Zeitschrift für Komplementärmedizin 2022; 14(05): 64-70
DOI: 10.1055/a-1962-5499
Schulterschmerzen in der Komplementärmedizin

Komplementärmedizin in der Therapie von Schulterschmerzen – eine Übersicht über relevante Studien und Metaanalysen

Petra Bäumler


Der größte Anteil der Schulterschmerzen ist funktioneller Natur. Bei ihrer Behandlung steht die konservative Therapie im Vordergrund. Dabei kann die Komplementärmedizin einen wichtigen Beitrag leisten, und viele Schätze der Komplementärmedizin scheinen noch gar nicht gehoben.

Publication History

Article published online:
21 November 2022

© 2022. Thieme. All rights reserved.

© Karl F. Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co.

  • Literatur

  • 1 Luime J J. et al Prevalence and incidence of shoulder pain in the general population. A systematic review. Scand J Rheumatol 2004; 33 (02) 73-81
  • 2 Sarquis L M M. et al Classification of neck/shoulder pain in epidemiological research: A comparison of personal and occupational characteristics, disability, and prognosis among 12,195 workers from 18 countries. Pain 2016; 157 (05) 1028-1036
  • 3 Abusamak M, Jaber H M, Alrawashdeh H M. The Effect of lockdown due to the COVID-19 pandemic on Digital Eye Strain symptoms among the general population: A cross-sectional survey. Front Public Health 2022; 10: 895517
  • 4 Pirnes K P. et al Physical activity, screen time and the incidence of neck and shoulder pain in school-aged children. Sci Rep 2022; 12 (01) 10635
  • 5 Rickert C. et al Prevalence of musculoskeletal diseases of the upper extremity among dental professionals in Germany. Risk Manag Healthc Policy 2021; 14: 3755-3766
  • 6 Barthelme J. et al Association between working in awkward postures, in particular overhead work, and pain in the shoulder region in the context of the 2018 BIBB/BAuA Employment Survey. BMC Musculoskelet Disord 2021; 22 (01) 624
  • 7 Dong H. et al Prevalence of neck/shoulder pain among public hospital workers in China and its associated factors: A cross-sectional study. Sci Rep 2020; 10 (01) 12311
  • 8 Feijen S. et al Swim-training volume and shoulder pain across the life span of the competitive swimmer: A systematic review. J Athl Train 2020; 55 (01) 32-41
  • 9 Deutschen Gesellschaft für Orthopädie und Unfallchirurgie e.V. (DGOU) and Deutsche Vereinigung für Schulter- und Ellenbogenchirurgie e.V., Schultersteife – eine S2e Leitlinie. AWMF – Registernummer: 187–020, 2022
  • 10 Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie (DGOOC), S2e-Leitlinie „Rotatorenmanschette“. AWMF – Registernummer: 033–041, 2017
  • 11 Karjalainen T V. et al Surgery for rotator cuff tears. Cochrane Database Syst Rev 2019; 12 (12) Cd013502
  • 12 Karjalainen T V. et al Subacromial decompression surgery for rotator cuff disease. Cochrane Database Syst Rev 2019; 01 (01) Cd005619
  • 13 Tamaoki M J. et al Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults. Cochrane Database Syst Rev 2019; 10 (10) Cd007429
  • 14 Challoumas D. et al Comparison of treatments for frozen shoulder: A systematic review and meta-analysis. JAMA Netw Open 2020; 03 (12) e2029581
  • 15 Kitridis D. et al Efficacy of pharmacological therapies for adhesive capsulitis of the shoulder: A systematic review and network meta-analysis. Am J Sports Med 2019; 47 (14) 3552-3560
  • 16 Shang X. et al Intra-articular versus subacromial corticosteroid injection for the treatment of adhesive capsulitis: A meta-analysis and systematic review. Biomed Res Int 2019 2019: 1274790
  • 17 Cook T. et al Are corticosteroid injections more beneficial than anaesthetic injections alone in the management of rotator cuff-related shoulder pain? A systematic review. Br J Sports Med 2018; 52 (08) 497-504
  • 18 Zadro J. et al Image-guided glucocorticoid injection versus injection without image guidance for shoulder pain. Cochrane Database Syst Rev 2021; 08 (08) Cd009147
  • 19 Adamson N J, Tsuro M, Adams N.. Ultrasound-guided versus landmark-guided subacromial corticosteroid injections for rotator cuff related shoulder pain: A systematic review of randomised controlled trials. Musculoskeletal Care. 2022
  • 20 Kumar P H. et al Image-guided versus blind corticosteroid injections in adults with shoulder pain: A systematic review and meta-analysis. Cureus 2021; 13 (08) e17032
  • 21 Pieters L. et al An update of systematic reviews examining the effectiveness of conservative physical therapy interventions for subacromial shoulder pain. J Orthop Sports Phys Ther 2020; 50 (03) 131-141
  • 22 Abdulla S Y. et al Is exercise effective for the management of subacromial impingement syndrome and other soft tissue injuries of the shoulder? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Man Ther 2015; 20 (05) 646-656
  • 23 Desmeules F. et al Efficacy of exercise therapy in workers with rotator cuff tendinopathy: a systematic review. J Occup Health 2016; 58 (05) 389-403
  • 24 Dong W. et al Treatments for shoulder impingement syndrome: A PRISMA systematic review and network meta-analysis. Medicine (Baltimore) 2015; 94 (10) e510
  • 25 Haik M N. et al Effectiveness of physical therapy treatment of clearly defined subacromial pain: A systematic review of randomised controlled trials. Br J Sports Med 2016; 50 (18) 1124-1134
  • 26 Steuri R. et al Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs. Br J Sports Med 2017; 51 (18) 1340-1347
  • 27 Page M J. et al Electrotherapy modalities for rotator cuff disease. Cochrane Database Syst Rev. 2016 2016(6) Cd012225
  • 28 Desjardins-Charbonneau A. et al The efficacy of manual therapy for rotator cuff tendinopathy: A systematic review and meta-analysis. J Orthop Sports Phys Ther 2015; 45 (05) 330-350
  • 29 Liaghat B. et al Supervised training compared with no training or self-training in patients with subacromial pain syndrome: A systematic review and meta-analysis. Arch Phys Med Rehabil 2021; 102 (12) 2428-2441.e10
  • 30 Dueñas L. et al Specific versus non-specific exercises for chronic neck or shoulder pain: A systematic review. J Clin Med 2021; 10: 24
  • 31 Yu H. et al Effectiveness of passive physical modalities for shoulder pain: systematic review by the Ontario protocol for traffic injury management collaboration. Phys Ther 2015; 95 (03) 306-318
  • 32 Desmeules F. et al The efficacy of therapeutic ultrasound for rotator cuff tendinopathy: A systematic review and meta-analysis. Phys Ther Sport 2015; 16 (03) 276-284
  • 33 Ammer K, Mayr H. Magnetfeldtherapie bei tendopathischer periarthropathia humeroscapularis (magnetic field therapy in case of tendopathic periarthropathia humeroscapularis – report of a double-blind study). Orthopädische Praxis 1991; 27: 696-699
  • 34 Binder A. et al Pulsed electromagnetic field therapy of persistent rotator cuff tendinitis. A double-blind controlled assessment. Lancet 1984; 01 8379 695-698
  • 35 Galace de Freitas D. et al Pulsed electromagnetic field and exercises in patients with shoulder impingement syndrome: a randomized, double-blind, placebo-controlled clinical trial. Arch Phys Med Rehabil 2014; 95 (02) 345-352
  • 36 Aktas I, Akgun K, Cakmak B. Therapeutic effect of pulsed electromagnetic field in conservative treatment of subacromial impingement syndrome. Clin Rheumatol 2007; 26 (08) 1234-1239
  • 37 Özdemir M, Yaşar M F, Yakşi E. Effect of pulsed electromagnetic field therapy in patients with supraspinatus tendon tear. Rev Assoc Med Bras (1992) 2021; 67 (02) 282-286
  • 38 Klüter T. et al Electromagnetic transduction therapy and shockwave therapy in 86 patients with rotator cuff tendinopathy: A prospective randomized controlled trial. Electromagn Biol Med 2018; 37 (04) 175-183
  • 39 Gianola S. et al Kinesio taping for rotator cuff disease. Cochrane Database Syst Rev 2021; 08 (08) Cd012720
  • 40 Surace S J. et al Shock wave therapy for rotator cuff disease with or without calcification. Cochrane Database Syst Rev 2020; 03 (03) Cd008962
  • 41 Yuan Q L. et al Acupuncture for musculoskeletal pain: A meta-analysis and meta-regression of sham-controlled randomized clinical trials. Sci Rep 2016; 06: 30675
  • 42 Dyson-Hudson T A. et al Acupuncture for chronic shoulder pain in persons with spinal cord injury: A small-scale clinical trial. Arch Phys Med Rehabil 2007; 88 (10) 1276-83
  • 43 Guerra de Hoyos J A. et al Randomised trial of long term effect of acupuncture for shoulder pain. Pain 2004; 112 (03) 289-298
  • 44 Kleinhenz J. et al Randomised clinical trial comparing the effects of acupuncture and a newly designed placebo needle in rotator cuff tendinitis. Pain 1999; 83 (02) 235-41
  • 45 Lathia A T, Jung S M, Chen L X. Efficacy of acupuncture as a treatment for chronic shoulder pain. J Altern Complement Med 2009; 15 (06) 613-618
  • 46 Molsberger A F. et al German Randomized Acupuncture Trial for chronic shoulder pain (GRASP) – A pragmatic, controlled, patient-blinded, multi-centre trial in an outpatient care environment. Pain 2010; 151 (01) 146-154
  • 47 Vickers A J. et al Acupuncture for chronic pain: Update of an individual patient data meta-analysis. J Pain 2018; 19 (05) 455-474
  • 48 Ben-Arie E. et al The effectiveness of acupuncture in the treatment of frozen shoulder: A systematic review and meta-analysis. Evid Based Complement Alternat Med 2020; 2020: 9790470
  • 49 Asheghan M. et al Investigation of the effectiveness of acupuncture in the treatment of frozen shoulder. Mater Sociomed 2016; 28 (04) 253-257
  • 50 Lo M Y. et al The effect of electroacupuncture merged with rehabilitation for frozen shoulder syndrome: A single-blind randomized sham-acupuncture controlled study. J Formos Med Assoc 2020; 119 1 Pt 1 81-88
  • 51 Ma T. et al A study on the clinical effects of physical therapy and acupuncture to treat spontaneous frozen shoulder. Am J Chin Med 2006; 34 (05) 759-75
  • 52 Tas-Cebe G, Cummings C.. A single-blinded controlled trial comparing corticosteroid injection, acupuncture and home-based exercises for the treatment of primary contracted (frozen) shoulder. Journal of the Acupuncture Association of Chartered Physiotherapists (JAACP). 2013: 25-38
  • 53 Zhang M. et al Clinical efficacy evaluation of body acupuncture and scalp acupuncture combined with extracorporeal shock wave for scapulohumeral periarthritis. World Journal of Acupuncture – Moxibustion 2019; 29 (02) 108-112
  • 54 Schröder S. et al Immediate pain relief in adhesive capsulitis by acupuncture – A randomized controlled double-blinded study. Pain Med 2017; 18 (11) 2235-2247
  • 55 Kligler B. et al Acupuncture therapy in a group setting for chronic pain. Pain Med 2018; 19 (02) 393-403
  • 56 Arias-Buría J L. et al Exercises and dry needling for subacromial pain syndrome: A randomized parallel-group trial. J Pain 2017; 18 (01) 11-18
  • 57 Pérez-Palomares S. et al Contribution of dry needling to individualized physical therapy treatment of shoulder pain: A randomized clinical trial. J Orthop Sports Phys Ther 2017; 47 (01) 11-20
  • 58 Arias-Buría J L. et al Cost-effectiveness evaluation of the inclusion of dry needling into an exercise program for subacromial pain syndrome: Evidence from a randomized clinical trial. Pain Med 2018; 19 (12) 2336-2347
  • 59 Kheradmandi A. et al Comparison between dry needling plus manual therapy with manual therapy alone on pain and function in overhead athletes with scapular dyskinesia: A randomized clinical trial. J Bodyw Mov Ther 2021; 26: 339-346
  • 60 Pai M Y B. et al Dry needling has lasting analgesic effect in shoulder pain: A double-blind, sham-controlled trial. Pain Rep 2021; 06 (02) e939
  • 61 Itoh K. et al Randomized trial of trigger point acupuncture treatment for chronic shoulder pain: A preliminary study. J Acupunct Meridian Stud 2014; 07 (02) 59-64
  • 62 Salom-Moreno J. et al Effects of low-load exercise on postneedling-induced pain after dry needling of active trigger point in individuals with subacromial pain syndrome. PM R 2017; 09 (12) 1208-1216
  • 63 Arias-Buría J L. et al Effects of kinesio taping on post-needling induced pain after dry needling of active trigger point in individuals with mechanical neck pain. J Manipulative Physiol Ther 2020; 43 (01) 32-42
  • 64 Calvo-Lobo C. et al Dry needling on the infraspinatus latent and active myofascial trigger points in older adults with nonspecific shoulder pain: A randomized clinical trial. J Geriatr Phys Ther 2018; 41 (01) 1-13
  • 65 Ekici G. et al Effects of deep friction massage and dry needling therapy on night pain and shoulder internal rotation in subacromial pain syndrome: 1-year follow up of a randomised controlled trial. Int J Ther Rehabil 2021; 28 (02) 1-12
  • 66 Liu Q. et al Efficacy of dry needling under EMG guidance for myofascial neck and shoulder pain: A randomized clinical trial. J Pain Res 2022; 15: 2293-2302
  • 67 Ceballos-Laita L. et al Effects of dry needling in teres major muscle in elite Handball Athletes. A randomised controlled trial. J Clin Med 2021; 10: 18
  • 68 Blanco-Díaz M. et al A systematic review of the effectiveness of dry needling in subacromial syndrome. Biology (Basel) 2022; 11: 2
  • 69 Hall M L, Mackie A C, Ribeiro D C. Effects of dry needling trigger point therapy in the shoulder region on patients with upper extremity pain and dysfunction: A systematic review with meta-analysis. Physiotherapy 2018; 104 (02) 167-177
  • 70 Navarro-Santana M J. et al Effects of trigger point dry needling for nontraumatic shoulder pain of musculoskeletal origin: A systematic review and meta-analysis. Phys Ther 2021; 101(2)
  • 71 Arslan M, Gökgöz N, Dane Ş.. The effect of traditional wet cupping on shoulder pain and neck pain: A pilot study. Complement Ther Clin Pract. 2016; 23: 30-33
  • 72 Chi L M. et al The effectiveness of cupping therapy on relieving chronic neck and shoulder pain: A randomized controlled trial. Evid Based Complement Alternat Med 2016; 2016: 7358918
  • 73 Santiago R J. et al Results of a feasibility randomised controlled trial of osteopathy on neck-shoulder pain in computer users. Complement Ther Clin Pract 2022; 46: 101507
  • 74 Rotter G. et al Osteopathic medicine in four chronic musculoskeletal pain diseases: An observational trial with follow-up. Complement Med Res 2022; 29 (01) 53-66
  • 75 Knebl J A. et al Improving functional ability in the elderly via the Spencer technique, an osteopathic manipulative treatment: A randomized, controlled trial. J Am Osteopath Assoc 2002; 102 (07) 387-96
  • 76 Schwerla F. et al Osteopathic treatment of patients with shoulder pain. A pragmatic randomized controlled trial. J Bodyw Mov Ther 2020; 24 (03) 21-28
  • 77 Dwivedi A. et al Management of frozen shoulder by leech therapy and adjuvant phytotherapy: A case study. International Journal of Health Sciences 2022; 06 S6 435-445
  • 78 Jain M. et al Short term effect of yoga asana – An adjunct therapy to conventional treatment in frozen shoulder. J Ayurveda Integr Med 2020; 11 (02) 101-105
  • 79 Fong S S. et al The effects of a 6-month Tai Chi Qigong training program on temporomandibular, cervical, and shoulder joint mobility and sleep problems in nasopharyngeal cancer survivors. Integr Cancer Ther 2015; 14 (01) 16-25