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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. You may be trying to access this site from a secured browser on the server. There will be no restrictions related to setting or location. This site needs JavaScript to work properly. Consequently, we decided to conduct a systematic review based on the best currently available evidence and methodology to evaluate whether acupuncture and manual therapy is effect and safety for pain and function of rotator cuff tears. Effects of dry needling trigger point therapy in the shoulder region on patients with upper extremity pain and dysfunction: a, [13]. 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. We will contact the corresponding author to retrieve additional information if necessary. 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. 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). Search for Similar Articles Improve blood flow to the tendon and muscle tissue accelerating the body's natural tissue healing response. immune system Seoyoung Choi orcid: 0000-0003-0108-8617. acupuncture; protocol; rotator cuff disease; shoulder pain; systematic review. 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. official website and that any information you provide is encrypted Many cases of rotator cuff tear surgery may have been able to be prevented with the use of acupuncture. For continuous outcomes, data will be analyzed by using a standard mean difference with 95% CIs or a weighted mean difference. J Manipulative Physiol Ther 2011;34:31446. The selection of studies, data extraction and risk of bias assessment will be conducted by 2 independent researchers. Some studies have pointed out that the mechanism of acupuncture and moxibustion treatment may be related to the local effect, which refers to the release of neuropeptide and other substances by stimulating the sensory nerve endings of skin and muscle tissue. Acupoints selected for this treatment consist of local and distal acupoints. your express consent. If the 2 review authors disagree about whether to include a paper, a third reviewer will decide on whether the paper will be included. The relative safety of acupuncture for shoulder pain makes it worthy of trying in almost all cases. Orthop Res Rev 2018;10:8391. to maintaining your privacy and will not share your personal information without [14]. 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). Acupuncture for treating acute ankle sprains in adults. Consigliere P, Haddo O, Levy O, et al. Highlight selected keywords in the article text. PRISMA = the preferred reporting items for systematic reviews and meta-analyses. bThe Acupuncture and Tuina School, The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu city, Sichuan province, China. Randomized controlled trials that include patients with rotator cuff tears receiving acupuncture and manual therapy versus a control group will be included. 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 authors have no conflicts of interest to disclose. A trial that is rated as high risk of bias in 1 or more aspects will be graded as high risk, while a low risk of bias in all aspects will be graded as low risk. Acupuncture has been used to repair injured body sites as well as being able to help relieve pain. immunity 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). Open Science Framework Preregistration. I believe this is because the shoulder is mostly composed of muscles and tendons, and . Effectiveness of. 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. 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. Cumpston M, Li T, Page MJ, et al. 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. food allergies Wolters Kluwer Health Previous systematic reviews for chronic shoulder pain observed considerable heterogeneity associated with a wide range of different diagnoses, which provide, at best, limited evidence for the effectiveness of acupuncture for RCDs. Rotator cuff injury is the degeneration and tear of the rotator cuff muscle at the stop point of the humerus. 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]. 1). Two very effective ways of remedying the rotator cuff are acupuncture and guasha. Acupressure 101 : Acupressure for a Rotator Cuff Injury For more information, please refer to our Privacy Policy. [1]. . All randomized controlled comparisons of acupuncture or manual therapy versus placebo, no treatment, another active intervention will be included. Please try again soon. Minagawa H, Yamamoto N, Abe H, et al. The Rotator Cuff (RC) is a common name for the group of 4 distinct muscles and their tendons, which provide strength and stability during motion to the shoulder complex. Local acupoints chosen for this treatment are Jianyu . There will be no restriction on age, gender, and ethnic origin. Rotator cuff tears do not only happen during athletic activities.