Previous systematic reviews have not assessed acupuncture and manual therapy for rotator cuff tears together. I list them below. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. 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]. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). For more information, please refer to our Privacy Policy. Pain intensity measured on validated scales, such as the visual analogue scale (VAS) or numeric rating scale (NRS), within 12 weeks. Two review authors will independently perform the assessment of risk of bias regarding 7 domains. This muscle has been mentioned above. 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. Jumpers knee? Press gently, just above the elbow, to stretch the shoulder. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). shoulder pain Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. Kidney Channel: KI3 - Located behind the inner ankle, this point treats asthma, insomnia, sore throat and lower back pain. Minagawa H, Yamamoto N, Abe H, et al. 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. Prevalence of symptomatic and asymptomatic rotator cuff tears in the general population: From mass-screening in one village. Acupuncture for rotator cuff injuries is a safe, noninvasive . A third review author will resolve disagreements. Eligible manual therapy interventions include mobilization, manipulation and massage. [7]. depression Shamseer L, Moher D, Clarke M, et al. migraine acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. 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. 8600 Rockville Pike Key points about rotator cuff injury. Micallef J, Pandya J, Low AK. Acupuncture is also an effective treatment as an adjunct or alternative option to surgery. blood sugar Diercks R, Bron C, Dorrestijn O, et al. may email you for journal alerts and information, but is committed 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]. Ann Intern Med 2014;161:1619. 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. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. [6,7], First line treatment options for RCD include nonoperative management. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Bethesda, MD 20894, Web Policies Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). [9,11,12] The aim of the present systematic review is to assess the effectiveness and safety of a wide range of acupuncture techniques for managing symptoms in patients with RCD. [1]. This point helps relieve headaches, vertigo, and neck problems. This systematic review would provide updated evidence of various types of acupuncture that specifically focuses on its effectiveness and safety for patients with RCDs. Medicine (Baltimore). 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. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. back pain Symptoms can include weakness in the arm and throbbing pain while sleeping. Step 1: Identify the "sick" meridian. Background: We will exclude trials for patients having shoulder or arm pain due to systemic inflammatory conditions such as rheumatoid arthritis, fractures, adhesive capsulitis, osteoarthritis, hemiplegic shoulders, or myofascial pain of the upper extremity. There will be no restrictions related to setting or location. [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. [10]. Overview of treatment guidelines and clinical practical guidelines that recommend the use of. 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). insomnia If considerable heterogeneity (I2 > 75%) is observed, we will not meta-analyze the trials and will qualitatively synthesize the data. 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. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. Work disability, such as length or total days of sick leave. Rotator Cuff Pain: Treatment, Symptoms, Causes, and More - Verywell Health 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). Please note: the following is for informational and education purposes, and is not intended as a substitute for professional diagnosis and treatment. We will try to contact the original investigators by email to request missing data. Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. It will help loosen up stiff neck muscles and reduce neck pain. Hall ML, Mackie AC, Ribeiro DC. I use local electroacupuncture treatment at acupuncture locations ("points") such at LI 14, 15, and 16; TW 14; and SI 10, 11, 12, . The needles were perpendicularly inserted to a depth of 2-3 cm. 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. doi: 10.1136/bmjopen-2016-015461. It correlates pretty well with the gluteus medius and gluteus minimus muscle trigger points. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. With the affected arm, reach out and touch the wall at about waist level. 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. 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)). Acupuncture has been used to repair injured body sites as well as being able to help relieve pain. Relieves pain: Dry needling releases tight muscle tissue, decreases spasms and stimulates the body's natural pain relief system, providing . [2] The rotator cuff is composed of supraspinatus muscle, infraspinatus muscle, subscapularis muscle and teres minor muscle. If 1 of the primary outcome parameters demonstrated statistically significant differences between intervention groups, we will plan to use subgroup analyses. The authors have no conflicts of interest to disclose. . If the missing data were not obtained, we will analyze only the available data. Vas J, Perea-Milla E, Mendez C, et al. Healing Rotator Cuff Injuries with Acupuncture and Guasha Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. Acupuncture for Rotator Cuff Symptoms - YouTube Birch S, Lee MS, Alraek T, et al. Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. government site. 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. [4]. 6. Abbreviation: RCT = randomized controlled trials. Injuries range from acute strains, swelling and bruising, to chronic inflammation and fibrotic thickening and weakening of the rotator cuff tendon. Subacromial impingement syndrome: management challenges. Orthop Res Rev 2018;10:8391. [8]. [8]. 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. sciatica Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. [2,3] Subacromial pain syndrome is a comprehensive term, that describes non-traumatic shoulder problems with subacromial pain during abduction of the arm. You may search for similar articles that contain these same keywords or you may Find this point on the front side of the forearm, about three inches below the elbow. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. There will be no restriction on age, gender, and ethnic origin. immune system Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. 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). The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. 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. ginger 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. Please call the clinic at 831-459-6762 or use our Request Appointment form. 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. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. You may search for similar articles that contain these same keywords or you may circadian rhythm 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. Your message has been successfully sent to your colleague. All the authors drafted and revised this study protocol and approved it for publication. It is also unlikely to work alone - it is best used in conjunction with other therapies. Rotator cuff tears is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. 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. For all outcomes, we will carry out analyses, and both per-protocol analysis and intention-to-treat analysis will be accepted. It is important to talk with your healthcare provider for a diagnosis. In addition, it may help reduce muscle soreness during workouts. [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. Proportion of patients who finally ended up receiving shoulder surgery. 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. Understanding the Importance of Physiotherapy for Rotator Cuff Injuries Acupuncture for Frozen Shoulders and Torn Rotator Cuffs Acupuncture has been used for a number of conditions for thousands of years. 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. Home exercises performed without professional diagnosis and supervision may not yield intended results and may have adverse consequences. 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. 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. The primary outcome is pain intensity and shoulder dysfunction measured on validated scales within 12 weeks.