For more information, please refer to our Privacy Policy. may email you for journal alerts and information, but is committed Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. Methods: [7]. It is also unlikely to work alone - it is best used in conjunction with other therapies. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. 6. BMJ Open. Dichotomous data will be investigated by using a risk ratio with 95% CIs. Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. Acupuncture for treating acute ankle sprains in adults. 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). [14]. doi: 10.1097/MD.0000000000021748. The purpose of this protocol is to describe a randomized controlled trial design to evaluate the effect . I generally refer to orthopedic physicians for further evaluation if I suspect any of these conditions (while continuing to manage pain with acupuncture). [16]. Unauthorized use of these marks is strictly prohibited. Symptoms can include weakness in the arm and throbbing pain while sleeping. Background: Vickers AJ, Vertosick EA, Lewith G, et al. You J, Yang F, Liu N, et al. bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. Open Science Framework Preregistration. Preferred reporting items for. exercise 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. 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 . Study eligibility will not be restricted by language or date of publication. Orthop J Sports Med 2018;6:2325967118797891. Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. 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. HHS Vulnerability Disclosure, Help Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. 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. IntroductionShoulder pain is one of the most common musculoskeletal disorders among adults and is caused by a variety of shoulder conditions. [17]. 1. diagnosis of the study population (i.e., rotator cuff tear or without tear). 2020;99:21(e20377). Kelly SM, Wrightson PA, Meads CA. 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. Its incidence increases with age . Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. 8600 Rockville Pike Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. [16]. doi: 10.1097/MD.0000000000018716. While the only allopathic protocol is treat with hormones, TCM excels at addressing both the root cause as well as the symptoms of these conditions. There is evidence that supports the effectiveness and safety of acupuncture for chronic musculoskeletal conditions, including shoulder pain. We will use funnel plots to evaluate reporting bias if we retrieve a minimum of 10 trials reporting the same outcome. brain health Crossword; Sudoku; Crossword; Sudoku; Obituaries -, Jancuska J, Matthews J, Miller T, et al. Effectiveness of. Please enable it to take advantage of the complete set of features! [4]. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. BMJ 2015;350:g7647. The https:// ensures that you are connecting to the Untreated or under-treated rotator cuff impingement can lead to complete tears of the rotator cuff, shoulder joint degeneration (arthritis), frozen shoulder, and neck and arm pain. 1 The most prevalent cause (approx. A trial that is rated as high risk of bias in 1 or more aspects will be graded as high risk, while a low risk of bias in all aspects will be graded as low risk. [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. Careers. 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. [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. Some error has occurred while processing your request. Song W, Han X, Li K, Chen C, Wang H, Zheng X. Nan Fang Yi Ke Da Xue Xue Bao. Supplemental Digital Content is available for this article. The symptoms of a rotator cuff tear may resemble other conditions or medical problems. 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. 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. Published by Wolters Kluwer Health, Inc. 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]). Chichester, West Sussex; Hoboken NJ: John Wiley & Sons; 2008. For each aspect, the trial will be rated as high, low risk, or unclear of bias. The results of this will be published through peer-reviewed journal articles or conference presentations. The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. The patient points to the low back area on the right side. women's health. [14]. With the affected arm, reach out and touch the wall at about waist level. Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. We will contact the corresponding author to retrieve additional information if necessary. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. Distance consults available during Coronavirus. [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. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. The Authors. Page MJ, Green S, Mrocki MA, et al. 2020;99:2(e18716). 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). Attrition rates, for example dropouts, losses to follow up, and withdrawals, will be investigated. Please try again soon. 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). I list them below. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. I believe this is because the shoulder is mostly composed of muscles and tendons, and . Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. The International Clinical Trials Registry Platform, the Australian New Zealand Clinical Trials Registry and the Chinese clinical registry. 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. Some error has occurred while processing your request. 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. Rotator cuff tears do not only happen during athletic activities. Rotator cuff pain can be caused by playing sports that involve throwing or overhead reaching, such as baseball and swimming. [4]. 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. 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. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). Bethesda, MD 20894, Web Policies to maintaining your privacy and will not share your personal information without We will obtain full texts of all remaining references and the same 2 review authors will screen and exclude clearly irrelevant papers according to the selection criteria. 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). [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). Maturitas 2019;123:914. -. Please try again soon. Next the acupuncturist identifies what channels are affected. PRISMA flow diagram of study selection. 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. We will include randomized controlled trials of acupuncture for RCD. Methodology: Seoyoung Choi, Kun Hyung Kim. Device: Acupuncture. The results of this review will be disseminated through peer-reviewed journal articles or conference presentations. Electrotherapy modalities for. Acupuncture for rotator cuff injuries is a safe, noninvasive . In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. Would you like email updates of new search results? This muscle has been mentioned above. Finger walk. Thread embedding acupuncture for musculoskeletal pain: a systematic review and meta-analysis protocol. 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. There will be no restrictions related to setting or location. Medicine (Baltimore). Please try after some time. These muscles work together to stabilize the joint, rotate the shoulder and move the arm. Supplemental digital content is available for this article. 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). Supplemental Digital Content is available for this article. How to cite this article: Choi S, Kim KH. No studies were excluded on the basis of outcome measure used. 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. 2020 Aug 14;99(33):e21748. Pain and disability may become chronic. Effect sizes were calculated and combined in a pooled analysis if the study end-points population and intervention were homogenous. Socially-distant therapeutic exercise classes coming soon? In addition to the needles from acupuncture, moxibustion can also be used which may hasten recovery. Korean Medicine, including acupuncture and pharmacopuncture, is a part of conservative . The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. Your message has been successfully sent to your colleague. 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. Components of this evaluation may include: (a) musculoskeletal screen; (b) cardiovascular profile/aerobic capacity; (c) coordination; (d) lift/carrying analysis; (e) job- specific activity tolerance; (f) maximum voluntary effort; (g) pain assessment/psychological screening; (h) non-material and material handling activities; (i) cognitive and We will contact the first or corresponding authors via email and ask them to provide additional information if necessary. Prospective registration of this study was approved by the Open Science Framework (OSF) registries (osf.io/n2e6t), and the protocol was written following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement guidelines[13]. -, Glazier RH, Dalby DM, Badley EM, et al. sciatica Injuries range from acute strains, swelling and bruising, to chronic inflammation and fibrotic thickening and weakening of the rotator cuff tendon. [13]. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). cancer 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. Clin Rehabil 2010;24:99109. Orthop Res Rev 2018;10:8391. hormones [10]. Trigger point needling is especially effective in the treatment of rotator cuff injuries as it helps to release knots within the muscle fibers, ultimately reducing pain and increasing blood flow to the area. circadian rhythm 3 Prevalence and incidence of shoulder pain are reported to be . 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. Overview of treatment guidelines and clinical practical guidelines that recommend the use of, [12]. For each item, risk of bias will be graded as high, low, or unclear. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. 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. modify the keyword list to augment your search. If there is more than 1 outcome measurement in the same time frame, we will extract the last measurement data within the time frame. [8]. Medicine (Baltimore). Relieves pain: Dry needling releases tight muscle tissue, decreases spasms and stimulates the body's natural pain relief system, providing . Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. [8,9] The mechanism of acupuncture treatment has not been fully elucidated. Wolters Kluwer Health neck pain The quality of the included trials will be evaluated by 2 reviewers using the Cochrane Collaboration's tool. stress 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. Shoulder disorders in the elderly: a community survey. Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. Relieve muscle spasms in the joint area, thereby lessening the load on the joint. Bookshelf Rotator cuff tendinitis is an injury that plagues athletes and non-athletes alike. How can alternative medicines, like acupuncture, effect my mood? 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. We will exclude studies that only compare different forms or methods of acupuncture (eg, transcutaneous electrical nerve stimulation) and compare acupuncture with any complementary and alternative therapies for which the efficacy is not yet established (eg, Chinese herbs). 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 authors have no conflicts of interest to disclose. Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis.
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