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. Shoulder pain is the third most common specific reason U.S. patients seek acupuncture treatment. [4]. [15]. 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. The .gov means its official. Many different types of surgeries are available for rotator cuff injuries, including: Arthroscopic tendon repair. Two reviewers will use the Grading of Recommendations Assessment, Development and Evaluation system to independently assess the quality of evidence for each outcome. 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. skin & beauty doi: 10.1136/bmjopen-2016-015461. 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). On the back of the body, there are . Evid Based Complement Alternat Med 2019;2019:2010816. 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. Two review authors will independently perform the assessment of risk of bias regarding 7 domains. 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. Keyword Highlighting Two review authors will independently screen for titles and abstracts. It is also unlikely to work alone - it is best used in conjunction with other therapies. to maintaining your privacy and will not share your personal information without [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. [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. 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. 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. Different units of analysis will be planned to be subjected to a sensitivity analysis. If an adequate number of studies are available, subgroup analysis will be performed to find possible sources of the heterogeneity. Rotator cuff tendinitis is an injury that plagues athletes and non-athletes alike. FHY and HL will extract information from the included studies and enter into the electronic database. Methods: Acupotomy therapy for shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. 2016 Jun 10;2016(6):CD012224. [6]. Two authors will independently extract relevant data from each of the eligible studies using a standardized data extraction form. Other causes include aging and weakening of the tendons and injuries to the shoulder. These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. sciatica We will contact the first or corresponding authors via email and ask them to provide additional information if necessary. Overview of treatment guidelines and clinical practical guidelines that recommend the use of. your express consent. The search terms consist of 2 parts: rotator cuff disease (e.g., rotator cuff, impingement, subacromial) and acupuncture (e.g., acupuncture, electroacupuncture, needling, pharmacopuncture, embedding therapy, acupotomy). Acupuncture for symptomatic rotator cuff disease: Protocol for a systematic review and meta-analysis. In addition, it may help reduce muscle soreness during workouts. acupuncture; manual therapy; protocol; rotator cuff tears; Ssystematic review. [7]. Vas J, Perea-Milla E, Mendez C, et al. Registration number 10.17605/OSF.IO/M3NKV. Some error has occurred while processing your request. Dry needling works by eliciting a twitch response in the muscle, which relaxes it and decreases pain. Two review authors (THZ and LF) will independently use a specially designed form to extract information on participants, methods, interventions, outcomes, and results. gan mao ling Search for Similar Articles Extrinsic factors include those which affect the subacromial space, such as the shape of the acromion, the orientation of the scapula, and an alteration in the glenohumeral kinematics due to weakness in the rotator cuff. Please note: the following is for informational and education purposes, and is not intended as a substitute for professional diagnosis and treatment. 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. Careful assessment of shoulder range-of-motion, muscle strength, and joint stability is essential to identify which acupuncture locations to use for maximum benefit. We will contact the authors in China via telephone, and authors from elsewhere via email to obtain missing data, if necessary. cortisol Disclaimer. [4]. Dr. Ted offers insights and tips about how to remain calm and healthy. Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. [8]. The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. [14]. Federal government websites often end in .gov or .mil. The popularity of different acupuncture methods in the nonsurgical treatment of shoulder pain has recently increased. doi: 10.1002/14651858.CD012224. Guyatt GH, Oxman AD, Schunemann HJ, et al. cardiovascular The kin, Having trouble sleeping? Rotator cuff tendonitis, bursitis and impingement are common causes of shoulder pain, particularly in middle-aged patients. back pain Previous systematic reviews have not assessed acupuncture and manual therapy for rotator cuff tears together. We will include randomized controlled trials (RCTs) of acupuncture treatment for rotator cuff disease. Please try again soon. nutrition Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. [1] RCD is an umbrella term that refers to anatomical deformities, as well as symptoms and signs of rotator cuff pathologies, including subacromial impingement syndrome, rotator cuff tendinopathy or tendinitis, partial or full rotator cuff tear, calcific tendinitis, and subacromial bursitis. Both. Ethical approval is not necessary as this review will not require data from individual patients. Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. We will resolve disagreements by discussion or with a third review author. The primary outcome is pain intensity and shoulder dysfunction measured on validated scales within 12 weeks. The detailed process of study selection will be shown in a PRISMA flow diagram (Fig. Acupuncture is also an effective treatment as an adjunct or alternative option to surgery. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. Arthritis Rheum 1991;34:7669. [14] Level of evidence will be classified into 4 categories: high, moderate, low, or very low. [7] Manual therapy includes any clinician-applied movement of the joints and other structures, for example mobilization (of which several types exist) or manipulation. Careers. Home exercises performed without professional diagnosis and supervision may not yield intended results and may have adverse consequences. sharing sensitive information, make sure youre on a federal 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). BMJ Open. Untreated or under-treated rotator cuff impingement can lead to complete tears of the rotator cuff, shoulder joint degeneration (arthritis), frozen shoulder, and neck and arm pain. We will try to contact the original investigators by email to request missing data. 3 Prevalence and incidence of shoulder pain are reported to be . Details of the search strategy for MEDLINE are available in Appendix, https://links.lww.com/MD/D572. Jumpers knee? 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. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. Jancuska J, Matthews J, Miller T, et al. 2020 Aug 14;99(33):e21748. We will extract details of the acupuncture treatment and control interventions on the basis of the revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA). Its clinical manifestations are neck and shoulder pain, shoulder weakness, and . 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. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). Jancuska J, Matthews J, Miller T, et al. shoulder pain [8]. 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). To do this we need to figure out which muscles are involved. Study eligibility will not be restricted by language or date of publication. Device: Acupuncture. [5]. There will be no restrictions related to setting or location. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. Dr. Jeremy B. Steiner reveals the Best Electro-Acupuncture Strategy for Shoulder Pain & Dysfunction. There will be no restrictions related to setting or location. modify the keyword list to augment your search. Choi, Seoyoung KMDa; Kim, Kun Hyung KMD, PhDa,b,, aDepartment of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital. 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. Maturitas 2019;123:914. neck pain However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. RCT = randomized controlled trial, RCD =, [1]. weight loss 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. Search for Similar Articles Most people want to know if acupuncture just treats the pain or actually helps injuries heal. Highlight selected keywords in the article text. Birch S, Lee MS, Alraek T, et al. Page MJ, Green S, Mrocki MA, et al. Minagawa H, Yamamoto N, Abe H, et al. Clin Rehabil 2010;24:99109. A repetitive tear may be caused by overuse, lack of blood supply or a bone spur fraying the tendon. You may be trying to access this site from a secured browser on the server. Acupuncture is a non-drug therapy being used more and more to treat shoulder pain. We will use the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess the overall quality of the evidence for each main outcome with respect to the following domains: the risk of bias across studies, directness of evidence, heterogeneity, precision of effect estimates and risk of publication bias. 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. Bookshelf Read more to find out! National Library of Medicine Micallef J, Pandya J, Low AK. [3]. 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. dietary supplements Please enable scripts and reload this page. 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. PRISMA flow diagram of study selection. Bethesda, MD 20894, Web Policies 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].
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