If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. Medicine (Baltimore). modify the keyword list to augment your search. Shamseer L, Moher D, Clarke M, et al. Supplemental digital content is available for this article. Would you like email updates of new search results? 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. 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. 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. We define a definite diagnosis as a diagnosis of RCD that has been confirmed by both clinical assessments and diagnostic imaging (e.g., ultrasound, magnetic resonance imaging). The .gov means its official. http://creativecommons.org/licenses/by/4.0. LF and CYB will screen full copies of the remaining studies after the title and abstract selection. Effects of dry needling trigger point therapy in the shoulder region on patients with upper extremity pain and dysfunction: a, [13]. 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. Acupuncture Points Used for Rotator Cuff Tendinitis. Manual therapy can stimulate peripheral mechanoreceptors and inhibit nociceptors to reducing pain, and can enhance exchange between synovial fluid and cartilage matrix to increasing joint mobility.[12]. 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. 2020 Aug 14;99(33):e21748. Jumpers knee? 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. [2]. 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. 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. If the missing data were not obtained, we will analyze only the available data. 6. Acupuncture is a non-drug therapy being used more and more to treat shoulder pain. Tang H, Fan H, Luo F, Huang L, Liao S, Yu W, Chen Y, Chen J, Qin X. Choi, Seoyoung KMDa; Kim, Kun Hyung KMD, PhDa,b,, aDepartment of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital. In some situations, an open tendon repair may be a better option. The following information will be extracted: study characteristics (e.g., design, authors, date of publication, country, language, sample size), participants (e.g., age, gender, severity of symptoms at baseline), acupuncture and control intervention (e.g., number of sessions, duration, acupuncture points), outcome measures, results of intervention, duration of follow-up assessments, funding, conflict of interest, and reported adverse effects. For each item, risk of bias will be graded as high, low, or unclear. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. Here are few more guidelines for when to consider surgery: Learn more about rotator cuff tears here at AAOS. 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. The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. Acupuncture has been used for a number of conditions for thousands of years. Some error has occurred while processing your request. Provenance and peer review was not commissioned; externally peer reviewed. Please enable scripts and reload this page. 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. Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. 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. http://creativecommons.org/licenses/by/4.0. 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. A systematic summary of systematic reviews on the topic of the rotator cuff. Arthritis Rheum 1991;34:7669. to maintaining your privacy and will not share your personal information without Jancuska J, Matthews J, Miller T, et al. If the missing data is not accessible, we will exclude these articles and synthesis the rest of the included studies. 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). government site. The popularity of different acupuncture methods in the nonsurgical treatment of shoulder pain has recently increased. The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. may email you for journal alerts and information, but is committed Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. Acupotomy therapy for shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. Abbreviation: RCT = randomized controlled trials. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). THZ, LF, and FHY contributed to the conception and design of the study protocol. It most often occurs from repetitive actions, like throwing a ball, lifting, or even sitting at a computer. For more information, please refer to our Privacy Policy. Some error has occurred while processing your request. It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. True Frozen Shoulder can also respond poorly to conservative therapies; however some cases mis-diagnosed as Frozen Shoulder are actually rotator cuff impingement and can be treated successfully with acupuncture. 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. 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. 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. The searching strategy of PubMed is presented in Supplemental Digital Content (Appendix 1, https://links.lww.com/MD/E265). [4,5] Acupuncture and manual therapy usually delivered together as components of a physical therapy intervention, are commonly used in the management of rotator cuff tears. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. [10]. fatigue doi: 10.1002/14651858.CD009065.pub2. [16]. 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. bThe Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China. Search for Similar Articles Careful assessment of shoulder range-of-motion, muscle strength, and joint stability is essential to identify which acupuncture locations to use for maximum benefit. YWJ will check the accuracy and completeness of the data entry. Chinese Medicine . 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. Rotator cuff tendinitis is an injury that plagues athletes and non-athletes alike. Page MJ, Green S, Mrocki MA, et al. meditation hormones Supplemental Digital Content is available for this article. Bethesda, MD 20894, Web Policies CMAJ 1998;158:103740. You may search for similar articles that contain these same keywords or you may All the authors drafted and revised this study protocol and approved it for publication. For all outcomes, we will carry out analyses, and both per-protocol analysis and intention-to-treat analysis will be accepted. Device: Acupuncture. 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 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. 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. We will check the reference lists of the included studies and relevant reviews and, if necessary, contact researchers in the field of RCD to identify additional trials. LI15: Jianyu On the shoulder girdle, in the depression between the anterior end of ateral border of the acromion and the greater tubercle of the humerus. [1]. manifesting This work was supported by a Grant to Korean Medical Science Research Center for Healthy Aging from the National Research Foundation of Korean Government (2014R1A5A2009936). Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). depression 88 views, 4 likes, 0 loves, 0 comments, 3 shares, Facebook Watch Videos from ITeraCare - PRIFE International Chicago: What is iTeraCare? cancer [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. Disclaimer. The results of this review will be disseminated through peer-reviewed journal articles or conference presentations. Rhon DI, Boyles RB, Cleland JA. Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. J Orthop 2013;10:812. [13]. All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. [8]. The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. Subacromial decompression surgery for, [3]. Management of common musculoskeletal problems: a survey of Ontario primary care physicians. Rotator cuff pain can be caused by playing sports that involve throwing or overhead reaching, such as baseball and swimming. [4]. [3]. echinacea The quality of evidence of a specific study will be assessed according to the risk of bias, inconsistency, indirectness, imprecision, publication bias, large effect, dose-response, and all plausible confounding.
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