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)). The detailed process of study selection will be shown in a PRISMA flow diagram (Fig. Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). Alternative Methods to Help Manage Pain After Orthopaedic Surgery brain health http://creativecommons.org/licenses/by/4.0. Shoulder disorders in the elderly: a community survey. HT, FL, and HF contributed equally to this article. This systematic review would provide updated evidence of various types of acupuncture and manual therapy specifically focuses on its effectiveness and safety for patients with rotator cuff tears. manifesting Bethesda, MD 20894, Web Policies It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. Please try again soon. There will be no restriction on age, gender, and ethnic origin. It is important to talk with your healthcare provider for a diagnosis. This systematic review would provide updated evidence of various types of acupuncture that specifically focuses on its effectiveness and safety for patients with RCDs. insomnia Medicine. Kelly SM, Wrightson PA, Meads CA. 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. 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. 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. Acupuncture, applied at trigger points in the muscles of the shoulder and arm, can help unbind points of tension and relax the muscles. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. 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. back pain Treatment can be surgical or non-surgical. Trigger Point acupuncture on patient experiencing symptoms like a rotator cuff injury. immune system Personally I have treated over 200 cases of shoulder injuries. We will calculate 95% confidence intervals and two-sided P values for each outcome. The kin, Having trouble sleeping? [8]. [16] Effects of manual therapy may be similar to those of glucocorticoid injection and arthroscopic subacromial decompression, but this is also based on low quality evidence. to maintaining your privacy and will not share your personal information without to maintaining your privacy and will not share your personal information without Choi, Seoyoung KMDa; Kim, Kun Hyung KMD, PhDa,b,, aDepartment of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital. Rotator cuff injury - Diagnosis and treatment - Mayo Clinic Another recent study of acupuncture for shoulder impingement syndrome in Family Practice found benefits comparable to cortico-steroid injection. Open Science Framework Preregistration. doi: 10.1002/14651858.CD009065.pub2. 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. Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. Correspondence: Kun Hyung Kim, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Republic of Korea (e-mail: [emailprotected]). Post surgery, acupuncture, when used with the electric stimulation, can help stimulate tissue growth and generate muscle healing. Evidence quality will be rated high, moderate, low or very low according to the Grading of Recommendations Assessment, Development and Evaluation rating standards. official website and that any information you provide is encrypted 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. We will not perform funnel plots to assess the reporting bias due to the lack of sufficient studies (fewer than 10). In anatomy, the rotor cuff is the group of muscles and their tendons that act to stabilize the shoulder and move the upper arm in a variety of directions. Supplemental Digital Content is available for this article. Assuming you have had an MRI or a thorough orthopedic workup to rule out surgery, acupuncture can help in several ways: According the American Society of Orthopedic Surgeons (AAOS), continued pain is the main indication for surgery and when your pain does not improve with nonsurgical methods.. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). bThe Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China. [9,11,12] Methodological limitations of previous reviews, including the exclusion of studies that had reported their findings in languages other than English[12] or failure to register their reviews,[9] also calls for systematic reviews addressing such problems. Symptoms can include weakness in the arm and throbbing pain while sleeping. We will contact the authors in China via telephone, and authors from elsewhere via email to obtain missing data, if necessary. Can Acupuncture Help a Rotator Cuff Tear? | Breeze Academy Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. Both. No studies were excluded on the basis of outcome measure used. Minagawa H, Yamamoto N, Abe H, et al. Consigliere P, Haddo O, Levy O, et al. Effectiveness and Safety of Adjunctive Pharmacopuncture to Acupuncture It will help loosen up stiff neck muscles and reduce neck pain. 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. Each outcome will be calculated with 95% confidence intervals. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. 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. 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. Management of rotator cuff tears in the elderly population. doi: 10.1136/bmjopen-2016-015461. Combinations of Medical Subject Headings (MeSH) and text words will be used. There are four primary rotator cuff muscles, but the one that is most commonly injured . Apply gentle pressure while breathing deeply to relieve stiffness and pain in the shoulder, neck, and elbow. neck pain Local acupoints chosen for this treatment are Jianyu . The site is secure. [5], Although the exact mechanisms are unknown, the pathogenesis of RCD has been attributed to both intrinsic and extrinsic mechanisms. Acupuncture Points Used for Rotator Cuff Tendinitis. and transmitted securely. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Trials in which acupuncture was compared with other forms of acupuncture or acupoint stimulation will be excluded. 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). Acupuncture has been used to repair injured body sites as well as being able to help relieve pain. 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. For more information, please refer to our Privacy Policy. 1 The most prevalent cause (approx. 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. Search for Similar Articles Two review authors will independently screen for titles and abstracts. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. Pain at night when resting on the affected side. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Disclaimer. Guyatt GH, Oxman AD, Schunemann HJ, et al. In addition, it may help reduce muscle soreness during workouts. food allergies Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. energy Swelling of the bursa and thickening of the rotator cuff can push the tendon up into the bony arch of the scapular acromion, creating a vicious cycle of tendon injury that can eventually lead to complete tears of the rotator cuff. men's health 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. Acupuncture is also an effective treatment as an adjunct or alternative option to surgery. [7]. This acupressure point is great for everything involving your head. Randomized controlled trials that include patients with rotator cuff tears receiving acupuncture and manual therapy versus a control group will be included. may email you for journal alerts and information, but is committed Acupuncture Points: Charts and Meanings - Won Institute Find this point on the front side of the forearm, about three inches below the elbow. PRISMA flow diagram of study selection. Page MJ, Green S, Mrocki MA, et al. Acupotomy therapy for shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. [10] However, previous systematic reviews of acupuncture for shoulder pain included heterogeneous shoulder disorders that might respond to given treatments differently based on the underlying pathophysiology, and these reviews did not completely address the role of acupuncture in the management of RCDs. liver qi stagnation The X's in the diagram are the location of the trigger points, and the red areas are the referral . depression One common shoulder injury is a rotator cuff tear. A third review author will resolve disagreements. 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. [15]. -, Chard MD, Hazleman R, Hazleman BL, et al. 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. diabetes [6]. 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. For the purposes of this review, acupuncture intervention will be defined as: A needle stimulation that elicits deqi sensation by penetrating the skin. 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. [2] The rotator cuff is composed of supraspinatus muscle, infraspinatus muscle, subscapularis muscle and teres minor muscle. [6,7], First line treatment options for RCD include nonoperative management. To address your, Read More Acupuncture can put you in a better moodContinue, Its not menopause that causes issues with womens health and well-being. -. Different units of analysis will be planned to be subjected to a sensitivity analysis. Supplemental digital content is available for this article. Pain and disability may become chronic. Acupuncture for Rotator Cuff Injuries - Peninsula Acupuncture Rhon DI, Boyles RB, Cleland JA. modify the keyword list to augment your search. The contact person or corresponding author will be contacted if basic information is missing for the risk of bias assessment. PRISMA flow diagram of study selection. [13]. echinacea Hold the stretch for 15 to 20 seconds. Brantingham JW, Cassa TK, Bonnefin D, 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. Open tendon repair. modify the keyword list to augment your search. [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. We will use funnel plots to evaluate reporting bias if we retrieve a minimum of 10 trials reporting the same outcome. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. Methods: Acupuncture Points If considerable heterogeneity (I2>75%) is observed, we will not meta-analyze the trials and will qualitatively synthesize the data. The authors have no conflicts of interest to disclose. [5]. (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. Study eligibility will not be restricted by language or date of publication. CMAJ 1998;158:103740. 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. 2020 Oct 30;40(10):1513-1517. doi: 10.12122/j.issn.1673-4254.2020.10.19. All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. Highlight selected keywords in the article text. I believe this is because the shoulder is mostly composed of muscles and tendons, and acupuncture triggers powerful muscle relaxation/re-balancing, anti-inflammatory, and soft-tissue healing responses. Eligible manual therapy interventions include mobilization, manipulation and massage. immunity doi: 10.1002/14651858.CD012224. 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! Fluctuations in your hormones, such as dropping estrogen levels, can result in symptoms such as night sweats, insomnia, hot, Read More Perimenopause Causes Pain: Acupuncture Can HelpContinue, According to the National Institute of Healthit is estimated that some 50-70 million Americans suffer from sleep or wakefulness disorders causing nearly $50B in lost productivity and upwards of 5000 car crashes. [14]. Korean Medicine, including acupuncture and pharmacopuncture, is a part of conservative . Other causes include aging and weakening of the tendons and injuries to the shoulder. 8600 Rockville Pike Happily, that trend seems to be changing. Healing Rotator Cuff Injuries with Acupuncture and Guasha Injuries range from acute strains, swelling and bruising, to chronic inflammation and fibrotic thickening and weakening of the rotator cuff tendon. 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. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). 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]. Cox J, Varatharajan S, Ct P. Optima Collaboration. Dry needling is a therapeutic technique that involves inserting thin needles into the skin and underlying tissues to release trigger points, improve muscular pain and dysfunction, and promote tissue healing. RCT = randomized controlled trial, RCD =, [1]. Quasi-randomized, non-randomized controlled trials, uncontrolled clinical trials (e.g., case studies), qualitative studies, and laboratory studies will be excluded. blood sugar Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. 2020 Jan;99(2):e18716. Two review authors will independently perform the assessment of risk of bias regarding 7 domains. Rehabilitation of An Analgesic Bracelet Based on Wrist-Ankle How can alternative medicines, like acupuncture, effect my mood? Acupuncture for rotator cuff injuries is a safe, noninvasive . Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. How to Treat Shoulder Pain by Acupuncture and TCM 2018 Jan 26;8(1):e015461. Acupressure 101 : Acupressure for a Rotator Cuff Injury Two reviewers will use the Grading of Recommendations Assessment, Development and Evaluation system to independently assess the quality of evidence for each outcome. Introduction. First the acupuncturist asks the patient to identify the exact location of the pain. Vas J, Perea-Milla E, Mendez C, et al. [2]. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. Abbreviation: RCT = randomized controlled trials. We will contact the first or corresponding authors via email and ask them to provide additional information if necessary. Supplemental digital content is available for this article.