Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. It will help loosen up stiff neck muscles and reduce neck pain. For more information, please refer to our Privacy Policy. Results are presented separately for rotator cuff disease, adhesive capsulitis, full thickness rotator cuff tear and mixed diagnoses, and, where possible, combined in meta-analysis to indicate effect of acupuncture . Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. Electrotherapy modalities for. If considerable heterogeneity (I2>75%) is observed, we will not meta-analyze the trials and will qualitatively synthesize the data. Chard MD, Hazleman R, Hazleman BL, et al. LI15: Jianyu On the shoulder girdle, in the depression between the anterior end of ateral border of the acromion and the greater tubercle of the humerus. Device: Acupuncture. Chinese Medicine You may search for similar articles that contain these same keywords or you may Crossover randomized trials, if any, will be included, but only the pre-crossover data will be analyzed in order to avoid carryover effects. Pain intensity measured on validated scales, such as the visual analogue scale (VAS) or numeric rating scale (NRS), within 12 weeks. Manual therapy and exercise for rotator cuff disease. [7] Acupuncture is under consideration as a technique to be applied in Western medical practice for a great many complaints, especially for cases in which modern techniques are either of limited effectiveness or are unsuitable. Provenance and peer review was not commissioned; externally peer reviewed. They are also referred to as the SITS muscle, with reference to the first letter of their names ( Supraspinatus, Infraspinatus, Teres minor, and Subscapularis, respectively). [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. Registration: Open Science Framework (OSF) Preregistration. 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. There are four primary rotator cuff muscles, but the one that is most commonly injured . Data is temporarily unavailable. Post surgery, acupuncture, when used with the electric stimulation, can help stimulate tissue growth and generate muscle healing. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. Ethical approval is not necessary as this review will not require data from individual patients. doi: 10.1002/14651858.CD009065.pub2. Dr. Ted offers insights and tips about how to remain calm and healthy. Discussion: Two reviewers will use the Grading of Recommendations Assessment, Development and Evaluation system to independently assess the quality of evidence for each outcome. Please try after some time. 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. 1). Medicine. In some cases, however, people with rotator cuff injuries . Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. Another recent study of acupuncture for shoulder impingement syndrome in Family Practice found benefits comparable to cortico-steroid injection. menopause cbd 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. Medicine (Baltimore). echinacea The intrinsic theory describes degeneration in the rotator cuff tendon itself as a primary cause, leading to impingement and a loss of structural integrity. We will exclude other methods of stimulating acupuncture points without needle insertion (such as laser stimulation or transcutaneous electrical stimulation). Song W, Han X, Li K, Chen C, Wang H, Zheng X. Nan Fang Yi Ke Da Xue Xue Bao. A systematic summary of systematic reviews on the topic of the rotator cuff. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). You may be trying to access this site from a secured browser on the server. Cochrane Database Syst Rev 2019;10:ED000142. Subacromial decompression surgery for, [3]. 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)). Jumpers knee? We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. allergies 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]. Each of these medicines has within its constructs the ability to diagnose and treat disharmonies. For more information, please refer to our Privacy Policy. Trials evaluating the primary or add-on effects of acupuncture and manual therapy, acupuncture alone, and manual therapy alone are eligible. RCT = randomized controlled trial, RCD =, [1]. Shoulder pain is the third most common specific reason U.S. patients seek acupuncture treatment. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. 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. PRISMA = the preferred reporting items, MeSH Hall ML, Mackie AC, Ribeiro DC. CMAJ 1998;158:103740. Ethical approval is not necessary as this review will not require data from individual patients. [14] Level of evidence will be classified into 4 categories: high, moderate, low, or very low. http://creativecommons.org/licenses/by/4.0. Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. It helps restore health to your eyes, ears, nose, and throat. The https:// ensures that you are connecting to the Federal government websites often end in .gov or .mil. Bookshelf Key points about rotator cuff injury. 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. Rhon DI, Boyles RB, Cleland JA. I believe this is because the shoulder is mostly composed of muscles and tendons, and . Evidence quality will be rated high, moderate, low or very low according to the Grading of Recommendations Assessment, Development and Evaluation rating standards. Two review authors will independently perform the assessment of risk of bias regarding 7 domains. Eligible manual therapy interventions include mobilization, manipulation and massage. A third review author will resolve disagreements. 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. 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). 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_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). Shamseer L, Moher D, Clarke M, et al. [8,9] The mechanism of acupuncture treatment has not been fully elucidated. 2020;99:21(e20377). 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. Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). [7]. 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. 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. 2019, December 5. osf.io/n2e6t, Shoulder pain is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. doi: 10.1097/MD.0000000000021748. The popularity of different acupuncture methods in the nonsurgical treatment of shoulder pain has recently increased. Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. cancer 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. 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. Clin Rehabil 2010;24:99109. food allergies Finger walk. http://creativecommons.org/licenses/by/4.0. Relieves pain: Dry needling releases tight muscle tissue, decreases spasms and stimulates the body's natural pain relief system, providing . (rotator cuff impingement, shoulder bursitis). This systematic review would provide updated evidence of various types of acupuncture that specifically focuses on its effectiveness and safety for patients with RCDs. The rating results will be cross-checked and discrepancies resolved through discussions and the arbitration of a third reviewer. All the authors drafted and revised this study protocol and approved it for publication. Guyatt GH, Oxman AD, Schunemann HJ, et al. In this procedure, surgeons insert a tiny camera (arthroscope) and tools through small incisions to reattach the torn tendon to the bone. The relative safety of acupuncture for shoulder pain makes it worthy of trying in almost all cases. sleep Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E. Cochrane Database Syst Rev. Acupuncture for treating acute ankle sprains in adults. Follow Peninsula Acupuncture onFacebookandInstagram. Different units of analysis will be planned to be subjected to a sensitivity analysis. Page MJ, Green S, Mrocki MA, et al. [5]. The rotator cuff comprises four muscles, listed below, each with a tendon that attaches on the humerus. The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. I list them below. 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. The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. Keyword Highlighting Orthop Res Rev 2018;10:8391. Rotator cuff tendinitis is an injury that plagues athletes and non-athletes alike. [11,12,16] Moreover, various acupuncture techniques, which are increasingly used in East Asian settings, are not addressed in previous reviews, which imply the necessity of both clinical trials and systematic reviews that assess the effectiveness and the safety of such interventions for patients with RCDs. 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). 88 views, 4 likes, 0 loves, 0 comments, 3 shares, Facebook Watch Videos from ITeraCare - PRIFE International Chicago: What is iTeraCare? Tang H, Fan H, Luo F, Huang L, Liao S, Yu W, Chen Y, Chen J, Qin X. Careers. Registration number 10.17605/OSF.IO/M3NKV. [2] The rotator cuff is composed of supraspinatus muscle, infraspinatus muscle, subscapularis muscle and teres minor muscle. migraine Acupuncture Points Used for Rotator Cuff Tendinitis. Please enable scripts and reload this page. My answer? Supplemental digital content is available for this article. . Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. In particular, we will extract first author's name, year of publication, age, sex, duration of disease, sample size, number and type of centers, treated and analyzed, number of reasons for dropouts, duration of baseline, treatment, and follow-up, details of acupuncture treatments (such as selection of points, number, frequency, and duration of sessions), achievement of De-Qi (an irradiating feeling considered to indicate effective needling), number, training, and experience of acupuncturists, details of manual therapy, and the control interventions (sham technique, type, and dosage of drugs). . Ethical approval is not necessary as this review will not require data from individual patients. may email you for journal alerts and information, but is committed J Manipulative Physiol Ther 2011;34:31446. LF and CYB will screen full copies of the remaining studies after the title and abstract selection. Acupoints selected for this treatment consist of local and distal acupoints. Consigliere P, Haddo O, Levy O, et al. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Multiple treatment groups in a trial will be combined into a single pairwise comparison. [6] Manual therapy is also commonly used in the management of rotator cuff tears. If we do not succeed, we will exclude those trials. Surgeons and their patients are increasingly using alternative methods, such as relaxation techniques and acupuncture, to supplement conventional medicine. 1). [4]. Orthop J Sports Med 2018;6:2325967118797891. THZ, LF, and FHY contributed to the conception and design of the study protocol. bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. government site. Rotator cuff tears do not only happen during athletic activities. Bialosky JE, Bishop MD, Price DD, et al. Birch S, Lee MS, Alraek T, et al. Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis. 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). 2014 Jun 23;(6):CD009065. Open Science Framework Preregistration. You may search for similar articles that contain these same keywords or you may At a recent presentation to a group of physical therapists I was asked about acupunctures ability to treat shoulder injuries. 3 Prevalence and incidence of shoulder pain are reported to be . Practice stretching and strengthening exercises for the shoulder joints. Vas J, Perea-Milla E, Mendez C, et al. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. Introduction. PRISMA flow diagram of study selection. sciatica We will contact the first or corresponding authors via email and ask them to provide additional information if necessary. 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. Acupuncture for Rotator Cuff Injuries Assuming you have had an MRI or a thorough orthopedic workup to rule out surgery, acupuncture can help in several ways: Relieve muscle spasms in the joint area, thereby lessening the load on the joint. Prospective registration of this study has been approved by the Open Science Framework registries (https://osf.io/registries) with a registration number 10.17605/OSF.IO/M3NKV, and the protocol has been written following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols statement guidelines.[13]. [14]. [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. This point helps relieve headaches, vertigo, and neck problems. The needles were perpendicularly inserted to a depth of 2-3 cm. 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. -, Jancuska J, Matthews J, Miller T, et al. Correspondence: Kun Hyung Kim, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Republic of Korea (e-mail: [emailprotected]). Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. The results of this review will be disseminated through peer-reviewed journal articles or conference presentations. 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. 1 The most prevalent cause (approx. Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. Do this exercise 10 to 20 times per day. 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. ginger Micallef J, Pandya J, Low AK. Acupuncture is also an effective option in treating torn rotator cuff as an alternative to, or after, 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. Your message has been successfully sent to your colleague. 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. [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. Please enable it to take advantage of the complete set of features! Before [14]. These muscles work together to stabilize the joint, rotate the shoulder and move the arm. Acute tears are typically traumatic in nature and result from a fall with an outstretched arm are lifting something too heavy. [16]. Trigger Point acupuncture on patient experiencing symptoms like a rotator cuff injury. 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). The .gov means its official. PRISMA flow diagram of study selection. Trigger point acupuncture can be an effective way to release the infraspinatus muscle and improve your movement. doi: 10.1002/14651858.CD012224. Ann Intern Med 2014;161:1619. Rotator cuff tendonitis, bursitis and impingement are common causes of shoulder pain, particularly in middle-aged patients. Please enable scripts and reload this page. 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. Instead, perimenopause, the time leading up to the end of menstruation, can cause a whole host of problemsand it might last up to ten years. HT, FL, and HF contributed equally to this article. We will use funnel plots to evaluate reporting bias if we retrieve a minimum of 10 trials reporting the same outcome. Ethics and dissemination: modify the keyword list to augment your search. Dichotomous data will be investigated by using a risk ratio with 95% CIs. Rotator cuff is an injury to the shoulder muscle and acupuncture is believed to be an effective treatment. [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. [15]. manifesting Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system.

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