of supraspinatus muscle, infraspinatus muscle, subscapularis muscle and teres minor muscle. Minagawa H, Yamamoto N, Abe H, et al. PRISMA flow diagram of study selection. How do Acupuncturist Choose Acupuncture Points Birch S, Lee MS, Alraek T, et al. [16]. These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. What Causes Rotator Cuff Injuries? If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. brain health RCT = randomized controlled trial, RCD =, [1]. One review author will search potentially relevant studies. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. Subacromial impingement syndrome: management challenges. Patients with a provisional diagnosis of RCD include patients who are assumed to have RCD based solely on history taking and physical examinations without radiological assessment. anxiety This acupressure point is great for everything involving your head. Health-related quality of life measured on validated scales such as Short-Form 36 (SF-36) Health Survey or EuroQoL EQ-5D. The kin, Having trouble sleeping? Rotator Cuff - Physiopedia Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Rotator cuff injuries | Alban Acupuncture . Orthop J Sports Med 2018;6:2325967118797891. cardiovascular 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]). 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. An official website of the United States government. 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. to maintaining your privacy and will not share your personal information without Local acupoints chosen for this treatment are Jianyu . 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. Cox J, Varatharajan S, Ct P. Optima Collaboration. We will exclude other methods of stimulating acupuncture points without needle insertion (such as laser stimulation or transcutaneous electrical stimulation). How can alternative medicines, like acupuncture, effect my mood? insomnia Prevalence of symptomatic and asymptomatic. Open tendon repair. bThe Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China. [8]. [16]. sharing sensitive information, make sure youre on a federal Shoulder pain is the third most common specific reason U.S. patients seek acupuncture treatment. 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. Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. Frontiers | Acupuncture for Atraumatic Shoulder Conditions: Protocol Jumpers knee? Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. 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. Highlight selected keywords in the article text. 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. Surgeons and their patients are increasingly using alternative methods, such as relaxation techniques and acupuncture, to supplement conventional medicine. They can occur from dysfunctional movements in the shoulder blade and arm that lead to wear and tear over time in the rotator cuff eventually causing a tear. In some situations, an open tendon repair may be a better option. Acupuncture for Rotator Cuff Symptoms - YouTube 1) The supraspinatus. Bethesda, MD 20894, Web Policies Randomized controlled trials that include patients with rotator cuff tears receiving acupuncture and manual therapy versus a control group will be included. Effectiveness and Safety of Adjunctive Pharmacopuncture to Acupuncture Please enable scripts and reload this page. There will be no restriction on age, gender, and ethnic origin. Published by Wolters Kluwer Health, Inc. For more information, please refer to our Privacy Policy. Acupuncture techniques with a plastic insertion tube was used to introduce every needle. Supplemental Digital Content is available for this article. Acupuncture and Rotator Cuff | AcuWiki Democratic Acupuncture 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). 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. [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. Data is temporarily unavailable. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. 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. In addition to the needles from acupuncture, moxibustion can also be used which may hasten recovery. Caution: patients with shoulder pain should be evaluated by a primary health care professional (physician or acupuncturist) prior to beginning a home exercise program. Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E. Cochrane Database Syst Rev. Combinations of Medical Subject Headings (MeSH) and text words will be used. Dry needling is a therapeutic technique that involves inserting thin needles into the skin and underlying tissues to release trigger points, improve muscular pain and dysfunction, and promote tissue healing. 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. Electric stimulation combined with acupuncture . Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture (rotator cuff impingement, shoulder bursitis). 1. diagnosis of the study population (i.e., rotator cuff tear or without tear). 2020;99:21(e20377). Choi, Seoyoung KMDa; Kim, Kun Hyung KMD, PhDa,b,, aDepartment of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital. This article focuses on alternative . The site is secure. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. Dry needling works by eliciting a twitch response in the muscle, which relaxes it and decreases pain. Open Science Framework Preregistration. PRISMA = the preferred reporting items, MeSH A combined approach to pain management is often the best option because it allows the surgeon to tailor pain control methods to each individual patient. Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. 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. Medicine. 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. Dr. Jeremy B. Steiner reveals the Best Electro-Acupuncture Strategy for Shoulder Pain & Dysfunction. We will include randomized controlled trials (RCTs) of acupuncture treatment for pain and dysfunction caused by rotator cuff tears. The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. 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. Vas J, Perea-Milla E, Mendez C, et al. [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. Each outcome will be calculated with 95% confidence intervals. Please call the clinic at 831-459-6762 or use our Request Appointment form. [Electro-acupuncture promotes repair of rotator cuff injury in rats]. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. [15]. Step 1: Identify the "sick" meridian. Acupuncture Treatment of Shoulder Impingement Syndrome Treatment can be surgical or non-surgical. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. Please enable scripts and reload this page. 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). [14]. Correspondence: Kun Hyung Kim, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Republic of Korea (e-mail: [emailprotected]). Search for Similar Articles It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. sciatica Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. This muscle has been mentioned above. Rhon DI, Boyles RB, Cleland JA. men's health The mechanisms of. 6. orthopedics 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. 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. [9,11,12] Methodological limitations of previous reviews, including the exclusion of studies that had reported their findings in languages other than English[12] or failure to register their reviews,[9] also calls for systematic reviews addressing such problems. There will be no restrictions related to setting or location. dietary supplements It is important to talk with your healthcare provider for a diagnosis. modify the keyword list to augment your search. If trials include a mixed population with shoulder diseases including RCD, we will try to retrieve the data for patients with RCD. You may be trying to access this site from a secured browser on the server. All the authors drafted and revised this study protocol and approved it for publication. immunity 1. Two authors will independently extract relevant data from each of the eligible studies using a standardized data extraction form. Crossword; Sudoku; Crossword; Sudoku; Obituaries Orthop J Sports Med 2018;6:2325967118797891. Supplemental digital content is available for this article. 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). Attrition rates, for example dropouts, losses to follow up, and withdrawals, will be investigated. Ann Intern Med 2014;161:1619. Management of rotator cuff tears in the elderly population. Acupuncture for Shoulder Pain from Rotator Cuff Syndrome The Authors. IntroductionShoulder pain is one of the most common musculoskeletal disorders among adults and is caused by a variety of shoulder conditions. Careers. If considerable heterogeneity (I2 > 75%) is observed, we will not meta-analyze the trials and will qualitatively synthesize the data. I list them below. Highlight selected keywords in the article text. Jancuska J, Matthews J, Miller T, et al. FOIA Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Hall ML, Mackie AC, Ribeiro DC. Proportion of patients who finally ended up receiving shoulder surgery. Both. We will contact the corresponding author to retrieve additional information if necessary. Rotator Cuff Pain: Treatment, Symptoms, Causes, and More - Verywell Health The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. blood sugar Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. 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. Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. Do this exercise 10 to 20 times per day. . (1) Health-related quality of life measured on validated scales such as short-form 36 health survey or EuroQol; (2) Patient global assessment of treatment outcomes, such as the patient global impression of change; (4) Active range of motion of shoulder joint; (5) Proportion of patients who finally ended up receiving shoulder surgery. Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. . Western Acupuncture (Dry Needling) In Chelmsford We will not perform funnel plots to assess the reporting bias due to the lack of sufficient studies (fewer than 10). [6]. The contact person or corresponding author will be contacted if basic information is missing for the risk of bias assessment. -. Acute tears are typically traumatic in nature and result from a fall with an outstretched arm are lifting something too heavy. Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. Chard MD, Hazleman R, Hazleman BL, et al. Acupuncture, applied at trigger points in the muscles of the shoulder and arm, can help unbind points of tension and relax the muscles. 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. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. your express consent. To do this we need to figure out which muscles are involved. CMAJ 1998;158:103740. Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). Relief from Rotator Cuff Injuries Using Acupuncture J Orthop 2013;10:812. 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]. Careful assessment of shoulder range-of-motion, muscle strength, and joint stability is essential to identify which acupuncture locations to use for maximum benefit. RCTs in English and Chinese will be included in the review. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. PRISMA flow diagram of study selection. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Registration: Open Science Framework (OSF) Preregistration. The popularity of different acupuncture methods in the nonsurgical treatment of shoulder pain has recently increased. Registration number 10.17605/OSF.IO/M3NKV. circadian rhythm 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). Acta Orthop 2014;85:31422. Can Acupuncture Help a Rotator Cuff Tear? | Breeze Academy Acupuncture for symptomatic rotator cuff disease Two review authors will independently perform the assessment of risk of bias regarding 7 domains. government site. J Manipulative Physiol Ther 2011;34:31446. Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis. We will search the EMBASE, the Cochrane Library, Ovid MEDLINE, PubMed, Web of Science, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, Wanfang Database, the Chongqing VIP, the US National Institute of Health, the NIH clinical registry Clinical Trials, the International Clinical Trials Registry Platform, the Australian New Zealand Clinical Trials Registry and the Chinese clinical registry, from their inception to April 1, 2020. The needles were applied to the area of the injured shoulder while the patient was lying in a lateral decubitus position on the stretcher. Ethical approval is not necessary as this review will not require data from individual patients. -, Chard MD, Hazleman R, Hazleman BL, et al. [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. -, Jancuska J, Matthews J, Miller T, et al. Rotator cuff tears is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. Alternative Methods to Help Manage Pain After Orthopaedic Surgery The needles were perpendicularly inserted to a depth of 2-3 cm. [15] However, it is still uncertain whether acupuncture is effective and safe for RCD, partially due to a lack of high quality primary studies and systematic reviews that specifically focus on RCD. doi: 10.1097/MD.0000000000021748. cortisol Search for Similar Articles Work disability, such as length or total days of sick leave. Shoulder Pain and Stiffness - Treating Infraspinatus Cochrane Database Syst Rev 2019;10:ED000142. Shoulder disorders in the elderly: a community survey. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Stock Market | About Us - The San Diego Union-Tribune
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