The most common actions taken at present to relieve the symptoms of rotator cuff tears include steroid injections, oral nonsteroidal anti-inflammatory drugs, physical therapy, exercise therapy, manual therapy, ultrasound therapy and acupuncture. First the acupuncturist asks the patient to identify the exact location of the pain. 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. Jancuska J, Matthews J, Miller T, et al. insomnia Ethical approval is not necessary as this review will not require data from individual patients. Pain intensity measured on validated scales, such as the visual analogue scale (VAS) or numeric rating scale (NRS), within 12 weeks. Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis. Data is temporarily unavailable. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. Ann Intern Med 2014;161:1619. [6]. Two reviewers will use the Grading of Recommendations Assessment, Development and Evaluation system to independently assess the quality of evidence for each outcome. Minagawa H, Yamamoto N, Abe H, et al. The .gov means its official. Your message has been successfully sent to your colleague. Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. The searching strategy of PubMed is presented in Supplemental Digital Content (Appendix 1, https://links.lww.com/MD/E265). What Causes Rotator Cuff Injuries? We will include randomized controlled trials (RCTs) of acupuncture treatment for pain and dysfunction caused by rotator cuff tears. 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. Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. If trials include a mixed population with shoulder diseases including RCD, we will try to retrieve the data for patients with RCD. [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. [6] Manual therapy is also commonly used in the management of rotator cuff tears. cardiovascular . Treatment for this disorder consist of 12 treatments for six weeks. [3] In practice, people with rotator cuff tears seldom receive a single intervention in isolation. Rotator cuff tears is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. We referred to the Cochrane Handbook for Systematic Reviews of Interventions for detailed description of the assessment of risk of bias. Surgeons and their patients are increasingly using alternative methods, such as relaxation techniques and acupuncture, to supplement conventional medicine. However, evidence regarding the efficacy of acupuncture for shoulder pain is inconsistent, and there is a lack of supporting evidence . The mechanisms of. Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. Bialosky JE, Bishop MD, Price DD, et al. [4] RCD increases in prevalence with age and is more prevalent among participants who repetitively use arms in overhead motions (e.g., swimming and tennis). Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E. Cochrane Database Syst Rev. [5]. modify the keyword list to augment your search. meditation Introduction. 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. When we talk about alternative medicine, we are talking about a very broad range of disciplines including, but not limited to, homeopathy, chiropractic, acupuncture, herbs, and ayurvedic medicine. The authors have no conflicts of interest to disclose. Other causes include aging and weakening of the tendons and injuries to the shoulder. (rotator cuff impingement, shoulder bursitis). Our review will include all patients with a definite diagnosis or provisional diagnosis of RCD. Methods: A third review author will resolve disagreements. It will help loosen up stiff neck muscles and reduce neck pain. A systematic summary of systematic reviews on the topic of the rotator cuff. Orthop Res Rev 2018;10:8391. 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 . 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. Please call the clinic at 831-459-6762 or use our Request Appointment form. The authors have no conflicts of interest to disclose. 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. There are two main types of rotator cuff tears: acute and degenerative. How can alternative medicines, like acupuncture, effect my mood? Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). Pain and disability may become chronic. Please try again soon. [8]. The quality of the included trials will be evaluated by 2 reviewers using the Cochrane Collaboration's tool. . 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. [6]. Dichotomous data will be investigated by using a risk ratio with 95% CIs. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. Effect sizes were calculated and combined in a pooled analysis if the study end-points population and intervention were homogenous. Ethical approval is not necessary as this review will not require data from individual patients. energy Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. Orthop J Sports Med 2018;6:2325967118797891. Please note: the following is for informational and education purposes, and is not intended as a substitute for professional diagnosis and treatment. [7] Manual therapy includes any clinician-applied movement of the joints and other structures, for example mobilization (of which several types exist) or manipulation. Acupuncture, applied at trigger points in the muscles of the shoulder and arm, can help unbind points of tension and relax the muscles. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. 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). 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. Overview of treatment guidelines and clinical practical guidelines that recommend the use of. 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). Games, Puzzles, and Crossword. Dr. Ted offers insights and tips about how to remain calm and healthy. Ethics and dissemination: Registration: Open Science Framework (OSF) Preregistration. Another recent study of acupuncture for shoulder impingement syndrome in Family Practice found benefits comparable to cortico-steroid injection. Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. [10]. Cochrane Database Syst Rev 2019;10:ED000142. 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. Happily, that trend seems to be changing. -. If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. 2020 Aug 14;99(33):e21748. Some studies have pointed out that the mechanism of acupuncture and moxibustion treatment may be related to the local effect, which refers to the release of neuropeptide and other substances by stimulating the sensory nerve endings of skin and muscle tissue. (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. We will contact the authors in China via telephone, and authors from elsewhere via email to obtain missing data, if necessary. Cumpston M, Li T, Page MJ, et al. Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). When acupuncture was provided along with other active treatments for the acupuncture group, the same active treatment had to be given to control groups in order for the trial to be included. Shoulder pain is the third most common specific reason U.S. patients seek acupuncture treatment. It is also unlikely to work alone - it is best used in conjunction with other therapies. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. It is important to talk with your healthcare provider for a diagnosis. The patient points to the low back area on the right side. Learn about acupressure for a rotator cuff injury with help from a doctor of. Background: We will use Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen) to carry out statistical analysis. Federal government websites often end in .gov or .mil. 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. sleep 2020;99:2(e18716). Bethesda, MD 20894, Web Policies Medicine. 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).. doi: 10.1002/14651858.CD012224. [2]. may email you for journal alerts and information, but is committed exercise 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. If there is more than 1 outcome measurement in the same time frame, we will extract the last measurement data within the time frame. Patient global assessment of treatment outcomes, such as the Patient Global Impression of Change (PGIC). to maintaining your privacy and will not share your personal information without The contact person or corresponding author will be contacted if basic information is missing for the risk of bias assessment. doi: 10.1136/bmjopen-2016-015461. HT, FL, and HF contributed equally to this article. -, Rhon DI, Boyles RB, Cleland JA. Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. modify the keyword list to augment your search. echinacea Shamseer L, Moher D, Clarke M, et al. 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]. How to cite this article: Choi S, Kim KH. Trigger Point acupuncture on patient experiencing symptoms like a rotator cuff injury. Disclaimer. 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. cbd Medicine (Baltimore). Abbreviation: RCT = randomized controlled trials. These muscles work together to stabilize the joint, rotate the shoulder and move the arm. skin & beauty Supplemental Digital Content is available for this article. [9]. Arthritis Rheum 1991;34:7669. Multiple treatment groups in a trial will be combined into a single pairwise comparison. Acupuncture has been used for a number of conditions for thousands of years. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. J Clin Epidemiol 2011;64:3802. Prevalence of symptomatic and asymptomatic. Acta Orthop 2014;85:31422. Work disability, such as length or total days of sick leave. 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)). IntroductionShoulder pain is one of the most common musculoskeletal disorders among adults and is caused by a variety of shoulder conditions. 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. blood sugar Cox J, Varatharajan S, Ct P. Optima Collaboration. I believe this is because the shoulder is mostly composed of muscles and tendons, and . The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. weight loss Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. Search for Similar Articles Registration: Quality assessment will be performed using the Cochrane risk of bias tool. diabetes In some cases, however, people with rotator cuff injuries . 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. 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. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. Supplemental digital content is available for this article. [8]. Subacromial decompression surgery for, [3]. In my practice, I see first-hand the, Read More Finding & Treating the Causes of InsomniaContinue, PMS Pre-menstrual Syndrome and Pre-menstrual Dysphoric Disorder are two conditions on the same continuum, with PMDD being the more severe of the two. There are four primary rotator cuff muscles, but the one that is most commonly injured . Key points about rotator cuff injury. Home exercises performed without professional diagnosis and supervision may not yield intended results and may have adverse consequences. A third review author will resolve disagreements. There will be no restriction on age, gender, and ethnic origin. [15]. This acupressure point is great for everything involving your head. Here are few more guidelines for when to consider surgery: Learn more about rotator cuff tears here at AAOS. Attrition rates, for example dropouts, losses to follow up, and withdrawals, will be investigated. 2016 Jun 10;2016(6):CD012224. We will try to contact the original investigators by email to request missing data. 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. In some situations, an open tendon repair may be a better option. Background: Shoulder pain is a common musculoskeletal disorder. Efficacy data will be synthesized and statistically analyzed by using Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen). Diercks R, Bron C, Dorrestijn O, et al. Ethical approval is not necessary as this study will not require data from individual patients. [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. nutrition 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. Previous systematic studies on shoulder pain have found that acupuncture has insufficient evidence support in improving shoulder joint diseases, partially due to a lack of high-quality primary studies. dietary supplements Acupuncture is a non-drug therapy being used more and more to treat shoulder pain. The Liver Governs Blood From a Chinese, Over the last ten years, it wouldve been much more likely for me to see a patient who had cancer in the past than to see a patient actively seeking to manage the side effects of treatment. For the purposes of this review, acupuncture intervention will be defined as: A needle stimulation that elicits deqi sensation by penetrating the skin. [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.
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