[14]. Management of rotator cuff tears in the elderly population. diabetes 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]. Kelly SM, Wrightson PA, Meads CA. back pain Dr. Ted offers insights and tips about how to remain calm and healthy. Acupuncture is also an effective option in treating torn rotator cuff as an alternative to, or after, surgery. Glazier RH, Dalby DM, Badley EM, et al. All the authors drafted and revised this study protocol and approved it for publication. 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. gan mao ling You J, Yang F, Liu N, et al. Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E. Cochrane Database Syst Rev. Orthop J Sports Med 2018;6:2325967118797891. In some cases, however, people with rotator cuff injuries . Patient global assessment of treatment outcomes, such as the Patient Global Impression of Change (PGIC). [16]. Trigger point acupuncture can be an effective way to release the infraspinatus muscle and improve your movement. bThe Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China. J Clin Epidemiol 2011;64:3802. It will help loosen up stiff neck muscles and reduce neck pain. Careful assessment of shoulder range-of-motion, muscle strength, and joint stability is essential to identify which acupuncture locations to use for maximum benefit. Proportion of patients who finally ended up receiving shoulder surgery. Sjolund B, Terenius L, Eriksson M. Increased cerebrospinal fluid levels of endorphins after electro-, [12]. Trigger Point acupuncture on patient experiencing symptoms like a rotator cuff injury. After removing duplicates, they will then use the full-text articles to determine which papers will finally be included in the review. 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)). Dichotomous data will be investigated by using a risk ratio with 95% CIs. Combinations of Medical Subject Headings (MeSH) and text words will be used. [8]. 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. 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. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). 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. meditation Pain at night when resting on the affected side. 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. Wolters Kluwer Health 2020;99:2(e18716). We will exclude other methods of stimulating acupuncture points without needle insertion (such as laser stimulation or transcutaneous electrical stimulation). Stand facing a wall at a distance of about three-quarters of an arm's length away. 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. your express consent. PRISMA = the preferred reporting items, MeSH Learn about acupressure for a rotator cuff injury with help from a doctor of. 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. Two authors will independently extract relevant data from each of the eligible studies using a standardized data extraction form. A tear can successfully heal with the combination of therapies including acupuncture. The X's in the diagram are the location of the trigger points, and the red areas are the referral . Shamseer L, Moher D, Clarke M, et al. acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. 2020;99:21(e20377). Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. [2,6], The extrinsic theory hypothesizes that pressure damage occurs due to pathological contact between the rotator cuff and the acromion while lifting the arm. Two very effective ways of remedying the rotator cuff are acupuncture and guasha. Bookshelf A systematic summary of systematic reviews on the topic of the rotator cuff. It is also unlikely to work alone - it is best used in conjunction with other therapies. Published by Wolters Kluwer Health, Inc. (1) Pain intensity (measured by validated scales, such as the visual analog scale or numeric rating scale); (2) Shoulder function (measured by validated scales, such as the Constant-Murley score, Shoulder Pain and Disability Index total scale, Dutch Shoulder Disability Questionnaire, Disabilities of the Arm, Shoulder and Hand score, University of California-Los Angeles Shoulder rating scale, or the American Shoulder and Elbow Surgeons rating scale). Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture If the missing data were not obtained, we will analyze only the available data. The purpose of this protocol is to describe a randomized controlled trial design to evaluate the effect . may email you for journal alerts and information, but is committed The intrinsic theory describes degeneration in the rotator cuff tendon itself as a primary cause, leading to impingement and a loss of structural integrity. 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. There will be no restrictions related to setting or location. Previous systematic reviews have not assessed acupuncture and manual therapy for rotator cuff tears together. Acupuncture for treating acute ankle sprains in adults. 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. Crossover randomized trials, if any, will be included, but only the pre-crossover data will be analyzed in order to avoid carryover effects. On the back of the body, there are . sciatica Abstract Background: 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. Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. Each outcome will be calculated with 95% confidence intervals. Patients with unspecified shoulder pain with or without radiological evidence of RCDs will be included only if eligibility criteria or patient characteristics are deemed to be compatible with a diagnosis of RCD. manifesting [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. These muscles work together to stabilize the joint, rotate the shoulder and move the arm. J Orthop 2013;10:812. -, Glazier RH, Dalby DM, Badley EM, et al. Cumpston M, Li T, Page MJ, et al. Highlight selected keywords in the article text. Practice stretching and strengthening exercises for the shoulder joints. Guyatt GH, Oxman AD, Schunemann HJ, et al. [10]. Those are three of the, Symptoms are trying to tell you something. 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. There are 2 main causes of rotator cuff tears: injury and degeneration. [4]. 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 The mechanisms of. [2,3] Subacromial pain syndrome is a comprehensive term, that describes non-traumatic shoulder problems with subacromial pain during abduction of the arm. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. In addition to the needles from acupuncture, moxibustion can also be used which may hasten recovery. This acupressure point is great for everything involving your head. Previous systematic reviews for chronic shoulder pain observed considerable heterogeneity associated with a wide range of different diagnoses, which provide, at best, limited evidence for the effectiveness of acupuncture for RCDs. Kidney Channel: KI3 - Located behind the inner ankle, this point treats asthma, insomnia, sore throat and lower back pain. If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. Introduction. Perimenopause Causes Pain: Acupuncture Can Help, Finding & Treating the Causes of Insomnia, Using Acupuncture to Thrive During Chemotherapy, Tennis elbow? Presence of myofascial trigger points (MTrP) as a result of surgical procedure can aggravate postoperative shoulder pain. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. Would you like email updates of new search results? The authors have no conflicts of interest to disclose. Birch S, Lee MS, Alraek T, et al. 1. diagnosis of the study population (i.e., rotator cuff tear or without tear). Birch S, Lee MS, Alraek T, et al. The Authors. We will use funnel plots to evaluate reporting bias if we retrieve a minimum of 10 trials reporting the same outcome. 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. Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. Open tendon repair. 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. Rotator cuff is an injury to the shoulder muscle and acupuncture is believed to be an effective treatment. Tang H, Fan H, Luo F, Huang L, Liao S, Yu W, Chen Y, Chen J, Qin X. 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. Before Open Science Framework Preregistration. [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. We will contact the first or corresponding authors via email and ask them to provide additional information if necessary. Rhon DI, Boyles RB, Cleland JA. This article focuses on alternative . . Efficacy data will be synthesized and statistically analyzed by using Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen). Some error has occurred while processing your request. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. [16]. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Both. Chichester, West Sussex; Hoboken NJ: John Wiley & Sons; 2008. Some systematic reviews have reported on various nonoperative treatments such as physical therapy, exercise therapy, manual therapy, corticosteroid or hyaluronate injection, analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), extracorporeal shockwave therapy, and acupuncture.[8,9]. Minagawa H, Yamamoto N, Abe H, et al. Treatment for this disorder consist of 12 treatments for six weeks. 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 authors have no conflicts of interest to disclose. Shoulder disorders in the elderly: a community survey. Abbreviation: RCT = randomized controlled trials. It most often occurs from repetitive actions, like throwing a ball, lifting, or even sitting at a computer. Wolters Kluwer Health GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. LI16: Jugu : On the shoulder girdle, in the depression between the acromial end of he clavicle and the spine of the scapula. In my practice, I see first-hand the, Read More Finding & Treating the Causes of InsomniaContinue, PMS Pre-menstrual Syndrome and Pre-menstrual Dysphoric Disorder are two conditions on the same continuum, with PMDD being the more severe of the two. Ethical approval is not necessary as this review will not require data from individual patients. [15] However, it is still uncertain whether acupuncture is effective and safe for RCD, partially due to a lack of high quality primary studies and systematic reviews that specifically focus on RCD. We will contact the corresponding author to retrieve additional information if necessary. Highlight selected keywords in the article text. In particular, we will extract first author's name, year of publication, age, sex, duration of disease, sample size, number and type of centers, treated and analyzed, number of reasons for dropouts, duration of baseline, treatment, and follow-up, details of acupuncture treatments (such as selection of points, number, frequency, and duration of sessions), achievement of De-Qi (an irradiating feeling considered to indicate effective needling), number, training, and experience of acupuncturists, details of manual therapy, and the control interventions (sham technique, type, and dosage of drugs). Chinese Medicine It is thought that acupuncture works either by releasing chemical compounds in the body that relieve pain, by overriding pain signals in the nerves or by allowing energy (Qi) or blood to flow freely through the body. [3] In practice, people with rotator cuff tears seldom receive a single intervention in isolation. Two review authors will independently screen for titles and abstracts.