Clinical Improvement and Resorption of Calcifications in Calcific Tendinitis of the Shoulder After Shock Wave Therapy at 6 Months' Follow-Up: A Systematic Review and Meta-Analysis

Ioppolo, Francesco; Tattoli, Maria; Sante, Luca Di; Venditto, Teresa; Tognolo, Lucrezia; Delicata, M; Rizzo, Rosaria Sabrina; Tanna, Gian Luca Di; Santilli, Valter

doi:10.1016/j.apmr.2013.01.030

Cited by 81 publications

(79 citation statements)

References 38 publications

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“…These findings are in line with the findings of Ioppolo et al [15] and Vavken et al [24]. Ioppolo et al [15] performed a meta-analysis on the clinical improvement and resorption of calcifications after shock wave therapy compared with sham treatment. Vavken et al [24] used a different cutoff point of 0.20 mJ/ mm 2 .…”

Section: Discussionsupporting

confidence: 86%

“…The exact mechanisms of action of the ESWT are largely unknown; Loew et al [17] postulated that the shock waves lead to a three-way mechanism of action: (1) mechanical effect resulting in deposit fragmentation; (2) molecular effect resulting in deposit phagocytosis; and (3) analgesic effect resulting in denervation of pain receptors. Shock wave therapy can be divided into three categories based on its energy levels: low-energy (\ 0.08 mJ/mm 2 ), middle-energy (0.08-0.28 mJ/mm 2 ), and high-energy ([ 0.28 mJ/mm 2 ) [1,15,20]. High-energy ESWT can induce fragmentation and destruction of solid bodies.…”

Section: Introductionmentioning

confidence: 99%

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High-energy Versus Low-energy Extracorporeal Shock Wave Therapy for Calcifying Tendinitis of the Shoulder: Which is Superior? A Meta-analysis

Verstraelen

Kleef

Jansen

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

High-energy Versus Low-energy Extracorporeal Shock Wave Therapy for Calcifying Tendinitis of the Shoulder: Which is Superior? A Meta-analysis

Verstraelen

Kleef

Jansen

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…Five acceptable-quality reviews 36,38,47,49,50 and 1 high-quality review 35 addressed rotator cuff calcific tendinitis (RC-CT). The first SR included 20 individual studies (1544 participants).…”

Section: Rotator Cuff Calcific Tendinitismentioning

confidence: 99%

“…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. 50 Meta-analysis was performed in 4 of the 6 studies included for review because these had 2 treatment groups; the other 2 studies were analyzed descriptively because they had 3 treatment groups. This SR found that ESWT increases shoulder function, reduces pain, and is effective in dissolving calcifications.…”

Section: Rotator Cuff Calcific Tendinitismentioning

confidence: 99%

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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“…Extracorporeal shockwave therapy has emerged as an alternative therapy either when conservative treatment fails or when introduced prior to invasive procedures for rotator cuff disease, and its efficacy and low morbidity is well demonstrated [19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Effects of Eccentric Exercise and Extracorporeal Shock Wave Therapy on Rehabilitation of Patients with Noncalcific Rotator Cuff Tendinopathy

Chen¹,

Su²,

Lin³

et al. 2017

Clin Res Foot Ankle

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Objective: In this study, in order to establish a more effective therapeutic model for the patients with chronic rotator cuff tendinosis, the authors attempted to compare the therapeutic effects of general physical therapy, eccentric contraction exercise, extracorporeal shock wave therapy (ESWT) and their combination for patients with noncalcific subscapular tendinosis.Methods: 120 patients with subscapular tendinosis Grade II tendinopathy were divided randomly into four groups: I-IV, with 30 patients in each group. In group I (GI): the patients received conventional rehabilitation program, which included 20 minute of local hot packs, 15 min interferential electrotherapy and 10 min of passive range motion exercise three times weekly for 8 weeks; in Group II: the patients received eccentric contraction exercise three times per day and a rehabilitation program as in GI; in GIII: the patients received ESWT therapy weekly except for a rehabilitation program as in GI; in GIV: they received three combination therapies including a conventional rehabilitation program, three rounds of eccentric contraction exercises per day and weekly ESWT for 8 weeks. The outcome measurements include visual analogue pain scale (VAS), range of shoulder motion, subscapular muscle peak torques, and proprioception of the affected shoulder. Results:The results showed that the combination therapy group GII-IV all had more improvement than the conventional rehabilitation program group I. However, the integrated therapy group IV had the best improvement over GII and GIII in pain reduction and improvement of range of motion, proprioception and muscle peak torques. Additionally, group III and IV had better improvement of range of motion and muscle peak torques than did GII. Conclusion:Eccentric exercise and ESWT had benefit in rehabilitation of patients with noncalcific subscapular tendinosis, and conventional rehabilitation combined with these two therapies will result in more therapeutic effects.

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Clinical Improvement and Resorption of Calcifications in Calcific Tendinitis of the Shoulder After Shock Wave Therapy at 6 Months' Follow-Up: A Systematic Review and Meta-Analysis

Cited by 81 publications

References 38 publications

High-energy Versus Low-energy Extracorporeal Shock Wave Therapy for Calcifying Tendinitis of the Shoulder: Which is Superior? A Meta-analysis

High-energy Versus Low-energy Extracorporeal Shock Wave Therapy for Calcifying Tendinitis of the Shoulder: Which is Superior? A Meta-analysis

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Effects of Eccentric Exercise and Extracorporeal Shock Wave Therapy on Rehabilitation of Patients with Noncalcific Rotator Cuff Tendinopathy

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