Herbal supplements can d, http://orthoinfo.aaos.org/topic.cfm?topic=a00406, Just a Few Sessions: You Can Dip In (and Out) of Acupuncture. We will not perform funnel plots to assess the reporting bias due to the lack of sufficient studies (fewer than 10). Provenance and peer review was not commissioned; externally peer reviewed. Work disability, such as length or total days of sick leave. 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. Abbreviation: RCT = randomized controlled trials. Federal government websites often end in .gov or .mil. 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). 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. Learn about acupressure for a rotator cuff injury with help from a doctor of. 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)). 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]). The purpose of this protocol is to describe a randomized controlled trial design to evaluate the effect . Conceptualization: Seoyoung Choi, Kun Hyung Kim. All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. PMC modify the keyword list to augment your search. We will use Rev Man software (Review Manager Version 5.3 for Windows, The Nordic Cochrane Centre, Copenhagen) to carry out statistical analysis. Acupuncture has been used for a number of conditions for thousands of years. Dichotomous outcomes will be presented as risk ratios (RR), and continuous outcomes will be presented as weighted or standardized mean differences (SMD). Treatment can be surgical or non-surgical. 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. The results of this will be published through peer-reviewed journal articles or conference presentations. 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]. Its incidence increases with age . 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. 1) The supraspinatus. 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). [10]. Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. Acupuncture for Shoulder Pain from Rotator Cuff Syndrome Acupressure 101 : Acupressure for a Rotator Cuff Injury Guyatt GH, Oxman AD, Schunemann HJ, et al. The updated evidence that would be provided by this review will offer useful information for patients and practitioners, and also have implications for future studies and the development of clinical practice guidelines of RCD. may email you for journal alerts and information, but is committed [11,12,16] Moreover, various acupuncture techniques, which are increasingly used in East Asian settings, are not addressed in previous reviews, which imply the necessity of both clinical trials and systematic reviews that assess the effectiveness and the safety of such interventions for patients with RCDs. Management of common musculoskeletal problems: a survey of Ontario primary care physicians. Maturitas 2019;123:914. Two authors will independently extract relevant data from each of the eligible studies using a standardized data extraction form. 5 Pressure Points For Sciatica Relief (Acupressure For Sciatica) 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. This point helps relieve headaches, vertigo, and neck problems. After removing duplicates, they will then use the full-text articles to determine which papers will finally be included in the review. doi: 10.1136/bmjopen-2016-015461. Limited range of movement in the shoulder, not able to raise arm over their head or above their belt. Bladder 2, on the face, along the eyebrow, where the eyebrow meets the nose. 88 views, 4 likes, 0 loves, 0 comments, 3 shares, Facebook Watch Videos from ITeraCare - PRIFE International Chicago: What is iTeraCare? Pain intensity measured on validated scales, such as the VAS or NRS, over 12 weeks. You J, Yang F, Liu N, et al. Each of these medicines has within its constructs the ability to diagnose and treat disharmonies. meditation [2] The rotator cuff is composed of supraspinatus muscle, infraspinatus muscle, subscapularis muscle and teres minor muscle. Please call the clinic at 831-459-6762 or use our Request Appointment form. FHY and HL will extract information from the included studies and enter into the electronic database. 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. Gradual onset of pain, swelling and weakness at the side and front of the shoulder and upper arm, made worse by overhead motions such as reaching and throwing. The quality of evidence of a specific study will be assessed according to the risk of bias, inconsistency, indirectness, imprecision, publication bias, large effect, dose-response, and all plausible confounding. It is a common sports injury and a common degenerative injury for manual workers and middle-aged and elderly people. RCT = randomized controlled trial, RCD =, [1]. Presence of myofascial trigger points (MTrP) as a result of surgical procedure can aggravate postoperative shoulder pain. How do Acupuncturist Choose Acupuncture Points 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). HHS Vulnerability Disclosure, Help bThe Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China. Health-related quality of life measured on validated scales such as Short-Form 36 (SF-36) Health Survey or EuroQoL EQ-5D. [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. cbd A repetitive tear may be caused by overuse, lack of blood supply or a bone spur fraying the tendon. Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. 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. RCTs using single-blind, double-blind or open-label design will be included. fatigue Ethical approval is not necessary as this review will not require data from individual patients. J Manipulative Physiol Ther 2011;34:31446. Discussion: Managements of rotator cuff disease often include acupuncture and manual therapy, usually delivered together. [16]. 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. CMAJ 1998;158:103740. Another recent study of acupuncture for shoulder impingement syndrome in Family Practice found benefits comparable to cortico-steroid injection. Acupoint-related interventions that do not penetrate the skin with needles (e.g., moxibustion, acupressure, or laser acupuncture) will be excluded. Your message has been successfully sent to your colleague. 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. 1). If the missing data were not obtained, we will analyze only the available data. 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). Dr. Ted offers insights and tips about how to remain calm and healthy. Minagawa H, Yamamoto N, Abe H, et al. In this procedure, surgeons insert a tiny camera (arthroscope) and tools through small incisions to reattach the torn tendon to the bone. 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. We will calculate 95% confidence intervals and two-sided P values for each outcome. Careers. To do this we need to figure out which muscles are involved. 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. hormones 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 We will exclude trials that include any participants with a history of significant trauma or systemic inflammatory conditions such as rheumatoid arthritis, osteoarthritis, hemiplegic shoulders, or pain in the shoulder region as part of a complex myofascial neck/shoulder/arm pain condition.