immunity My answer? However, evidence regarding the efficacy of acupuncture for shoulder pain is inconsistent, and there is a lack of supporting evidence . Your message has been successfully sent to your colleague. emotional health Acupressure point for shoulder pain: LI10 (large intestine meridian). 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. anxiety Search for Similar Articles Shoulder function measured on validated scales, such as the Constant-Murley score (CMS). women's health. Two reviewers will use the Grading of Recommendations Assessment, Development and Evaluation system to independently assess the quality of evidence for each outcome. Two review authors (THZ and LF) will independently screen all abstracts identified from the literature search, then exclude those that are clearly irrelevant (eg, studies focusing on other conditions, reviews, and so on). 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). We will include randomized controlled trials of acupuncture for RCD. Work disability, such as length or total days of sick leave. 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. 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. [14]. FOIA http://creativecommons.org/licenses/by/4.0. If you've experienced a rotator cuff injury, one method of relieving the pain is by trying acupressure. Rotator cuff tear (RCT) is one of the main causes of shoulder pain and dysfunction. Fortunately, there are number of resources out, Read More 4 Ways to a Better Nights SleepContinue, acupuncture See this image and copyright information in PMC. [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. Multiple treatment groups in a trial will be combined into a single pairwise comparison. These distal acupuncture effects are mediated primarily through fascial planes and the nociceptive and proprioceptive nervous systems. You may search for similar articles that contain these same keywords or you may 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. 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]. 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. The X's in the diagram are the location of the trigger points, and the red areas are the referral . sharing sensitive information, make sure youre on a federal cancer Introduction. 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. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. 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. Manual therapy can stimulate peripheral mechanoreceptors and inhibit nociceptors to reducing pain, and can enhance exchange between synovial fluid and cartilage matrix to increasing joint mobility.[12]. 6. With the affected arm, reach out and touch the wall at about waist level. Manual therapy and exercise for rotator cuff disease. 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. -, Chard MD, Hazleman R, Hazleman BL, et al. -, Rhon DI, Boyles RB, Cleland JA. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. Ann Intern Med 2014;161:1619. 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 International Clinical Trials Registry Platform, the Australian New Zealand Clinical Trials Registry and the Chinese clinical registry. 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. A related disorder called sleep apnea (temporary cessation of breathing while asleep) affects 12-18 million Americans. depression It is important to talk with your healthcare provider for a diagnosis. Supplemental Digital Content is available for this article. It is also unlikely to work alone - it is best used in conjunction with other therapies. blood sugar The symptoms of a rotator cuff tear may resemble other conditions or medical problems. CMAJ 1998;158:103740. 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 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. Our review will include all patients with a definite diagnosis or provisional diagnosis of RCD. Some error has occurred while processing your request. 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. PRISMA flow diagram of study selection. doi: 10.1002/14651858.CD009065.pub2. There will be no restrictions related to setting or location. CJ and HL will give analysis suggestions during data synthesis. Registration number 10.17605/OSF.IO/M3NKV. However, previous reviews have not completely addressed the role of acupuncture in the management of RCDs. 2020 Oct 30;40(10):1513-1517. doi: 10.12122/j.issn.1673-4254.2020.10.19. If the missing data is not accessible, we will exclude these articles and synthesis the rest of the included studies. 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. Data sharing not applicable to this article as no datasets were generated or analyzed during the current study. Improve blood flow to the tendon and muscle tissue accelerating the body's natural tissue healing response. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. doi: 10.1097/MD.0000000000018716. Suction cupping, gua sha and acupressure or deep tissue massage can be helpful if the condition is chronic. Your message has been successfully sent to your colleague. If trials include a mixed population with shoulder diseases including RCD, we will try to retrieve the data for patients with RCD. 2020 Jan;99(2):e18716. 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. sciatica Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. Two review authors will independently screen for titles and abstracts. Tang H, Fan H, Luo F, Huang L, Liao S, Yu W, Chen Y, Chen J, Qin X. 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. Hold the stretch for 15 to 20 seconds. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. 1, 2 Most individuals with shoulder pain repeatedly visit outpatient clinic by complaining of pain even 12 months after the initial treatment. All the authors drafted and revised this study protocol and approved it for publication. Acute tears are typically traumatic in nature and result from a fall with an outstretched arm are lifting something too heavy. 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). Project administration: Seoyoung Choi, Kun Hyung Kim. Background: 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. Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. How can alternative medicines, like acupuncture, effect my mood? 65-70%) of shoulder pain is inflammation of the tendons that form the rotator cuff (the supraspinatus, the infraspinatus, the . Diercks R, Bron C, Dorrestijn O, et al. immune system 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. Acupuncture is a non-drug therapy being used more and more to treat shoulder pain. Birch S, Lee MS, Alraek T, et al. Please try again soon. [14] Level of evidence will be classified into 4 categories: high, moderate, low, or very low. We will use Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen) to carry out statistical analysis. Correspondence: Xuefei Qin, Outpatient department of Sichuan orthopedic hospital, Chengdu city, Sichuan province, China (e-mail: [emailprotected]), Jiao Chen, The Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China (e-mail: [emailprotected]). A third review author will resolve disagreements. shoulder pain 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. Rotator cuff is an injury to the shoulder muscle and acupuncture is believed to be an effective treatment. Finger walk. A systematic summary of systematic reviews on the topic of the rotator cuff. The authors have no conflicts of interest to disclose. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). 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.

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