Minagawa H, Yamamoto N, Abe H, et al. 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. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. Each outcome will be calculated with 95% confidence intervals. Shamseer L, Moher D, Clarke M, et al. Stand facing a wall at a distance of about three-quarters of an arm's length away. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). Read more to find out! garlic Chichester, West Sussex; Hoboken NJ: John Wiley & Sons; 2008. [16]. doi: 10.1002/14651858.CD009065.pub2. Evid Based Complement Alternat Med 2019;2019:2010816. It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. FHY and HL will extract information from the included studies and enter into the electronic database. Ethical approval is not necessary as this review will not require data from individual patients. 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 dietary supplements RCT = randomized controlled trial, RCD =, [1]. The search terms consist of 2 parts: rotator cuff disease (e.g., rotator cuff, impingement, subacromial) and acupuncture (e.g., acupuncture, electroacupuncture, needling, pharmacopuncture, embedding therapy, acupotomy). The X's in the diagram are the location of the trigger points, and the red areas are the referral . The Authors. may email you for journal alerts and information, but is committed 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. A repetitive tear may be caused by overuse, lack of blood supply or a bone spur fraying the tendon. The results of this will be published through peer-reviewed journal articles or conference presentations. Please try after some time. Supplemental Digital Content is available for this article. Extrinsic factors include those which affect the subacromial space, such as the shape of the acromion, the orientation of the scapula, and an alteration in the glenohumeral kinematics due to weakness in the rotator cuff. [2] The rotator cuff is composed of supraspinatus muscle, infraspinatus muscle, subscapularis muscle and teres minor muscle. 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). weight loss 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). insomnia fatigue For all outcomes, we will carry out analyses, and both per-protocol analysis and intention-to-treat analysis will be accepted. Bookshelf [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. Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. We will use funnel plots to evaluate reporting bias if we retrieve a minimum of 10 trials reporting the same outcome. Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. . Precise knowledge of shoulder orthopedic anatomy is necessary to safely and effectively stimulate these acupuncture points and the underlying muscles, tendons and ligaments to promote tissue healing effects. These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. Background: 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. Please try again soon. 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. Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis. You J, Yang F, Liu N, et al. 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. You may search for similar articles that contain these same keywords or you may sleep Relieves pain: Dry needling releases tight muscle tissue, decreases spasms and stimulates the body's natural pain relief system, providing . Careful assessment of shoulder range-of-motion, muscle strength, and joint stability is essential to identify which acupuncture locations to use for maximum benefit. 1). Shamseer L, Moher D, Clarke M, et al. [14]. CMAJ 1998;158:103740. cardiovascular PRISMA flow diagram of study selection. [3] In practice, people with rotator cuff tears seldom receive a single intervention in isolation. Medicine. A systematic summary of systematic reviews on the topic of the rotator cuff. 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. The authors have no conflicts of interest to disclose. Socially-distant therapeutic exercise classes coming soon? [3]. Registration: Shoulder pain or omalgia is one of the main types of osteoarticular pain that can be observed in every-day clinical practice and it is considered the third most common osteomuscular cause of medical consultation. 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. Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. BMJ 2015;350:g7647. manifesting For more information, please refer to our Privacy Policy. It will help loosen up stiff neck muscles and reduce neck pain. 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. [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. 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. hormones [10]. Perimenopause Causes Pain: Acupuncture Can Help, Finding & Treating the Causes of Insomnia, Using Acupuncture to Thrive During Chemotherapy, Tennis elbow? 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. There is evidence that supports the effectiveness and safety of acupuncture for chronic musculoskeletal conditions, including shoulder pain. Rotator cuff tears do not only happen during athletic activities. Active range of motion of shoulder joint. 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 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). I believe this is because the shoulder is mostly composed of muscles and tendons, and . Discussion: Most p, Everyone longs for a good nights sleep. neck pain 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. Its clinical manifestations are neck and shoulder pain, shoulder weakness, and . The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. 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]. If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. Orthop Res Rev 2018;10:8391. Of course, in a shoulder injury, surrounding muscles may be involved as well, but a simple orthopedic evaluation can identify the source of your pain. Accessibility BMJ Open. Details of the search strategy for MEDLINE are available in Appendix, https://links.lww.com/MD/D572. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. The following electronic databases will be searched from 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)), 3 trial registries (ClinicalTrials.gov, International Standard Randomized Controlled Trials Number (ISRCTN) Registry, WHO International Clinical Trials Registry Platform (ICTRP)). Page MJ, Green S, Mrocki MA, et al. It is generally believed that 10%15% of the adult population suffers from chronic insomnia, and an additional 25%35% have transient or occasional insomnia.1 Its no wonder Americans are so desperate for sleep! The quality of the included trials will be evaluated by 2 reviewers using the Cochrane Collaboration's tool. Highlight selected keywords in the article text. Dry needling is a modern treatment designed to ease muscular pain. 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. Symptoms can include weakness in the arm and throbbing pain while sleeping. If there is a low or unclear risk of bias for all main aspects, the trial will be rated as unclear risk. meditation Karjalainen TV, Jain NB, Page CM, et al. Unauthorized use of these marks is strictly prohibited. One review author will search potentially relevant studies. bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. 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). Unable to load your collection due to an error, Unable to load your delegates due to an error. . CJ and HL will give analysis suggestions during data synthesis. 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. Overview of treatment guidelines and clinical practical guidelines that recommend the use of, [12]. cbd Vickers AJ, Vertosick EA, Lewith G, et al. We will contact the first or corresponding authors via email and ask them to provide additional information if necessary. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. If trials include a mixed population with shoulder diseases including RCD, we will try to retrieve the data for patients with RCD. Overview of treatment guidelines and clinical practical guidelines that recommend the use of. Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. Quasi-randomized, non-randomized controlled trials, uncontrolled clinical trials (e.g., case studies), qualitative studies, and laboratory studies will be excluded. Acupuncture can help but not heal a rotator cuff tear. Birch S, Lee MS, Alraek T, et al. Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. 2020 Jan;99(2):e18716. 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]). sciatica For more information, please refer to our Privacy Policy. 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). Arthritis Rheum 1991;34:7669. FOIA This article focuses on alternative . 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)). Prevalence of symptomatic and asymptomatic. The aim of this review is to assess the effectiveness and safety of such interventions in patients with pain and dysfunction caused by rotator cuff tears. If you've experienced a rotator cuff injury, one method of relieving the pain is by trying acupressure. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. Shoulder disorders in the elderly: a community survey. Press gently, just above the elbow, to stretch the shoulder. Wolters Kluwer Health Another recent study of acupuncture for shoulder impingement syndrome in Family Practice found benefits comparable to cortico-steroid injection. Highlight selected keywords in the article text. 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). Dr. Ted offers insights and tips about how to remain calm and healthy. Please try after some time. 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. 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. Rotator cuff tears is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. [4]. 2020;99:21(e20377). What Causes Rotator Cuff Injuries? Two authors will independently extract relevant data from each of the eligible studies using a standardized data extraction form. Study eligibility will not be restricted by language or date of publication. From the inception dates to April 1, 2020, the following databases will be searched: EMBASE, the Cochrane Library, Ovid MEDLINE, PubMed, Web of Science, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, Wanfang Database, the Chongqing VIP. Personally I have treated over 200 cases of shoulder injuries. Published by Wolters Kluwer Health, Inc. The intrinsic theory describes degeneration in the rotator cuff tendon itself as a primary cause, leading to impingement and a loss of structural integrity. to maintaining your privacy and will not share your personal information without Those are three of the, Symptoms are trying to tell you something. The https:// ensures that you are connecting to the This acupressure point is great for everything involving your head. Its incidence increases with age . [15]. The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. 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. brain health ginger Registration number 10.17605/OSF.IO/M3NKV. The patient points to the low back area on the right side. Two review authors will independently perform the assessment of risk of bias regarding 7 domains. Your rotator cuff allows you to lift your arms and reach upward. THZ, LF, and FHY contributed to the conception and design of the study protocol. 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. allergies Herbal supplements can d, http://orthoinfo.aaos.org/topic.cfm?topic=a00406, Just a Few Sessions: You Can Dip In (and Out) of Acupuncture. 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. Search for Similar Articles In some cases, however, people with rotator cuff injuries . depression stress Cumpston M, Li T, Page MJ, et al. Subacromial decompression surgery for, [3]. Acupuncture is also an effective treatment as an adjunct or alternative option to surgery. Each of these medicines has within its constructs the ability to diagnose and treat disharmonies. Acupressure point for shoulder pain: LI10 (large intestine meridian). 8600 Rockville Pike 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. Do this exercise 10 to 20 times per day. We will exclude other methods of stimulating acupuncture points without needle insertion (such as laser stimulation or transcutaneous electrical stimulation). All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. The .gov means its official. Data is temporarily unavailable. and transmitted securely. 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. Shoulder function measured on validated scales, such as the CMS, SPADI total scale, SDQ-NL, DASH score, UCLA Shoulder rating scale, or the ASES rating scale, over 12 weeks. 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]. skin & beauty Subacromial impingement syndrome: management challenges. Two reviewers will use the Grading of Recommendations Assessment, Development and Evaluation system to independently assess the quality of evidence for each outcome. 65-70%) of shoulder pain is inflammation of the tendons that form the rotator cuff (the supraspinatus, the infraspinatus, the . 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). This muscle has been mentioned above. Acupuncture Treatment For Rotator Cuff. The rating results will be cross-checked and discrepancies resolved through discussions and the arbitration of a third reviewer. back pain 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). Bethesda, MD 20894, Web Policies If we do not succeed, we will exclude those trials. liver qi stagnation Search for Similar Articles It is argued that poor regenerative properties within a zone of hypovascularity and repetitive stresses, which result in inflammatory changes, could be significant factors in the degeneration process. PRISMA flow diagram of study selection. Hall ML, Mackie AC, Ribeiro DC. [8]. 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. There are two main types of rotator cuff tears: acute and degenerative. Epidemiological studies have reported that 20% of people over 20 years old suffer from rotator cuff tears, while 25% of people over 50 years old suffer from rotator cuff tears, which is the main cause of shoulder joint pain and dysfunction and greatly affects patients work efficiency and quality of life. At a recent presentation to a group of physical therapists I was asked about acupunctures ability to treat shoulder injuries. [14]. Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. 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). Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. The International Clinical Trials Registry Platform, the Australian New Zealand Clinical Trials Registry and the Chinese clinical registry. Both. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. Key points about rotator cuff injury. 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. The results of this will be published through peer-reviewed journal articles or conference presentations. men's health It is important to talk with your healthcare provider for a diagnosis. (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. 3 Prevalence and incidence of shoulder pain are reported to be . We will contact the authors in China via telephone, and authors from elsewhere via email to obtain missing data, if necessary. 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. 2020 Oct 30;40(10):1513-1517. doi: 10.12122/j.issn.1673-4254.2020.10.19. Acupuncture is often used as the first line of treatment to help reduce pain and increase range of motion ahead of physiotherapy and exercise therapies. 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. It correlates pretty well with the gluteus medius and gluteus minimus muscle trigger points. YWJ will check the accuracy and completeness of the data entry. Project administration: Seoyoung Choi, Kun Hyung Kim. Diercks R, Bron C, Dorrestijn O, et al. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. 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. Before Pain intensity measured on validated scales, such as the visual analogue scale (VAS) or numeric rating scale (NRS), within 12 weeks. 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. 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.