Subacromial impingement syndrome: management challenges. In particular, we will extract first author's name, year of publication, age, sex, duration of disease, sample size, number and type of centers, treated and analyzed, number of reasons for dropouts, duration of baseline, treatment, and follow-up, details of acupuncture treatments (such as selection of points, number, frequency, and duration of sessions), achievement of De-Qi (an irradiating feeling considered to indicate effective needling), number, training, and experience of acupuncturists, details of manual therapy, and the control interventions (sham technique, type, and dosage of drugs). Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). In some situations, an open tendon repair may be a better option. If an adequate number of studies are available, subgroup analysis will be performed to find possible sources of the heterogeneity. Provenance and peer review was not commissioned; externally peer reviewed. Two review authors will independently screen for titles and abstracts. 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). The authors have no conflicts of interest to disclose. I generally refer to orthopedic physicians for further evaluation if I suspect any of these conditions (while continuing to manage pain with acupuncture). Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. Acupuncture for rotator cuff injuries is a safe, noninvasive . 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. low back pain Acupuncture will be considered only of it involves needle insertion at acupuncture points, pain points, or trigger points, and had to be described as acupuncture. It correlates pretty well with the gluteus medius and gluteus minimus muscle trigger points. 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. The research shows that acupuncture can promote the release of -endorphin[10] and increase the concentration of 5-hydroxytryptamine in brain tissue,[11] so as to reduce the sensitivity of tissue to pain and improve joint activity. Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. 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). The .gov means its official. Quality assessment will be performed using the Cochrane risk of bias tool. brain health garlic menopause Details of the search strategy for MEDLINE are available in Appendix, https://links.lww.com/MD/D572. Two review authors will independently perform the assessment of risk of bias regarding 7 domains. You may be trying to access this site from a secured browser on the server. If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). Kidney Channel: KI3 - Located behind the inner ankle, this point treats asthma, insomnia, sore throat and lower back pain. The primary outcome is pain intensity and shoulder dysfunction measured on validated scales within 12 weeks. women's health. Vickers AJ, Vertosick EA, Lewith G, et al. If the missing data is not accessible, we will exclude these articles and synthesis the rest of the included studies. If there is a low or unclear risk of bias for all main aspects, the trial will be rated as unclear risk. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). 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. The results of this will be published through peer-reviewed journal articles or conference presentations. 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. Its clinical manifestations are neck and shoulder pain, shoulder weakness, and . 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. Manual therapy and exercise for rotator cuff disease. Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. immune system Karjalainen TV, Jain NB, Page CM, et al. Patients with a provisional diagnosis of RCD include patients who are assumed to have RCD based solely on history taking and physical examinations without radiological assessment. skin & beauty 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). Glazier RH, Dalby DM, Badley EM, et al. 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. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. One common shoulder injury is a rotator cuff tear. Practice stretching and strengthening exercises for the shoulder joints. 2020 Aug 14;99(33):e21748. BMJ Open. Shoulder pain is described in Traditional Chinese Medicine as stagnation or obstruction of the flow of qi and blood in the tendons and muscles of the Large Intestine, Small Intestine, and Internal Membrane acupuncture meridians. Methodology: Seoyoung Choi, Kun Hyung Kim. Thread embedding acupuncture for musculoskeletal pain: a systematic review and meta-analysis protocol. Registration: Open Science Framework (OSF) Preregistration. The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. Medicine. Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. We referred to the Cochrane Handbook for Systematic Reviews of Interventions for detailed description of the assessment of risk of bias. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. J Orthop 2013;10:812. Acupuncture techniques with a plastic insertion tube was used to introduce every needle. Work disability, such as length or total days of sick leave. Open tendon repair. shoulder pain 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)). cancer 2018 Jan 26;8(1):e015461. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. CJ and HL will give analysis suggestions during data synthesis. 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. 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. Brantingham JW, Cassa TK, Bonnefin D, et al. Cochrane Database Syst Rev 2019;10:ED000142. Please enable scripts and reload this page. We will not perform funnel plots to assess the reporting bias due to the lack of sufficient studies (fewer than 10). RCTs in English and Chinese will be included in the review. circadian rhythm Ethical approval is not necessary as this review will not require data from individual patients. to maintaining your privacy and will not share your personal information without If trials include a mixed population with shoulder diseases including RCD, we will try to retrieve the data for patients with RCD. Distance consults available during Coronavirus. Consequently, we decided to conduct a systematic review based on the best currently available evidence and methodology to evaluate whether acupuncture and manual therapy is effect and safety for pain and function of rotator cuff tears. 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. [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. 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. -, Jancuska J, Matthews J, Miller T, et al. Wolters Kluwer Health Orthop J Sports Med 2018;6:2325967118797891. The popularity of different acupuncture methods in the nonsurgical treatment of shoulder pain has recently increased. If we do not succeed, we will exclude those trials. -, Glazier RH, Dalby DM, Badley EM, et al. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. and transmitted securely. The https:// ensures that you are connecting to the It is also unlikely to work alone - it is best used in conjunction with other therapies. 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. Two very effective ways of remedying the rotator cuff are acupuncture and guasha. If you've experienced a rotator cuff injury, one method of relieving the pain is by trying acupressure. 2019, December 5. osf.io/n2e6t, Shoulder pain is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. Two authors will independently extract relevant data from each of the eligible studies using a standardized data extraction form. 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. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. Please try again soon. Presence of myofascial trigger points (MTrP) as a result of surgical procedure can aggravate postoperative shoulder pain. Open Science Framework Preregistration. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Please enable it to take advantage of the complete set of features! J Clin Epidemiol 2011;64:3802. These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems.
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