acupuncture points for rotator cuff injury
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. Patient global assessment of treatment outcomes, such as the Patient Global Impression of Change (PGIC). If considerable heterogeneity (I2 > 75%) is observed, we will not meta-analyze the trials and will qualitatively synthesize the data. Device: Acupuncture. Supplemental digital content is available for this article. A related disorder called sleep apnea (temporary cessation of breathing while asleep) affects 12-18 million Americans. Writing review & editing: Kun Hyung Kim. The intrinsic theory describes degeneration in the rotator cuff tendon itself as a primary cause, leading to impingement and a loss of structural integrity. After removing duplicates, they will then use the full-text articles to determine which papers will finally be included in the review. Dry needling works by eliciting a twitch response in the muscle, which relaxes it and decreases pain. Arthritis Rheum 1991;34:7669. Abbreviation: RCT = randomized controlled trials. exercise [6] Manual therapy is also commonly used in the management of rotator cuff tears. 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. See this image and copyright information in PMC. 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. weight loss -, Chard MD, Hazleman R, Hazleman BL, et al. Shoulder disorders in the elderly: a community survey. Please try again soon. emotional health Ann Intern Med 2014;161:1619. Dry Needling vs Acupuncture: Benefits and Risks - Healthline 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. We will include randomized controlled trials of acupuncture for RCD. 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. The .gov means its official. Treatment can be surgical or non-surgical. [6,7], First line treatment options for RCD include nonoperative management. The quality of the included trials will be evaluated by 2 reviewers using the Cochrane Collaboration's tool. The https:// ensures that you are connecting to the [14] The 7 domains are as follows: random sequence generation, allocation concealment, blinding of participants, blinding of outcome assessors, incomplete outcome data, selective outcome reporting, and other sources of bias. [17] In addition, the increasing use of acupuncture and manual therapy around the world has not been mentioned in previous reviews, which means that clinical trials and systematic reviews are necessary to assess the effectiveness and safety of such interventions in patients with pain and dysfunction caused by rotator cuff tears. [5]. 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). 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. Alternative Methods to Help Manage Pain After Orthopaedic Surgery It is generally believed that 10%15% of the adult population suffers from chronic insomnia, and an additional 25%35% have transient or occasional insomnia.1 Its no wonder Americans are so desperate for sleep! Step 1: Identify the "sick" meridian. 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). Ethical approval is not necessary as this study will not require data from individual patients. If trials include a mixed population with shoulder diseases including RCD, we will try to retrieve the data for patients with RCD. Supplemental Digital Content is available for this article. Unauthorized use of these marks is strictly prohibited. Details of the search strategy for MEDLINE are available in Appendix, https://links.lww.com/MD/D572. sleep Shoulder pain is described in Traditional Chinese Medicine as stagnation or obstruction of the flow of qi and blood in the tendons and muscles of the Large Intestine, Small Intestine, and Internal Membrane acupuncture meridians. 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). IntroductionShoulder pain is one of the most common musculoskeletal disorders among adults and is caused by a variety of shoulder conditions. The objective of this systematic review is to evaluate the effectiveness and safety of acupuncture for managing symptoms in patients with RCD. Bialosky JE, Bishop MD, Price DD, et al. Ethical approval is not necessary as this review will not require data from individual patients. Acupuncture for symptomatic rotator cuff disease: Protocol for a The Best Electro-Acupuncture Strategy For Shoulder Pain & Dysfunction Work disability, such as length or total days of sick leave. [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. Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture your express consent. In some cases, however, people with rotator cuff injuries . Pain intensity measured on validated scales, such as the visual analogue scale (VAS) or numeric rating scale (NRS), within 12 weeks. Trigger Point acupuncture on patient experiencing symptoms like a rotator cuff injury. [8,9] The mechanism of acupuncture treatment has not been fully elucidated. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system. Most people want to know if acupuncture just treats the pain or actually helps injuries heal. The primary outcome is pain intensity and shoulder dysfunction measured on validated scales within 12 weeks. Improve blood flow to the tendon and muscle tissue accelerating the bodys natural tissue healing response. Guyatt GH, Oxman AD, Schunemann HJ, et al. 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]. your express consent. All the authors drafted and revised this study protocol and approved it for publication. In this procedure, surgeons insert a tiny camera (arthroscope) and tools through small incisions to reattach the torn tendon to the bone. The patient points to the low back area on the right side. The results of this will be published through peer-reviewed journal articles or conference presentations. RCTs in English and Chinese will be included in the review. This article focuses on alternative . 2020 Jan;99(2):e18716. It correlates pretty well with the gluteus medius and gluteus minimus muscle trigger points. Careful assessment of shoulder range-of-motion, muscle strength, and joint stability is essential to identify which acupuncture locations to use for maximum benefit. manifesting Acupuncture improves postoperative symptoms of pigmented villonodular synovitis: A protocol for systematic review and meta analysis. Management of rotator cuff tears in the elderly population. Acupuncture Treatment of Shoulder Impingement Syndrome insomnia depression 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. The muscle are known by the acronym SITS and include the supraspinatus, infraspinatus, teres minor and subscapularis. Overview of treatment guidelines and clinical practical guidelines that recommend the use of. doi: 10.1002/14651858.CD009065.pub2. A systematic summary of systematic reviews on the topic of the rotator cuff. We will use Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen) to carry out statistical analysis. Acupuncture for Frozen Shoulders and Torn Rotator Cuffs Useful but incomplete data will be obtained for data synthesis from the contact trial researcher. Rotator cuff tendinitis is an injury that plagues athletes and non-athletes alike. Rhon DI, Boyles RB, Cleland JA. Acupuncture Points: Charts and Meanings - Won Institute We will resolve disagreements by discussion or with a third review author. shoulder pain Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. to maintaining your privacy and will not share your personal information without 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. Study eligibility will not be restricted by language or date of publication. [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. 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. [5], Although the exact mechanisms are unknown, the pathogenesis of RCD has been attributed to both intrinsic and extrinsic mechanisms. Acupuncture for Rotator Cuff Symptoms - YouTube men's health Press gently, just above the elbow, to stretch the shoulder. For crossover trials, data are extracted from the first period only, to avoid potential carryover effects. Rotator Cuff Injury | Johns Hopkins Medicine Shoulder Pain-rotator cuff injuries and how acupuncture helps The kin, Having trouble sleeping? Micallef J, Pandya J, Low AK. All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. brain health Highlight selected keywords in the article text. Happily, that trend seems to be changing. The treatment principle of rotator cuff tears is to reduce pain and improve the function of shoulder joint. -, Jancuska J, Matthews J, Miller T, et al. Acupuncture and manual therapy for rotator cuff tears - LWW Shoulder pain is the third most common specific reason U.S. patients seek acupuncture treatment. Rotator Cuff - Physiopedia 2016 Jun 10;2016(6):CD012224. We will contact the corresponding author to retrieve additional information if necessary. low back pain At a recent presentation to a group of physical therapists I was asked about acupunctures ability to treat shoulder injuries. (rotator cuff impingement, shoulder bursitis). Rotator cuff is an injury to the shoulder muscle and acupuncture is believed to be an effective treatment. 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. Next the acupuncturist identifies what channels are affected. 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. The X's in the diagram are the location of the trigger points, and the red areas are the referral . Maturitas 2019;123:914. 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. bDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Republic of Korea. Two very effective ways of remedying the rotator cuff are acupuncture and guasha. Ann Intern Med 2014;161:1619. [1] An epidemiological study in the United States reports that 4.5 million people are hospitalized every year for Rotator cuff tears. [3] In practice, people with rotator cuff tears seldom receive a single intervention in isolation. 65-70%) of shoulder pain is inflammation of the tendons that form the rotator cuff (the supraspinatus, the infraspinatus, the . For more information, please refer to our Privacy Policy. Korean Medicine, including acupuncture and pharmacopuncture, is a part of conservative . A systematic summary of systematic reviews on the topic of the rotator cuff. Caution: patients with shoulder pain should be evaluated by a primary health care professional (physician or acupuncturist) prior to beginning a home exercise program. Be used in conjunction with an ongoing rehabilitation program, You have significant weakness and loss of function in your shoulder, Your tear was caused by a recent, acute injury. 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. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. Ethical approval is not necessary as this review will not require data from individual patients. The contact person or corresponding author will be contacted if basic information is missing for the risk of bias assessment. Management of common musculoskeletal problems: a survey of Ontario primary care physicians. Personally I have treated over 200 cases of shoulder injuries. Preferred reporting items for. This systematic review would provide updated evidence of various types of acupuncture that specifically focuses on its effectiveness and safety for patients with RCDs. Games, Puzzles, and Crossword. fatigue How to cite this article: Choi S, Kim KH. 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. Search for Similar Articles It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. Some error has occurred while processing your request. RCT = randomized controlled trial, RCD =, [1]. The authors have no conflicts of interest to disclose. Key points about rotator cuff injury. In general, I find that rotator cuff injuries respond very well to acupuncture, with full recovery possible in many cases. Healing Rotator Cuff Injuries with Acupuncture and Guasha Hall ML, Mackie AC, Ribeiro DC. Treatment is aimed at stopping pain, decreasing inflammation, and restoring range-of-motion and strength by moving qi and blood, clearing heat and obstruction, and draining dampness from the shoulder region. 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)). Please enable scripts and reload this page. Glazier RH, Dalby DM, Badley EM, et al. Provenance and peer review was not commissioned; externally peer reviewed. Cox J, Varatharajan S, Ct P. Optima Collaboration. 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. This point helps relieve headaches, vertigo, and neck problems. 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. Trials in which acupuncture was compared with other forms of acupuncture or acupoint stimulation will be excluded. The needles were applied to the area of the injured shoulder while the patient was lying in a lateral decubitus position on the stretcher. Jancuska J, Matthews J, Miller T, et al. Federal government websites often end in .gov or .mil. 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. HT, FL, and HF contributed equally to this article. 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. [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. The Authors. Finger walk. We will include randomized controlled trials (RCTs) of acupuncture treatment for pain and dysfunction caused by rotator cuff tears. In addition, it may help reduce muscle soreness during workouts. You may search for similar articles that contain these same keywords or you may You may be trying to access this site from a secured browser on the server. 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]. Pain and disability may become chronic. Sjolund B, Terenius L, Eriksson M. Increased cerebrospinal fluid levels of endorphins after electro-, [12]. 8600 Rockville Pike doi: 10.1136/bmjopen-2016-015461. I list them below. Find this point on the front side of the forearm, about three inches below the elbow. One review author will search potentially relevant studies. immunity 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. Medicine. 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. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). 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. Cumpston M, Li T, Page MJ, et al. 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). Acupuncture for Shoulder Pain | Advanced Holistic Center Relieves pain: Dry needling releases tight muscle tissue, decreases spasms and stimulates the body's natural pain relief system, providing . Acupuncture for shoulder pain - PubMed Please call the clinic at 831-459-6762 or use our Request Appointment form. [1-4] BOOK AN APPOINTMENT. Our review will include all patients with a definite diagnosis or provisional diagnosis of RCD. [14] Six aspects (randomly generated sequence number, allocation concealment, blinding of participants and personnel, blinding of outcome assessment, incomplete outcome data, selective reporting, and other bias when required) will be assessed. Birch S, Lee MS, Alraek T, et al. We will not perform funnel plots to assess the reporting bias due to the lack of sufficient studies (fewer than 10). doi: 10.1097/MD.0000000000018716. 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. Swimmers shoulde, One of the things that drew me to acupuncture was, Exercise, eat right, sleep. 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. The largest study of acupuncture treatment of shoulder pain to date (424 subjects), published in October 2010 in Pain, showed significant improvement in shoulder range-of-motion 3 months after treatment and documented: 65% response rate at 6 weeks compared with 24% with sham acupuncture and 37% with standard conservative orthopaedic treatmentChinese acupuncture is an effective alternative to orthopedic treatment of CSP (chronic shoulder pain).. cortisol We will contact the authors in China via telephone, and authors from elsewhere via email to obtain missing data, if necessary. 2020 Oct 30;40(10):1513-1517. doi: 10.12122/j.issn.1673-4254.2020.10.19. [17]. 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. 1. Can Acupuncture Help a Rotator Cuff Tear? | Breeze Academy Page MJ, Green S, McBain B, Surace SJ, Deitch J, Lyttle N, Mrocki MA, Buchbinder R. Cochrane Database Syst Rev. [4]. Crossover randomized trials, if any, will be included, but only the pre-crossover data will be analyzed in order to avoid carryover effects.
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