A Long Term Follow-Up of Rotator Cuff Tear Patients Treated With Integrated Complementary and Alternative Medicine
Condition: Rotator Cuff Tear
MeSH terms: Rotator Cuff Injuries
Study type: Observational

Summary: 
      This study is a prospective observational trial. Data of 4 hospitals will be used to find out
      the efficacy of conservative treatment in rotator cuff tear.
    

Detailed description: 
      "Rotator cuff tear is known as its symptoms which are pain, limited shoulder range of
      motion(ROM), and the clicking sound of the shoulder.

      On recent research by Health Insurance Review & Assessment Service, the number of rotator
      cuff tear patients has increased from 508155 to 704838 during 2013-2017. And also the
      research reported that the difference of effect between surgical treatments and non-surgical
      treatments was unremarkable. So in most cases, non-surgical treatments are applied primarily
      on rotator cuff tear except for some serious cases.

      Physical therapy and medication are well known for the currently known non-surgical and
      conservative treatments, but research reported on the treatment of rotator cuff tear by using
      Korean medicine treatment so far has its weak level. Therefore, it is expected that this
      study will demonstrate the efficacy of the treatment of rotator cuff tear in Korean medicine
      treatment and will further pave the way for non-surgical treatment of rotator cuff tear.

      Therefore, The investigators conducted an observational trial to analyze the effectiveness of
      Korean medicine treatment in rotator cuff tear. Retrospective data will be extracted using
      electronic medical records and computerized data of hospitalized patients. Based on this,
      investigators will conduct research in the form of a prospective survey and analyze the
      causal relationship and factors using the two data.

      The hospital's medical records will be used to analyze the patient's condition during the
      hospitalization period and to determine the situation after the end of treatment through a
      questionnaire. The questionnaire will be developed after consultation with experts from the
      musculoskeletal system and related societies, and will be used for the questionnaire."
    

Intervention name(s): Herbal medicine; Chuna manual medicine; Pharmacopuncture; Acupuncture; Electroacupuncture; Cupping; Herbal hot pack; Physical therapy; Other intervention(s)
Intervention type(s): Drug; Procedure; Procedure; Procedure; Procedure; Procedure; Procedure; Procedure; Procedure
Intervention description(s): Herbal medicine will be administered in water-based decoction (120ml) and dried powder (2g) form (Ostericum koreanum,Eucommia ulmoides, canthopanax sessiliflorus, Achyranthes japonica, Psoralea corylifolia, aposhnikovia divaricata, Cibotium barometz, Lycium chinense, Boschniakia rossica, Cuscuta chinensis, Glycinemax, Atractylodes japonica) at the physician's discretion.; Chuna is a Korean manual therapy directed at the spine and joints that incorporates various spinal manual medicine techniques for joint mobilization involving high-velocity, low amplitude thrusts to joints slightly beyond the passive range of motion and gentle force to joints within the passive range of movement. Chuna manual medicine will be administered to the shoulder at the physician's discretion.; Pharmacopuncture consisting of select herbal ingredients will be administered at Gyunwoo (LI15), Gyunryo(TE14), Ah-shi points and local acupuncture points using disposable injection needles (CPL, 1 cc, 26G x 1.5 syringe, Shinchang medical co., Korea) at the physician's discretion.; Acupuncture treatment will be administered using mainly proximal acupuncture points and Ah-shi points.; Electroacupuncture treatment will be administered using mainly proximal acupuncture points and Ah-shi points.; Cupping treatment will be administered at 1-2 points using mainly proximal acupuncture points and Ah-shi points.; Herbal hot pack treatment will be administered using mainly proximal acupuncture points and Ah-shi points.; The participants in the control group will be receive one or more physical therapy according to the physician's decision.; Patients will be allowed any other additional intervention(s) as deemed necessary regardless of type or dose, and patterns of use will be investigated and recorded as a pragmatic clinical study.
Other intervention name(s): Traditional herbal medicine; Chuna manipulation
Observational model: Other
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        Patients who ended up the hospitalization and treatment in Haeundae Jaseng Korean Medicine
        Hospital, Jaseng Korean Medicine Hospital, Bucheon Jaseng Korean Medicine Hospital, Daejeon
        Jaseng Korean Medicine Hospital
      
Keywords: Rotator cuff tear, Korean medical treatment