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. 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. However, evidence regarding the efficacy of acupuncture for shoulder pain is inconsistent, and there is a lack of supporting evidence . your express consent. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). [4]. Improve blood flow to the tendon and muscle tissue accelerating the body's natural tissue healing response. The first pressure point for sciatica on the Gallbladder Meridian is the Gallbladder 30 point. 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 Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. [2] The rotator cuff is composed of supraspinatus muscle, infraspinatus muscle, subscapularis muscle and teres minor muscle. 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. 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. Quasi-randomized, non-randomized controlled trials, uncontrolled clinical trials (e.g., case studies), qualitative studies, and laboratory studies will be excluded. energy 65-70%) of shoulder pain is inflammation of the tendons that form the rotator cuff (the supraspinatus, the infraspinatus, the . Unable to load your collection due to an error, Unable to load your delegates due to an error. Thread embedding acupuncture for musculoskeletal pain: a systematic review and meta-analysis protocol. [10]. LF and CYB will screen full copies of the remaining studies after the title and abstract selection. You may search for similar articles that contain these same keywords or you may Choi, Seoyoung KMDa; Kim, Kun Hyung KMD, PhDa,b,, aDepartment of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital. 2020 Jan;99(2):e18716. It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. The popularity of different acupuncture methods in the nonsurgical treatment of shoulder pain has recently increased. doi: 10.1097/MD.0000000000018716. sharing sensitive information, make sure youre on a federal 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. It is argued that poor regenerative properties within a zone of hypovascularity and repetitive stresses, which result in inflammatory changes, could be significant factors in the degeneration process. Practice stretching and strengthening exercises for the shoulder joints. 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. If you've experienced a rotator cuff injury, one method of relieving the pain is by trying acupressure. 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. doi: 10.1002/14651858.CD009065.pub2. The treatment principle of rotator cuff tears is to reduce pain and improve the function of shoulder joint. [15]. Highlight selected keywords in the article text. Post surgery, acupuncture, when used with the electric stimulation, can help stimulate tissue growth and generate muscle healing. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. There will be no restrictions related to setting or location. . However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. 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. 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. CMAJ 1998;158:103740. Dry needling works by eliciting a twitch response in the muscle, which relaxes it and decreases pain. Arthritis Rheum 1991;34:7669. Most p, Everyone longs for a good nights sleep. Highlight selected keywords in the article text. Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. Most people want to know if acupuncture just treats the pain or actually helps injuries heal. Please try after some time. If the missing data is not accessible, we will exclude these articles and synthesis the rest of the included studies. Correspondence: Kun Hyung Kim, Pusan National University Korean Medicine Hospital, Geumo-ro 20, Mulgeum-eup, Yangsan 50612, Republic of Korea (e-mail: [emailprotected]). One review author will search potentially relevant studies. Dr. Jeremy B. Steiner reveals the Best Electro-Acupuncture Strategy for Shoulder Pain & Dysfunction. immunity . Trials in which acupuncture was compared with other forms of acupuncture or acupoint stimulation will be excluded. These muscles work together to stabilize the joint, rotate the shoulder and move the arm. PRISMA flow diagram of study selection. Disclaimer. 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. skin & beauty The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. RCTs in English and Chinese will be included in the review. PMC your express consent. Unauthorized use of these marks is strictly prohibited. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. 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]. PRISMA flow diagram of study selection. In addition to the needles from acupuncture, moxibustion can also be used which may hasten recovery. [13]. exercise Rotator cuff tendinitis is an injury that plagues athletes and non-athletes alike. Shamseer L, Moher D, Clarke M, et al. Acupuncture techniques with a plastic insertion tube was used to introduce every needle. Learn about acupressure for a rotator cuff injury with help from a doctor of. 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. If we do not succeed, we will exclude those trials. Acupressure point for shoulder pain: LI10 (large intestine meridian). 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). Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. 8600 Rockville Pike Our review will include all patients with a definite diagnosis or provisional diagnosis of RCD. Ethics and dissemination: Subacromial impingement syndrome: management challenges. 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. 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. Open Science Framework Preregistration. 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 will not perform funnel plots to assess the reporting bias due to the lack of sufficient studies (fewer than 10). Clipboard, Search History, and several other advanced features are temporarily unavailable. Project administration: Seoyoung Choi, Kun Hyung Kim. The needles were perpendicularly inserted to a depth of 2-3 cm. Acupoints selected for this treatment consist of local and distal acupoints. 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. Introduction. 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. Step 1: Identify the "sick" meridian. official website and that any information you provide is encrypted [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. First the acupuncturist asks the patient to identify the exact location of the pain. Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. Before Some error has occurred while processing your request. 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). Next the acupuncturist identifies what channels are affected. Background: Shoulder pain is a common musculoskeletal disorder. diabetes The search strategy was developed and run by THZ, CJ, and QXF, who will also screen the title and abstract of the studies after running the search strategy. 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. Page MJ, Green S, Mrocki MA, et al. -, Jancuska J, Matthews J, Miller T, et al. 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. Those are three of the, Symptoms are trying to tell you something. The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. Herbal supplements can d, http://orthoinfo.aaos.org/topic.cfm?topic=a00406, Just a Few Sessions: You Can Dip In (and Out) of Acupuncture. 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. This work was supported by the NSFC (Natural Science Foundation of China) (grant number 81804203), Sichuan Science and Technology Program (grant number 2015SZ0096), and Chengdu University of Traditional Chinese Medicine Science and Technology Development Fund (grant number YYZX1619). These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. Previous systematic reviews have not assessed acupuncture and manual therapy for rotator cuff tears together. One common shoulder injury is a rotator cuff tear. Home exercises performed without professional diagnosis and supervision may not yield intended results and may have adverse consequences. Cervical nerve root impingement, typically from disc herniation or arthritis in the neck. Two review authors will independently screen for titles and abstracts. It's the one right on the outer side of the hip / buttock. Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. Karjalainen TV, Jain NB, Page CM, et al. Rotator cuff tears do not only happen during athletic activities. If the missing data were not obtained, we will analyze only the available data. [10]. Bethesda, MD 20894, Web Policies The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. Acupuncture is commonly used for musculoskeletal disorders, and it has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. I use local electroacupuncture treatment at acupuncture locations ("points") such at LI 14, 15, and 16; TW 14; and SI 10, 11, 12, . Two review authors (THZ and LF) will independently use a specially designed form to extract information on participants, methods, interventions, outcomes, and results. Careers. 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. 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. 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]. To do this we need to figure out which muscles are involved. The site is secure. [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. 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. Sjolund B, Terenius L, Eriksson M. Increased cerebrospinal fluid levels of endorphins after electro-, [12]. There are two main types of rotator cuff tears: acute and degenerative. Here are few more guidelines for when to consider surgery: Learn more about rotator cuff tears here at AAOS. Effect sizes were calculated and combined in a pooled analysis if the study end-points population and intervention were homogenous. Your message has been successfully sent to your colleague. Ethical approval is not necessary as this review will not require data from individual patients. 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. [15] A summary of findings table will be generated and included in the final report. Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. The https:// ensures that you are connecting to the Acupuncture for treating acute ankle sprains in adults. Orthop Res Rev 2018;10:8391. Data is temporarily unavailable. Caution: patients with shoulder pain should be evaluated by a primary health care professional (physician or acupuncturist) prior to beginning a home exercise program. Some studies have pointed out that the mechanism of acupuncture and moxibustion treatment may be related to the local effect, which refers to the release of neuropeptide and other substances by stimulating the sensory nerve endings of skin and muscle tissue. BMJ Open. A systematic summary of systematic reviews on the topic of the rotator cuff. [7] Manual therapy includes any clinician-applied movement of the joints and other structures, for example mobilization (of which several types exist) or manipulation. Please enable scripts and reload this page. (rotator cuff impingement, shoulder bursitis). Diercks R, Bron C, Dorrestijn O, et al. 1). There are four primary rotator cuff muscles, but the one that is most commonly injured . Crossword; Sudoku; Crossword; Sudoku; Obituaries more relief for rotator cuff injuries than . If there is a low or unclear risk of bias for all main aspects, the trial will be rated as unclear risk. Perimenopause Causes Pain: Acupuncture Can Help, Finding & Treating the Causes of Insomnia, Using Acupuncture to Thrive During Chemotherapy, Tennis elbow? The needles were applied to the area of the injured shoulder while the patient was lying in a lateral decubitus position on the stretcher. The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. 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). modify the keyword list to augment your search. . orthopedics The authors have no conflicts of interest to disclose. Another recent study of acupuncture for shoulder impingement syndrome in Family Practice found benefits comparable to cortico-steroid injection. We will exclude other methods of stimulating acupuncture points without needle insertion (such as laser stimulation or transcutaneous electrical stimulation). Methods: To address your, Read More Acupuncture can put you in a better moodContinue, Its not menopause that causes issues with womens health and well-being. 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. Guyatt GH, Oxman AD, Schunemann HJ, et al. Trials evaluating the primary or add-on effects of acupuncture and manual therapy, acupuncture alone, and manual therapy alone are eligible. 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. No studies were excluded on the basis of outcome measure used. [8]. I generally refer to orthopedic physicians for further evaluation if I suspect any of these conditions (while continuing to manage pain with acupuncture). Ann Intern Med 2014;161:1619. Your message has been successfully sent to your colleague. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. dietary supplements Useful but incomplete data will be obtained for data synthesis from the contact trial researcher. A wide range of acupuncture techniques as they are currently practiced was not fully reflected in the scope of the previous evidence, which implies an evidence-practice gap to be covered. Many different types of surgeries are available for rotator cuff injuries, including: Arthroscopic tendon repair. Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture 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 try after some time. We will calculate 95% confidence intervals and two-sided P values for each outcome. 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]. 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. Consigliere P, Haddo O, Levy O, et al. How can alternative medicines, like acupuncture, effect my mood? [7] Acupuncture is under consideration as a technique to be applied in Western medical practice for a great many complaints, especially for cases in which modern techniques are either of limited effectiveness or are unsuitable. 2016 Jun 10;2016(6):CD012224. stress I also find that some patients respond equally well or better to treatment of the related acupuncture zones/meridians on the calf and wrist, instead of locally. You J, Yang F, Liu N, et al. Orthop J Sports Med 2018;6:2325967118797891. hormones . 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. Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. Some error has occurred while processing your request. For more information, please refer to our Privacy Policy. Combinations of Medical Subject Headings (MeSH) and text words will be used. Find this point on the front side of the forearm, about three inches below the elbow. Acupuncture for rotator cuff injuries is a safe, noninvasive . Local acupoints chosen for this treatment are Jianyu . In addition, it may help reduce muscle soreness during workouts. The good news is that acupuncture for rotator cuff tears can help reduce pain, inflammation, and speed healing. Please note: the following is for informational and education purposes, and is not intended as a substitute for professional diagnosis and treatment. migraine Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. [6]. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. With the affected arm, reach out and touch the wall at about waist level. 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. cbd The rotator cuff comprises four muscles, listed below, each with a tendon that attaches on the humerus. Rotator cuff tears is one of the common musculoskeletal complaints, and significantly impacts a person's health-related quality of life. 88 views, 4 likes, 0 loves, 0 comments, 3 shares, Facebook Watch Videos from ITeraCare - PRIFE International Chicago: What is iTeraCare? bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. 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). Rotator cuff pain can be caused by playing sports that involve throwing or overhead reaching, such as baseball and swimming. Minagawa H, Yamamoto N, Abe H, et al. PRISMA = the preferred reporting items, MeSH Hold the stretch for 15 to 20 seconds. [1-4] BOOK AN APPOINTMENT. Trigger point acupuncture can be an effective way to release the infraspinatus muscle and improve your movement. weight loss [6]. 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).
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