A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence

Speed, Cathy

doi:10.1136/bjsports-2012-091961

Cited by 221 publications

(222 citation statements)

References 33 publications

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“…Three focused on various types of MT 13,17,21 ; 2 on extracorporeal shockwave therapy (ESWT) 34,37 ; and 1 each on transcutaneous nerve stimulation (TENS), 31 taping, 32 multimodal therapies, 46 and exercise. 33 For MT (skilled hand movements performed by a therapist 17 ), manipulation and mobilization were included.…”

Section: Noncalcific Rotator Cuff-associated Conditionsmentioning

confidence: 99%

“…49 For ESWT, 2 acceptable-quality reviews both found that ESWT was not effective for noncalcific rotator cuff tendinitis. 37,49 For TENS, a high-quality review found that because of the scarcity of evidence and high risk of bias of existing studies, no conclusions could be made about its effectiveness. 31 For taping, an acceptable-quality review found that the evidence for taping alone or with other therapies was insufficient to make a conclusion.…”

Section: Noncalcific Rotator Cuff-associated Conditionsmentioning

confidence: 99%

“…35 The second review 36 by the same team found that with the 22 studies that were included (1258 shoulders), many patients can achieve good to excellent clinical outcomes after high-energy ESWT, US-guided needling, and arthroscopy for calcific tendinopathy of the shoulder. Two additional acceptable-quality reviews both found that ESWT was effective for RC-CT. 37,49 The other reviews in this category analyzed similar treatments and outcomes. One review (6 studies included, 460 patients) evaluated the effectiveness of ESWT for functional improvement and reduction of pain in patients with calcific tendinitis of the shoulder.…”

Section: Rotator Cuff Calcific Tendinitismentioning

confidence: 99%

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Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder. Methods: The review was conducted from March 2016 to November 2016 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and was registered with PROSPERO. Eligibility criteria included randomized controlled trials (RCTs), systematic reviews, or meta-analyses studying adult patients with a shoulder diagnosis. Interventions qualified if they did not involve prescription medication or surgical procedures, although these could be used in the comparison group or groups. At least 2 independent reviewers assessed the quality of each study using the Scottish Intercollegiate Guidelines Network checklists. Shoulder conditions addressed were shoulder impingement syndrome (SIS), rotator cuff-associated disorders (RCs), adhesive capsulitis (AC), and nonspecific shoulder pain. Results: Twenty-five systematic reviews and 44 RCTs met inclusion criteria. Low-to moderate-quality evidence supported the use of manual therapies for all 4 shoulder conditions. Exercise, particularly combined with physical therapy protocols, was beneficial for SIS and AC. For SIS, moderate evidence supported several passive modalities. For RC, physical therapy protocols were found beneficial but not superior to surgery in the long term. Moderate evidence supported extracorporeal shockwave therapy for calcific tendinitis RC. Low-level laser was the only modality for which there was moderate evidence supporting its use for all 4 conditions. Conclusion: The findings of this literature review may help inform practitioners who use conservative methods (eg, doctors of chiropractic, physical therapists, and other manual therapists) regarding the levels of evidence for modalities used for common shoulder conditions. (J Manipulative Physiol Ther 2017;40:293-319)

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Section: Noncalcific Rotator Cuff-associated Conditionsmentioning

confidence: 99%

Section: Noncalcific Rotator Cuff-associated Conditionsmentioning

confidence: 99%

Section: Rotator Cuff Calcific Tendinitismentioning

confidence: 99%

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Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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“…Dentre eles destacamse o ultrassom terapêutico, as ondas de choque extracorpóreas e o exercício de fortalecimento muscular excêntrico (EFE) 16 . Como parte do tratamento fisioterapêutico a literatura tem sugerido o EFE com eficaz na resolução de tendinopatias 7,17,18,19,20,21,22 , o mesmo caracteriza-se por alongamento muscular ativo com a utilização de carga 23,24,25 .…”

Section: Resumo | Introduçãounclassified

Fortalecimento Muscular Excêntrico No Tratamento Da Tendinopatia De Aquiles: Uma Revisão Sistemática

Silva¹,

Rocha²,

Filho³

et al. 2017

Rev Pesq Fisio

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INTRODUÇÃO: A Fisioterapia, no manejo da tendinopatia de Aquiles, utiliza-se de recursos físicos moduladores da inflamação e analgésicos. Como parte do tratamento fisioterapêutico a literatura tem sugerido o exercício de fortalecimento excêntrico com eficaz na resolução de tendinopatias. OBJETIVO: O presente estudo teve como objetivo a busca de evidências científicas sobre o uso do exercício de fortalecimento excêntrico no manejo da Tendinopatia de Aquiles. MÉTODOS: Para a composição da revisão foi realizada busca por estudos nas base de dados virtuais Pubmed e PEDro. Os descritores utilizados foram as seguintes: Eccentric, tendinopathy, Achilles Tendonitis. Para compor o estudo os artigos deveriam obedecer os seguintes critérios de elegibilidade: artigos publicados na língua inglesa, intervalo de publicação entre 2013 a 2017, ensaios clínicos randomizados, com pontuação superior a 6 na escala de qualidade PEDro. RESULTADOS: Foram localizados um total de 87 artigos, dos quais apenas 21 referiam-se a temática em questão. Dos 21 artigos 14 foram excluídos pelos seguintes motivos: 3 por consistirem em relatos de caso, 1 classificado como revisão de literatura, 1 caracterizava-se como comentário clinico, 1 envolvia um estudo com modelo animal, 1 era um projeto de pesquisa, 5 não classificavam-se com ensaios clínicos randomizados, 1 obteve nota inferior a 6 na escala de qualidade PEDro e 1 deles proporcionava descrição incompleta dos resultados. CONCLUSÃO: O fortalecimento muscular excêntrico caracteriza-se como uma modelo terapêutico de escolha para o manejo da tendinopatia de aquiles, a combinação com outras modalidades potencializa seus efeitos fisiológicos.

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“…Literatürde lateral epikondilit tedavisinde ESWT ve RESWT'nin uygulandı-ğı çok sayıda çalışma yer almaktadır. Bu çalışmaların bazılarında şok dalgalarının etkili olduğu bulunurken, bazı çalışmalarda ise plasebo uygulamadan farkı olmadığı bildirilmiştir (13). Ayrıca çalışmalar arasındaki metodolojik farklılıklar nedeniyle karşılaştırma yapmak zordur.…”

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Effects of Radial Extracorporeal Shock Wave Therapy on Pain, Grip Strength, and Functionality in Patients with Lateral Epicondylitis: A Randomized Controlled Study

Yürük¹,

Kırdı²,

Şimşek³

2016

Clin Exp Health Sci

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Objective: In this study, the effects of radial extracorporeal shock wave therapy (RESWT) on pain, grip strength, and functionality were investigated in patients with lateral epicondylitis. Methods: The study included 30 patients who were divided into two groups: RESWT and exercise and placebo RESWT and exercise. In the RESWT and exercise group, RESWT was applied at 2000 pulses, once a week, for a total of three sessions, and in the placebo RESWT and exercise group, RESWT was applied at 20 pulses, once a week, for a total of three sessions. Patients in all groups underwent stretching and eccentric strengthening exercises. Patients were evaluated before and after undergoing the treatment and at 6 and 12 weeks after undergoing the treatment using a visual analog scale (VAS) for pain intensity during palpation and gripping, dynamometer for grip strength, and patient-rated tennis elbow evaluation (PRTEE) for functionality. Results: There were statistically significant differences between groups with respect to all parameters, except VAS during palpation (p<0.05). With time, there were more significant changes in VAS during palpation and gripping, grip strength, and PRTEE in the RESWT and exercise group compared with those in the placebo RESWT and exercise group (p<0.05). Conclusion: We concluded that using RESWT combined with other conservative treatments, mostly exercise, could be more effective. Keywords: Lateral epicondylitis, shock wave therapy, exercise, pain, functionality GİRİŞLateral epikondilit, lateral epikondil ve bilek ekstansör kaslarının muskulotendinöz birleşimindeki ağrıya yol açan tendinopatidir (1). İlk kez 1883'te tenisçilerde dirseğin lateralinde ağrıya yol açan durum olarak tanımlanmıştır (2). Genellikle 35-50 yaş arasında ortaya çıkar, kadın ve erkekleri eşit oranda etkiler (3). El bileği ekstansiyonunu gerektiren aşırı yükleyici ve tekrarlayıcı hareketlerle ortaya çıkmaktadır (4). Tekrarlı ve aşırı yüklenme ile dokunun kuvvet, esneklik ve endurans toleransı aşılarak doku hasarı meydana gelir. Tekrarlayıcı doku hasarı devam ettikçe dejenerasyona bağlı ağrı, kuvvet ve fonksiyonel kayıp ilerler. Başta Ekstansör Karpi Radialis Brevis (EKRB) kası olmak üzere Ekstansör Karpi Radialis Longus (EKRL) ve Ekstansör Digitorum Kommunis (EDK) kaslarının tendonları etkilenmektedir. Pek çok çalışmada EKRB tendonunda dejeneratif değişiklikler görüldüğü bildirilmiştir.Lateral epikondilit tedavisinde; ağrıyı azaltmak ve fonksiyonu arttırmak amacıyla konservatif, medikal veya cerrahi yaklaşımlar kullanılmak-tadır. Araştırmacılar akut evrelerde konservatif ve medikal tedavilerin, ileri kalsifiye evrelerde ise cerrahinin etkili olduğunu belirtmişlerdir (5).Amaç: Bu çalışmada, lateral epikondilit tanısı konan hastalarda, radyal ekstrakorporeal şok dalga tedavisinin (Radial ekstrakorporeal shock wave therapy-RESWT) ağrı, kavrama kuvveti ve fonksiyonellik üzerine etkisi araş-tırıldı. Yöntemler: Çalışma 30 hasta üzerinde gerçekleştirildi. Hastalar; RESWT ile egzersiz ve plasebo RESWT ile egzersiz olmak üzere iki gruba ...

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A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence

Cited by 221 publications

References 33 publications

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Fortalecimento Muscular Excêntrico No Tratamento Da Tendinopatia De Aquiles: Uma Revisão Sistemática

Effects of Radial Extracorporeal Shock Wave Therapy on Pain, Grip Strength, and Functionality in Patients with Lateral Epicondylitis: A Randomized Controlled Study

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