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. 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). Acupuncture has been used for a number of conditions for thousands of years. Two reviewers will use the Grading of Recommendations Assessment, Development and Evaluation system to independently assess the quality of evidence for each outcome. skin & beauty [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. Cumpston M, Li T, Page MJ, et al. There will be no restrictions related to setting or location. Symptoms can include weakness in the arm and throbbing pain while sleeping. Brantingham JW, Cassa TK, Bonnefin D, et al. Trials in which acupuncture was compared with other forms of acupuncture or acupoint stimulation 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]). 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. It correlates pretty well with the gluteus medius and gluteus minimus muscle trigger points. You may search for similar articles that contain these same keywords or you may 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. If 1 of the primary outcome parameters demonstrated statistically significant differences between intervention groups, we will plan to use subgroup analyses. Effect sizes were calculated and combined in a pooled analysis if the study end-points population and intervention were homogenous. gan mao ling 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]. Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. 2014 Jun 23;(6):CD009065. Data is temporarily unavailable. Acupuncture for rotator cuff injuries is a safe, noninvasive . Kelly SM, Wrightson PA, Meads CA. The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. [8,9] The mechanism of acupuncture treatment has not been fully elucidated. 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. Local acupoints chosen for this treatment are Jianyu . (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. Device: Acupuncture. Dry needling is a modern treatment designed to ease muscular pain. We will include randomized controlled trials (RCTs) of acupuncture treatment for pain and dysfunction caused by rotator cuff tears. . We will exclude trials for patients having shoulder or arm pain due to systemic inflammatory conditions such as rheumatoid arthritis, fractures, adhesive capsulitis, osteoarthritis, hemiplegic shoulders, or myofascial pain of the upper extremity. It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. If considerable heterogeneity (I2>75%) is observed, we will not meta-analyze the trials and will qualitatively synthesize the data. Subacromial decompression surgery for, [3]. 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. [7]. Results of the quality assessment and rationale for the decisions will be presented in risk of bias tables, and will be used for grading the overall quality of evidence for each outcome. There are no limitations on the methods of stimulation (e.g., electro-acupuncture, pharmacopuncture, thread-embedding therapy, acupotomy), points of stimulation (e.g., auricular points, scalp acupuncture points, tender points), types of needle, duration of treatment, or number of treatments. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). [8]. Glazier RH, Dalby DM, Badley EM, et al. BMJ 2015;350:g7647. 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. Follow Peninsula Acupuncture onFacebookandInstagram. Management of rotator cuff tears in the elderly population. may email you for journal alerts and information, but is committed Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. This systematic review will provide updated evidence of various types of acupuncture and manual therapy specifically focuses on its effectiveness and safety for patients' pain and dysfunction caused by rotator cuff tears. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. 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. 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 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). neck pain Acupressure point for shoulder pain: LI10 (large intestine meridian). 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. 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). 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). Patient global assessment of treatment outcomes, such as the Patient Global Impression of Change (PGIC). Tang, Hongzhi MD, PhDa; Luo, Fei MBa; Fan, Huaying MDb; Huang, Li MBa; Liao, Shichuan MBa; Yu, Wenjing MMa; Chen, Yunbei MMa; Qin, Xuefei MMa,; Chen, Jiao MD, PhDb,, aOutpatient department of Sichuan orthopedic hospital. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. Data is temporarily unavailable. anxiety Correspondence: Kun Hyung Kim, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Republic of Korea (e-mail: [emailprotected]). [6]. Acupoints selected for this treatment consist of local and distal acupoints. [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. What Causes Rotator Cuff Injuries? Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). This point helps relieve headaches, vertigo, and neck problems. Herbal supplements can d, http://orthoinfo.aaos.org/topic.cfm?topic=a00406, Just a Few Sessions: You Can Dip In (and Out) of Acupuncture. One review author will search potentially relevant studies. Registration number 10.17605/OSF.IO/M3NKV. Minagawa H, Yamamoto N, Abe H, et al. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). Please try after some time. We will exclude other methods of stimulating acupuncture points without needle insertion (such as laser stimulation or transcutaneous electrical stimulation). BMJ Open. Dry needling works by eliciting a twitch response in the muscle, which relaxes it and decreases pain. Its incidence increases with age . cardiovascular nutrition Learn about acupressure for a rotator cuff injury with help from a doctor of. Most people want to know if acupuncture just treats the pain or actually helps injuries heal. dietary supplements sharing sensitive information, make sure youre on a federal According to the Cochrane Handbook for Systematic Reviews of Interventions, assessment of between-trial heterogeneity will be based on visual inspection of the forest plot, and more formally on the I2 statistic. The 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. Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. See this image and copyright information in PMC. 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. 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. 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. Read more to find out! Acupotomy therapy for shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. Two review authors (THZ and LF) will independently use a specially designed form to extract information on participants, methods, interventions, outcomes, and results. 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).
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acupuncture points for rotator cuff injury