Ethical approval is not necessary as this review will not require data from individual patients. Please enable scripts and reload this page. 2020;99:2(e18716). 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. 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. Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. Dichotomous data will be investigated by using a risk ratio with 95% CIs. Most people want to know if acupuncture just treats the pain or actually helps injuries heal. 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PRISMA = the preferred reporting items, MeSH Ann Intern Med 2014;161:1619. The most common actions taken at present to relieve the symptoms of rotator cuff tears include steroid injections, oral nonsteroidal anti-inflammatory drugs, physical therapy, exercise therapy, manual therapy, ultrasound therapy and acupuncture. 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. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We will use Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen) to carry out statistical analysis. Ethical approval is not necessary as this study will not require data from individual patients. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. 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]. Acupuncture Points Used for Rotator Cuff Tendinitis. 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. 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. Crossword; Sudoku; Crossword; Sudoku; Obituaries 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. 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. Minagawa H, Yamamoto N, Abe H, et al. anxiety Rotator cuff repair (RCR) is a common surgical procedure for the management of RCTs. [17]. Please try after some time. It correlates pretty well with the gluteus medius and gluteus minimus muscle trigger points. Acupuncture for treating acute ankle sprains in adults. THZ, LF, and FHY contributed to the conception and design of the study protocol. Those are three of the, Symptoms are trying to tell you something. After removing duplicates, they will then use the full-text articles to determine which papers will finally be included in the review. Please enable scripts and reload this page. The detailed process of study selection will be shown in a PRISMA flow diagram (Fig. The Authors. Home exercises performed without professional diagnosis and supervision may not yield intended results and may have adverse consequences. 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. shoulder pain Effectiveness and Safety of Acupotomy Treatment on Shoulder Pain: 25 [11,12,16] Moreover, various acupuncture techniques, which are increasingly used in East Asian settings, are not addressed in previous reviews, which imply the necessity of both clinical trials and systematic reviews that assess the effectiveness and the safety of such interventions for patients with RCDs. CJ and HL will give analysis suggestions during data synthesis. [15]. blood sugar First the acupuncturist asks the patient to identify the exact location of the pain. 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. Cumpston M, Li T, Page MJ, et al. Acupuncture treatment of shoulder impingement syndrome: A randomized 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. Local acupoints chosen for this treatment are Jianyu . [5], Although the exact mechanisms are unknown, the pathogenesis of RCD has been attributed to both intrinsic and extrinsic mechanisms. . migraine The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. 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. Birch S, Lee MS, Alraek T, et al. Multiple treatment groups in a trial will be combined into a single pairwise comparison. 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. -. Crossover randomized trials, if any, will be included, but only the pre-crossover data will be analyzed in order to avoid carryover effects. 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 contact the first or corresponding authors via email and ask them to provide additional information if necessary. Rotator cuff injury - Diagnosis and treatment - Mayo Clinic Unable to load your collection due to an error, Unable to load your delegates due to an error. The quality of the included trials will be evaluated by 2 reviewers using the Cochrane Collaboration's tool. ginger [3] In practice, people with rotator cuff tears seldom receive a single intervention in isolation. CMAJ 1998;158:103740. Adult patients (aged 18 years) diagnosed with Rotator cuff tears will be included, with the symptoms of shoulder joint pain or dysfunction enrollment in the research. -, Rhon DI, Boyles RB, Cleland JA. (rotator cuff impingement, shoulder bursitis). Before http://creativecommons.org/licenses/by/4.0. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. Careers. 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. PRISMA flow diagram of study selection. I use local electroacupuncture treatment at acupuncture locations ("points") such at LI 14, 15, and 16; TW 14; and SI 10, 11, 12, . Understanding the Importance of Physiotherapy for Rotator Cuff Injuries Epidemiological studies have reported that 20% of people over 20 years old suffer from rotator cuff tears, while 25% of people over 50 years old suffer from rotator cuff tears, which is the main cause of shoulder joint pain and dysfunction and greatly affects patients work efficiency and quality of life. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. Results are presented separately for rotator cuff disease, adhesive capsulitis, full thickness rotator cuff tear and mixed diagnoses, and, where possible, combined in meta-analysis to indicate effect of acupuncture . Trials evaluating the primary or add-on effects of acupuncture and manual therapy, acupuncture alone, and manual therapy alone are eligible. Sjolund B, Terenius L, Eriksson M. Increased cerebrospinal fluid levels of endorphins after electro-, [12]. Orthop J Sports Med 2018;6:2325967118797891. J Orthop 2013;10:812. You may be trying to access this site from a secured browser on the server. 2014 Jun 23;(6):CD009065. 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. [7]. Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. Management of rotator cuff tears in the elderly population. [13]. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Registration number 10.17605/OSF.IO/M3NKV. Personally I have treated over 200 cases of shoulder injuries. Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture Acupuncture Points insomnia Micallef J, Pandya J, Low AK. Acupuncture has been used for a number of conditions for thousands of years. There will be no restrictions related to setting or location. Cochrane Database Syst Rev 2019;10:ED000142. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). 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. 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. Acupoints selected for this treatment consist of local and distal acupoints. exercise These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. Acupuncture is a non-drug therapy being used more and more to treat shoulder pain. According to the Cochrane Handbook for Systematic Reviews of Interventions, assessment of between-trial heterogeneity will be based on visual inspection of the forest plot, and more formally on the I2 statistic. [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. Hall ML, Mackie AC, Ribeiro DC. 1) The supraspinatus. weight loss 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. Highlight selected keywords in the article text. Two authors will independently extract relevant data from each of the eligible studies using a standardized data extraction form. 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. Discussion: 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. allergies Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. We will resolve disagreements by discussion or with a third review author. bThe Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China. Evidence quality will be rated high, moderate, low or very low according to the Grading of Recommendations Assessment, Development and Evaluation rating standards. sharing sensitive information, make sure youre on a federal Minagawa H, Yamamoto N, Abe H, et al. Acupuncture for shoulder pain | Cochrane 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). Your message has been successfully sent to your colleague. [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. [7] Manual therapy includes any clinician-applied movement of the joints and other structures, for example mobilization (of which several types exist) or manipulation.