acupuncture points for rotator cuff injury

Would you like email updates of new search results? Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. Arthritis Rheum 1991;34:7669. We will calculate 95% confidence intervals and two-sided P values for each outcome. In some cases, however, people with rotator cuff injuries . Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. Perimenopause Causes Pain: Acupuncture Can Help, Finding & Treating the Causes of Insomnia, Using Acupuncture to Thrive During Chemotherapy, Tennis elbow? allergies Dry needling is a therapeutic technique that involves inserting thin needles into the skin and underlying tissues to release trigger points, improve muscular pain and dysfunction, and promote tissue healing. 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. Relieves pain: Dry needling releases tight muscle tissue, decreases spasms and stimulates the body's natural pain relief system, providing . Diercks R, Bron C, Dorrestijn O, et al. PRISMA flow diagram of study selection. Kelly SM, Wrightson PA, Meads CA. Trials in which acupuncture was compared with other forms of acupuncture or acupoint stimulation will be excluded. [9]. The rating results will be cross-checked and discrepancies resolved through discussions and the arbitration of a third reviewer. 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. 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. The kin, Having trouble sleeping? Classifications are as follows: We will perform sensitivity analyses to determine whether the results have been influenced by trials where radiologic diagnosis of RCDs was not mentioned in the participant eligibility criteria, where measures of variance are missing, and where different methods of analysis were used (random-effects model or fixed-effect model). Korean Medicine, including acupuncture and pharmacopuncture, is a part of conservative . [Electro-acupuncture promotes repair of rotator cuff injury in rats]. It's the one right on the outer side of the hip / buttock. IntroductionShoulder pain is one of the most common musculoskeletal disorders among adults and is caused by a variety of shoulder conditions. 1. I generally refer to orthopedic physicians for further evaluation if I suspect any of these conditions (while continuing to manage pain with acupuncture). If trials include a mixed population with shoulder diseases including RCD, we will try to retrieve the data for patients with RCD. Trials evaluating the primary or add-on effects of acupuncture and manual therapy, acupuncture alone, and manual therapy alone are eligible. BMJ 2015;350:g7647. Ann Intern Med 2014;161:1619. I list them below. See this image and copyright information in PMC. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Ethical approval is not necessary as this review will not require data from individual patients. may email you for journal alerts and information, but is committed Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. your express consent. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. neck pain Previous systematic studies on shoulder pain have found that acupuncture has insufficient evidence support in improving shoulder joint diseases, partially due to a lack of high-quality primary studies. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. 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. food allergies 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]. [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. J Manipulative Physiol Ther 2011;34:31446. For more information, please refer to our Privacy Policy. A related disorder called sleep apnea (temporary cessation of breathing while asleep) affects 12-18 million Americans. 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. [8,9] The mechanism of acupuncture treatment has not been fully elucidated. You may search for similar articles that contain these same keywords or you may 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. 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. Methods: Effect sizes were calculated and combined in a pooled analysis if the study end-points population and intervention were homogenous. 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. A systematic summary of systematic reviews on the topic of the rotator cuff. skin & beauty Distance consults available during Coronavirus. Your message has been successfully sent to your colleague. 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. 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). The good news is that acupuncture for rotator cuff tears can help reduce pain, inflammation, and speed healing. liver qi stagnation sleep Medicine. 2020 Aug 14;99(33):e21748. 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). [2]. It helps restore health to your eyes, ears, nose, and throat. Acupuncture is also an effective treatment as an adjunct or alternative option to surgery. Treatment for this disorder consist of 12 treatments for six weeks. 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). Minagawa H, Yamamoto N, Abe H, et al. For each aspect, the trial will be rated as high, low risk, or unclear of bias. Different units of analysis will be planned to be subjected to a sensitivity analysis. Karjalainen TV, Jain NB, Page CM, et al. Brantingham JW, Cassa TK, Bonnefin D, et al. [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. 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. Of course, in a shoulder injury, surrounding muscles may be involved as well, but a simple orthopedic evaluation can identify the source of your pain. Unable to load your collection due to an error, Unable to load your delegates due to an error. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. 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. Open Science Framework Preregistration. [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. Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis. Some error has occurred while processing your request. Registration: Open Science Framework (OSF) Preregistration. Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. The quality of the included trials will be evaluated by 2 reviewers using the Cochrane Collaboration's tool. This article focuses on alternative . immunity 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. Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E. Cochrane Database Syst Rev. 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. An official website of the United States government. J Clin Epidemiol 2011;64:3802. Quasi-randomized, non-randomized controlled trials, uncontrolled clinical trials (e.g., case studies), qualitative studies, and laboratory studies will be excluded. Disclaimer. The dichotomous data will be presented as risk ratios with 95% CIs and the continuous data will be presented as weighted mean differences or standardized mean differences with 95% CIs. 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]. Page MJ, Green S, Mrocki MA, et al. circadian rhythm The International Clinical Trials Registry Platform, the Australian New Zealand Clinical Trials Registry and the Chinese clinical registry. Abbreviation: RCT = randomized controlled trials. Stand facing a wall at a distance of about three-quarters of an arm's length away. Management of rotator cuff tears in the elderly population. Search for Similar Articles 1). Pain and disability may become chronic. [14] Level of evidence will be classified into 4 categories: high, moderate, low, or very low. ginger brain health Project administration: Seoyoung Choi, Kun Hyung Kim. It correlates pretty well with the gluteus medius and gluteus minimus muscle trigger points. It will help loosen up stiff neck muscles and reduce neck pain. 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. Trigger Point acupuncture on patient experiencing symptoms like a rotator cuff injury. 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. Acta Orthop 2014;85:31422. 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. [13]. Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. It is important to talk with your healthcare provider for a diagnosis. cancer One-year outcome of subacromial corticosteroid injection compared with manual physical therapy for the management of the unilateral shoulder impingement syndrome: a pragmatic randomized trial. PRISMA flow diagram of study selection. The authors have no conflicts of interest to disclose. Two very effective ways of remedying the rotator cuff are acupuncture and guasha. Large Intestine Channel: LI4 - Located on the back side of the hand between the thumb and first finger, this point activates the immune system and helps pain, especially in the face. Pain intensity measured on validated scales, such as the visual analogue scale (VAS) or numeric rating scale (NRS), within 12 weeks. Finger walk. doi: 10.1136/bmjopen-2016-015461. 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). RCTs using single-blind, double-blind or open-label design will be included. Some other causes of shoulder pain may require additional treatment beyond acupuncture, including recurrent shoulder dislocation from large cartilage tears (TUBS lesions), severe joint degeneration, and complete rotator cuff tears. On the back of the body, there are . your express consent. sciatica Cochrane Database Syst Rev 2019;10:ED000142. to maintaining your privacy and will not share your personal information without Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. Its clinical manifestations are neck and shoulder pain, shoulder weakness, and . This acupressure point is great for everything involving your head. The .gov means its official. The Authors. depression Chichester, West Sussex; Hoboken NJ: John Wiley & Sons; 2008. Evid Based Complement Alternat Med 2019;2019:2010816. Persons experiencing shoulder pain should seek diagnosis from a primary health care professional (physician or acupuncturist). With the affected arm, reach out and touch the wall at about waist level. Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. Post surgery, acupuncture, when used with the electric stimulation, can help stimulate tissue growth and generate muscle healing. Overview of treatment guidelines and clinical practical guidelines that recommend the use of. 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. Home exercises performed without professional diagnosis and supervision may not yield intended results and may have adverse consequences. In this procedure, surgeons insert a tiny camera (arthroscope) and tools through small incisions to reattach the torn tendon to the bone. Acupuncture has been used to repair injured body sites as well as being able to help relieve pain. Ongoing trials with unpublished data will also be retrieved from the following clinical trial registries: the US National Institute of Health, the NIH clinical registry Clinical Trials. Do this exercise 10 to 20 times per day. All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. 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]. [7] Manual therapy includes any clinician-applied movement of the joints and other structures, for example mobilization (of which several types exist) or manipulation. I believe this is because the shoulder is mostly composed of muscles and tendons, and . Vickers AJ, Vertosick EA, Lewith G, et al. energy Cumpston M, Li T, Page MJ, et al. Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). What Causes Rotator Cuff Injuries? FHY and HL will extract information from the included studies and enter into the electronic database. 2020;99:21(e20377). -, Glazier RH, Dalby DM, Badley EM, et al. Trigger point acupuncture can be an effective way to release the infraspinatus muscle and improve your movement. hormones -. Eligible manual therapy interventions include mobilization, manipulation and massage. 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. Study eligibility will not be restricted by language or date of publication. more relief for rotator cuff injuries than . 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. Acupuncture is also an effective option in treating torn rotator cuff as an alternative to, or after, surgery. The Authors. 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. 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. We will include randomized controlled trials of acupuncture for RCD. 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. The authors have no conflicts of interest to disclose. Rotator cuff is an injury to the shoulder muscle and acupuncture is believed to be an effective treatment. When the studies assessed outcome variables at multiple time points, we will categorize the time frames of the included studies into short-term (up to 3 months post-randomization), intermediate-term (up to 6 months post-randomization), and long-term (more than 6 months post-randomization). Ethical approval is not necessary as this review will not require data from individual patients. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. Health-related quality of life measured on validated scales such as Short-Form 36 (SF-36) Health Survey or EuroQoL EQ-5D. Device: Acupuncture. 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. 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 Treatment can be surgical or non-surgical. Acupuncture can help but not heal a rotator cuff tear. Ethical approval is not necessary as this review will not require data from individual patients. modify the keyword list to augment your search. Please try after some time. emotional health Patient global assessment of treatment outcomes, such as the Patient Global Impression of Change (PGIC). [2] The rotator cuff is composed of supraspinatus muscle, infraspinatus muscle, subscapularis muscle and teres minor muscle. Bialosky JE, Bishop MD, Price DD, et al. Minagawa H, Yamamoto N, Abe H, et al. After removing duplicates, they will then use the full-text articles to determine which papers will finally be included in the review. . [6]. You J, Yang F, Liu N, et al. Ethics and dissemination: This muscle has been mentioned above. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. cbd Rotator cuff tears is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. The patient points to the low back area on the right side. 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). In some situations, an open tendon repair may be a better option. american airlines pilot retirement age, andrew francis ice skater, john adams morgan wife connie age,
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