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. Get new journal Tables of Contents sent right to your email inbox, http://creativecommons.org/licenses/by/4.0, MD_2019_12_18_KIM_MD-D-19-09550_SDC1.docx; [Word] (14 KB), Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis, Articles in Google Scholar by Seoyoung Choi, KMD, Other articles in this journal by Seoyoung Choi, KMD, Comparison of MRI and MRA for the diagnosis of rotator cuff tears: A meta-analysis, The clinical effect of rehabilitation following arthroscopic rotator cuff repair: A meta-analysis of early versus delayed passive motion, Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: A meta-analysis of RCTs, Systemic immune-inflammation index (SII) is a useful prognostic indicator for patients with squamous cell carcinoma of the esophagus, Diabetes mellitus and prognosis in women with breast cancer: A systematic review and meta-analysis, Privacy Policy (Updated December 15, 2022). 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. 2020 Aug 14;99(33):e21748. 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. Management of common musculoskeletal problems: a survey of Ontario primary care physicians. One common shoulder injury is a rotator cuff tear. 2014 Jun 23;(6):CD009065. 1) The supraspinatus. 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. Please try again soon. Unable to load your collection due to an error, Unable to load your delegates due to an error. The https:// ensures that you are connecting to the Medicine. Birch S, Lee MS, Alraek T, et al. We will contact the first or corresponding authors via email and ask them to provide additional information if necessary. Introduction. Dry needling is a modern treatment designed to ease muscular pain. 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. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. Thread embedding acupuncture for musculoskeletal pain: a systematic review and meta-analysis protocol. The updated evidence that would be provided by this review will offer useful information for patients and practitioners, and also have implications for future studies and the development of clinical practice guidelines of RCD. Improve blood flow to the tendon and muscle tissue accelerating the body's natural tissue healing response. Swimmers shoulde, One of the things that drew me to acupuncture was, Exercise, eat right, sleep. Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis. FHY and HL will extract information from the included studies and enter into the electronic database. Rotator cuff pain can be caused by playing sports that involve throwing or overhead reaching, such as baseball and swimming. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). Randomized controlled trials that include patients with rotator cuff tears receiving acupuncture and manual therapy versus a control group will be included. women's health. We will search the EMBASE, the Cochrane Library, Ovid MEDLINE, PubMed, Web of Science, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, Wanfang Database, the Chongqing VIP, the US National Institute of Health, the NIH clinical registry Clinical Trials, the International Clinical Trials Registry Platform, the Australian New Zealand Clinical Trials Registry and the Chinese clinical registry, from their inception to April 1, 2020. Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. We will resolve disagreements by discussion or with a third review author. 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. Personally I have treated over 200 cases of shoulder injuries. nutrition A systematic summary of systematic reviews on the topic of the rotator cuff. Acupuncture Treatment For Rotator Cuff. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. menopause Please try after some time. http://creativecommons.org/licenses/by/4.0. [5], Although the exact mechanisms are unknown, the pathogenesis of RCD has been attributed to both intrinsic and extrinsic mechanisms. There will be no restrictions related to setting or location. Most people want to know if acupuncture just treats the pain or actually helps injuries heal. Vas J, Perea-Milla E, Mendez C, et al. Glazier RH, Dalby DM, Badley EM, et al. Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. CJ and HL will give analysis suggestions during data synthesis. circadian rhythm [9]. It is important to talk with your healthcare provider for a diagnosis. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. gan mao ling [16]. The largest study of acupuncture treatment of shoulder pain to date (424 subjects), published in October 2010 in Pain, showed significant improvement in shoulder range-of-motion 3 months after treatment and documented: 65% response rate at 6 weeks compared with 24% with sham acupuncture and 37% with standard conservative orthopaedic treatmentChinese acupuncture is an effective alternative to orthopedic treatment of CSP (chronic shoulder pain).. Minagawa H, Yamamoto N, Abe H, et al. 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. neck pain [7]. 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. . Registration number 10.17605/OSF.IO/M3NKV. 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). 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). In some cases, however, people with rotator cuff injuries . 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). We will use the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess the overall quality of the evidence for each main outcome with respect to the following domains: the risk of bias across studies, directness of evidence, heterogeneity, precision of effect estimates and risk of publication bias. The quality of the included trials will be evaluated by 2 reviewers using the Cochrane Collaboration's tool. 1. Arthritis Rheum 1991;34:7669. Discussion: [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. Many different types of surgeries are available for rotator cuff injuries, including: Arthroscopic tendon repair. The treatment principle of rotator cuff tears is to reduce pain and improve the function of shoulder joint. Preferred reporting items for. For the purposes of this review, acupuncture intervention will be defined as: A needle stimulation that elicits deqi sensation by penetrating the skin. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. 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 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]. 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. Acupotomy therapy for shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. If there is a low or unclear risk of bias for all main aspects, the trial will be rated as unclear risk. 1). Rotator cuff tears do not only happen during athletic activities. 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. Presence of myofascial trigger points (MTrP) as a result of surgical procedure can aggravate postoperative shoulder pain. Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. [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. [7] Manual therapy includes any clinician-applied movement of the joints and other structures, for example mobilization (of which several types exist) or manipulation. your express consent. 2020;99:21(e20377). Careful assessment of shoulder range-of-motion, muscle strength, and joint stability is essential to identify which acupuncture locations to use for maximum benefit. Rotator cuff diseases (RCDs) are the most common underlying cause of shoulder pain, with estimates of prevalence ranging from 65% to 85% depending on the context and characteristics of the study population. You may be trying to access this site from a secured browser on the server. [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. Jancuska J, Matthews J, Miller T, et al. Rotator cuff is an injury to the shoulder muscle and acupuncture is believed to be an effective treatment. 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. Acupuncture techniques with a plastic insertion tube was used to introduce every needle. [6]. Acupuncture, applied at trigger points in the muscles of the shoulder and arm, can help unbind points of tension and relax the muscles. . Data is temporarily unavailable. Shamseer L, Moher D, Clarke M, et al. First the acupuncturist asks the patient to identify the exact location of the pain. Highlight selected keywords in the article text. [14] Six aspects (randomly generated sequence number, allocation concealment, blinding of participants and personnel, blinding of outcome assessment, incomplete outcome data, selective reporting, and other bias when required) will be assessed. 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. 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. A related disorder called sleep apnea (temporary cessation of breathing while asleep) affects 12-18 million Americans. BMJ 2015;350:g7647. 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. Abbreviation: RCT = randomized controlled trials. government site. All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. Post surgery, acupuncture, when used with the electric stimulation, can help stimulate tissue growth and generate muscle healing. Medicine. 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. These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. [10]. -, Rhon DI, Boyles RB, Cleland JA. 2020;99:2(e18716). modify the keyword list to augment your search. echinacea 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. Our review will include all patients with a definite diagnosis or provisional diagnosis of RCD. PRISMA flow diagram of study selection. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Jumpers knee? Shamseer L, Moher D, Clarke M, et al. Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. Clipboard, Search History, and several other advanced features are temporarily unavailable. If the missing data is not accessible, we will exclude these articles and synthesis the rest of the included studies. The objective of this systematic review is to evaluate the effectiveness and safety of acupuncture for managing symptoms in patients with RCD. cbd IntroductionShoulder pain is one of the most common musculoskeletal disorders among adults and is caused by a variety of shoulder conditions. If trials include a mixed population with shoulder diseases including RCD, we will try to retrieve the data for patients with RCD. Dry needling works by eliciting a twitch response in the muscle, which relaxes it and decreases pain. 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. Song W, Han X, Li K, Chen C, Wang H, Zheng X. Nan Fang Yi Ke Da Xue Xue Bao. 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. 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]. Wolters Kluwer Health The X's in the diagram are the location of the trigger points, and the red areas are the referral . 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). The weighted mean difference will be used for the same scale or the same assessment instrument; standard mean difference will be used for different assessment tools. 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 will search the EMBASE, the Cochrane Library, Ovid MEDLINE, PubMed, Web of Science, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, Wanfang Database, the Chongqing VIP, the US National Institute of Health, the NIH clinical registry Clinical Trials, the International Clinical Trials Registry Platform, the Australian New Zealand Clinical Trials Registry and the Chinese clinical registry, from their inception to April 1, 2020. If the missing data were not obtained, we will analyze only the available data. Highlight selected keywords in the article text. Effects of dry needling trigger point therapy in the shoulder region on patients with upper extremity pain and dysfunction: a, [13]. Each of these medicines has within its constructs the ability to diagnose and treat disharmonies. [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. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Open Science Framework Preregistration. 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. 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.
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