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Objective(s)
This literature review aims to look at the state of evidence among previous systematic
reviews and randomized controlled trials examining the effects of ESWT on tendinopathies
of the upper and lower limbs.
Data Sources
Systematic literature between 2011-2021 in the databases of PubMed, PEDro Database,
Ovid, CINAHL, Cochrane, EBSCO between May 3 to 15, 2021.
Study Selection
Criteria for: randomized controlled trials - full text available, PEDro score > 6,
and conducted in the past 10 years systematic reviews - full text available, inclusion
criteria available, with both pain and functional outcome measures, and conducted
in the past 10 years
Data Extraction
Eight randomized controlled trials with a total of 452 subjects met quality guidelines
using the PEDro scale. 12 systematic reviews with a total of 12,063 subjects met methodological
guidelines.
Data Synthesis
249 articles were screened, and 20 studies with a total population of n = 12,515 were
included. With heterogeneity in frequency, dosage, and volume no meta-analysis was
conducted. There were statistically significant improvements reported in terms of
pain and function with ESWT on tendinopathies in 14 studies (n= 8,537). On the other
hand, no clinically significant differences were found in the use of ESWT in 3 studies
(n=829), and no effects were found in 2 studies (n= 3,149).
Conclusions
The results suggest that in the management of tendinopathies, the use of ESWT has
a clinically significant effect on pain and functional outcomes. In conclusion, a
review of current randomized controlled trials and systematic reviews presented evidence
for ESWT for tendinopathies. While the use of ESWT may improve pain and functional
outcome, further studies towards dosing and prescription is suggested.
Author(s) Disclosures
Dr. Baloy has no relevant financial or nonfinancial relationships to disclose.
Mr. Chen has no relevant financial or nonfinancial relationships to disclose.
Keywords
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© 2022 Published by Elsevier Inc.
