Its incidence increases with age . Please try again soon. 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. [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. The good news is that acupuncture for rotator cuff tears can help reduce pain, inflammation, and speed healing. The treatment principle of rotator cuff tears is to reduce pain and improve the function of shoulder joint. RCT = randomized controlled trial, RCD =, [1]. You may be trying to access this site from a secured browser on the server. 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). [6]. Practice stretching and strengthening exercises for the shoulder joints. Perimenopause Causes Pain: Acupuncture Can Help, Finding & Treating the Causes of Insomnia, Using Acupuncture to Thrive During Chemotherapy, Tennis elbow? -, Jancuska J, Matthews J, Miller T, et al. 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)). The supraspinatus, often affected by bone spurs, is one of the most common to experience either of these types of tears. The rotator cuff comprises four muscles, listed below, each with a tendon that attaches on the humerus. anxiety Subacromial impingement syndrome: management challenges. PRISMA = the preferred reporting items, MeSH A tear can successfully heal with the combination of therapies including acupuncture. [15] A summary of findings table will be generated and included in the final report. Quality assessment will be performed using the Cochrane risk of bias tool. The X's in the diagram are the location of the trigger points, and the red areas are the referral . bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. Two authors will independently extract relevant data from each of the eligible studies using a standardized data extraction form. I generally refer to orthopedic physicians for further evaluation if I suspect any of these conditions (while continuing to manage pain with acupuncture). The authors have no conflicts of interest to disclose. sleep Federal government websites often end in .gov or .mil. Control interventions will include active treatments (e.g., oral medication, glucocorticoid injection, electrotherapy, manual therapy, or exercise), waiting list control or placebo treatment. to maintaining your privacy and will not share your personal information without Disclaimer. Supplemental Digital Content is available for this article. CJ and HL will give analysis suggestions during data synthesis. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Surgeons and their patients are increasingly using alternative methods, such as relaxation techniques and acupuncture, to supplement conventional medicine. Some error has occurred while processing your request. 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). We will exclude other methods of stimulating acupuncture points without needle insertion (such as laser stimulation or transcutaneous electrical stimulation). For each item, risk of bias will be graded as high, low, or unclear. 8600 Rockville Pike In this procedure, surgeons insert a tiny camera (arthroscope) and tools through small incisions to reattach the torn tendon to the bone. 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. Proportion of patients who finally ended up receiving shoulder surgery. What Causes Rotator Cuff Injuries? On the back of the body, there are . Patients with RCD accompanied by myofascial pain of the upper extremity will be included, as myofascial pain is a common comorbid condition in patients with chronic shoulder pain. When we talk about alternative medicine, we are talking about a very broad range of disciplines including, but not limited to, homeopathy, chiropractic, acupuncture, herbs, and ayurvedic medicine. Registration: Open Science Framework (OSF) Preregistration. Guyatt GH, Oxman AD, Schunemann HJ, et al. . Data is temporarily unavailable. 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. Wolters Kluwer Health [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. men's health The authors have no conflicts of interest to disclose. Birch S, Lee MS, Alraek T, et al. This systematic review would provide updated evidence of various types of acupuncture that specifically focuses on its effectiveness and safety for patients with RCDs. They are also referred to as the SITS muscle, with reference to the first letter of their names ( Supraspinatus, Infraspinatus, Teres minor, and Subscapularis, respectively). Patient global assessment of treatment outcomes, such as the Patient Global Impression of Change (PGIC). cardiovascular Pain and disability may become chronic. manifesting Its clinical manifestations are neck and shoulder pain, shoulder weakness, and . A systematic summary of systematic reviews on the topic of the rotator cuff. 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. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). Different units of analysis will be planned to be subjected to a sensitivity analysis. Shoulder function measured on validated scales, such as the CMS, SPADI total scale, SDQ-NL, DASH score, UCLA Shoulder rating scale, or the ASES rating scale, over 12 weeks. Jumpers knee? Fluctuations in your hormones, such as dropping estrogen levels, can result in symptoms such as night sweats, insomnia, hot, Read More Perimenopause Causes Pain: Acupuncture Can HelpContinue, According to the National Institute of Healthit is estimated that some 50-70 million Americans suffer from sleep or wakefulness disorders causing nearly $50B in lost productivity and upwards of 5000 car crashes. THZ, LF, and FHY contributed to the conception and design of the study protocol. Wolters Kluwer Health 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. Relieve muscle spasms in the joint area, thereby lessening the load on the joint. Health-related quality of life measured on validated scales such as Short-Form 36 (SF-36) Health Survey or EuroQoL EQ-5D. [1]. The relative safety of acupuncture for shoulder pain makes it worthy of trying in almost all cases. Rhon DI, Boyles RB, Cleland JA. Pain intensity measured on validated scales, such as the visual analogue scale (VAS) or numeric rating scale (NRS), within 12 weeks. [4]. [15]. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. Karjalainen TV, Jain NB, Page CM, et al. 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). All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. Acupuncture Points Used for Rotator Cuff Tendinitis. 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. Randomized controlled trials that include patients with rotator cuff tears receiving acupuncture and manual therapy versus a control group will be included. Acupuncture has been suggested as a meaningful nonsurgical intervention for managing shoulder pain and dysfunction. Overview of treatment guidelines and clinical practical guidelines that recommend the use of. Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture We will calculate 95% confidence intervals and two-sided P values for each outcome. more relief for rotator cuff injuries than . 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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