Subacromial decompression surgery for, [3]. [6,7], First line treatment options for RCD include nonoperative management. The treatment principle of rotator cuff tears is to reduce pain and improve the function of shoulder joint. circadian rhythm Clipboard, Search History, and several other advanced features are temporarily unavailable. Shoulder disorders in the elderly: a community survey. True Frozen Shoulder can also respond poorly to conservative therapies; however some cases mis-diagnosed as Frozen Shoulder are actually rotator cuff impingement and can be treated successfully with acupuncture. Some error has occurred while processing your request. 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. 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]. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. 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). diabetes 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]. 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. 1 The most prevalent cause (approx. low back pain [4]. bThe Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China. Stock Market | About Us - The San Diego Union-Tribune These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. 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). Unauthorized use of these marks is strictly prohibited. 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. [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. Evid Based Complement Alternat Med 2019;2019:2010816. For more information, please refer to our Privacy Policy. Rotator Cuff Pain: Treatment, Symptoms, Causes, and More - Verywell Health [8]. [6]. [1]. You may be trying to access this site from a secured browser on the server. The Authors. Would you like email updates of new search results? Gradual onset of pain, swelling and weakness at the side and front of the shoulder and upper arm, made worse by overhead motions such as reaching and throwing. acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. 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. Key points about rotator cuff injury. Page MJ, Green S, Mrocki MA, et al. [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. Acupuncture for Shoulder Pain from Rotator Cuff Syndrome This systematic review would provide updated evidence of various types of acupuncture and manual therapy specifically focuses on its effectiveness and safety for patients with rotator cuff tears. Please try after some time. Published by Wolters Kluwer Health, Inc. In some cases, however, people with rotator cuff injuries . Each outcome will be calculated with 95% confidence intervals. Previous systematic reviews have not assessed acupuncture and manual therapy for rotator cuff tears together. Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. 1. diagnosis of the study population (i.e., rotator cuff tear or without tear). We will not perform funnel plots to assess the reporting bias due to the lack of sufficient studies (fewer than 10). The relative safety of acupuncture for shoulder pain makes it worthy of trying in almost all cases. The detailed process of study selection will be shown in a PRISMA flow diagram (Fig. [13]. Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. Rotator Cuff Injury | Johns Hopkins Medicine We will include randomized controlled trials (RCTs) of acupuncture treatment for pain and dysfunction caused by rotator cuff tears. Background: Shoulder pain is a common musculoskeletal disorder. [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. Stand facing a wall at a distance of about three-quarters of an arm's length away. 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. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. exercise Jancuska J, Matthews J, Miller T, et al. Accessibility The results of this review will be disseminated through peer-reviewed journal articles or conference presentations. The weighted mean difference will be used for the same scale or the same assessment instrument; standard mean difference will be used for different assessment tools. If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. We will include randomized controlled trials of acupuncture for RCD. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Registration number 10.17605/OSF.IO/M3NKV. allergies 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. No studies were excluded on the basis of outcome measure used. 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. Your message has been successfully sent to your colleague. Supplemental digital content is available for this article. liver qi stagnation skin & beauty Supplemental digital content is available for this article. Acupuncture Treatment of Shoulder Impingement Syndrome 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's the one right on the outer side of the hip / buttock. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. Some error has occurred while processing your request. Introduction. Acupotomy therapy for shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. One common shoulder injury is a rotator cuff tear. 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. Acupuncture Points: Charts and Meanings - Won Institute Dr. Ted offers insights and tips about how to remain calm and healthy. [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. My answer? The authors have no conflicts of interest to disclose. Relief from Rotator Cuff Injuries Using Acupuncture 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. Learn about acupressure for a rotator cuff injury with help from a doctor of. 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. Pain and disability may become chronic. PRISMA flow diagram of study selection. RCTs in English and Chinese will be included in the review. 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. If you've experienced a rotator cuff injury, one method of relieving the pain is by trying acupressure. Acupuncture is also an effective treatment as an adjunct or alternative option to surgery. energy We referred to the Cochrane Handbook for Systematic Reviews of Interventions for detailed description of the assessment of risk of bias. Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. (rotator cuff impingement, shoulder bursitis). [8,9] The mechanism of acupuncture treatment has not been fully elucidated. doi: 10.1097/MD.0000000000018716. Choi, Seoyoung KMDa; Kim, Kun Hyung KMD, PhDa,b,, aDepartment of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital. Highlight selected keywords in the article text. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. FHY and HL will extract information from the included studies and enter into the electronic database. Medicine. After removing duplicates, they will then use the full-text articles to determine which papers will finally be included in the review. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. Chard MD, Hazleman R, Hazleman BL, et al. 2020 Jan;99(2):e18716. Please enable scripts and reload this page. Minimize overhead activity, especially repetitive or forceful motions, Maintain good posture (shoulder blades down and back, chin tucked in, spine kept upright), especially when working at computers, Cold may be applied following acute injury, or heat for chronic pain. How to cite this article: Choi S, Kim KH. For crossover trials, data are extracted from the first period only, to avoid potential carryover effects. The rotator cuff comprises four muscles, listed below, each with a tendon that attaches on the humerus. cancer depression Fluctuations in your hormones, such as dropping estrogen levels, can result in symptoms such as night sweats, insomnia, hot, Read More Perimenopause Causes Pain: Acupuncture Can HelpContinue, According to the National Institute of Healthit is estimated that some 50-70 million Americans suffer from sleep or wakefulness disorders causing nearly $50B in lost productivity and upwards of 5000 car crashes. An official website of the United States government. sharing sensitive information, make sure youre on a federal The needles were applied to the area of the injured shoulder while the patient was lying in a lateral decubitus position on the stretcher. Management of common musculoskeletal problems: a survey of Ontario primary care physicians. LF and CYB will screen full copies of the remaining studies after the title and abstract selection. There are 2 main causes of rotator cuff tears: injury and degeneration. 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. 1) The supraspinatus. -, Jancuska J, Matthews J, Miller T, et al. 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. 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. CMAJ 1998;158:103740. The objective of this systematic review is to evaluate the effectiveness and safety of acupuncture for managing symptoms in patients with RCD. Eligible manual therapy interventions include mobilization, manipulation and massage. 1. 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 . 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). Please try after some time. This work was supported by the NSFC (Natural Science Foundation of China) (grant number 81804203), Sichuan Science and Technology Program (grant number 2015SZ0096), and Chengdu University of Traditional Chinese Medicine Science and Technology Development Fund (grant number YYZX1619). 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. Trigger point acupuncture can be an effective way to release the infraspinatus muscle and improve your movement. [8]. You may search for similar articles that contain these same keywords or you may [5], Although the exact mechanisms are unknown, the pathogenesis of RCD has been attributed to both intrinsic and extrinsic mechanisms. [9]. Surgeons and their patients are increasingly using alternative methods, such as relaxation techniques and acupuncture, to supplement conventional medicine. How do Acupuncturist Choose Acupuncture Points Guyatt GH, Oxman AD, Schunemann HJ, et al. orthopedics -, Rhon DI, Boyles RB, Cleland JA. Acupuncture or Moxibustion for Rotator Cuff Tear? 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. 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. For all outcomes, we will carry out analyses, and both per-protocol analysis and intention-to-treat analysis will be accepted. 2016 Jun 10;2016(6):CD012224. 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). 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. Electric stimulation combined with acupuncture . Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. garlic Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. Hold the stretch for 15 to 20 seconds. . Orthop J Sports Med 2018;6:2325967118797891. Management of rotator cuff tears in the elderly population. 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. There is evidence that supports the effectiveness and safety of acupuncture for chronic musculoskeletal conditions, including shoulder pain. 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). 2020 Oct 30;40(10):1513-1517. doi: 10.12122/j.issn.1673-4254.2020.10.19. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. 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]). Evidence quality will be rated high, moderate, low or very low according to the Grading of Recommendations Assessment, Development and Evaluation rating standards. There are two main types of rotator cuff tears: acute and degenerative. This acupressure point is great for everything involving your head. doi: 10.1097/MD.0000000000021748. cardiovascular PRISMA flow diagram of study selection. With the affected arm, reach out and touch the wall at about waist level. [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. We will use Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen) to carry out statistical analysis. Next the acupuncturist identifies what channels are affected. 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). ginger It is also unlikely to work alone - it is best used in conjunction with other therapies. Acute tears are typically traumatic in nature and result from a fall with an outstretched arm are lifting something too heavy. 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. Symptoms can include weakness in the arm and throbbing pain while sleeping. Find this point on the front side of the forearm, about three inches below the elbow. Manual therapy and exercise for rotator cuff disease. Preferred reporting items for. Shoulder Pain-rotator cuff injuries and how acupuncture helps Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. [1-4] BOOK AN APPOINTMENT. We will check the reference lists of the included studies and relevant reviews and, if necessary, contact researchers in the field of RCD to identify additional trials. Dry Needling vs Acupuncture: Benefits and Risks - Healthline Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. The Rotator Cuff (RC) is a common name for the group of 4 distinct muscles and their tendons, which provide strength and stability during motion to the shoulder complex. Western Acupuncture (Dry Needling) In Chelmsford -, Glazier RH, Dalby DM, Badley EM, et al. Search for Similar Articles 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. For the purposes of this review, acupuncture intervention will be defined as: A needle stimulation that elicits deqi sensation by penetrating the skin. Jancuska J, Matthews J, Miller T, et al. 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. Most p, Everyone longs for a good nights sleep. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. The Best Electro-Acupuncture Strategy For Shoulder Pain & Dysfunction Open Science Framework Preregistration. Injured muscles such as those found in this location of the shoulder often contract and knot up, which pinches nerves and prevents much-needed blood and lymphatic fluids from reaching the area. [3] In practice, people with rotator cuff tears seldom receive a single intervention in isolation. 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.
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