Al-Abbad 2020 | Pathophysiology
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Al-Abbad H, Allen S, Morris S, Reznik J, Biros E, Paulik B, Wright A. The effects of shockwave therapy on musculoskeletal conditions based on changes in imaging: a systematic review and meta-analysis with meta-regression. BMC Musculoskelet Disord. 2020 Apr 28;21(1):275.
Systematic review with meta-analysis including 63 prospective clinical trials evaluating the effectiveness of shock wave treatment (SWT) based on changes in imaging outcomes. Imaging outcomes showed SWT produced a reduction of: • the calcium deposit diameter in rotator cuff tendinitis
• plantar fascia thickness in plantar fasciitis • the lesion size in femoral head osteonecrosis
These results provide preliminary evidence for the influence SWT may have on underlying pathophysiological processes, however the quality of evidence is low partly due to inconsistent imaging methods and reporting.
Key message Imaging outcomes showed shock wave treatment altered the morphology of musculoskeletal conditions, potentially reflecting changes in underlying pathophysiological processes.
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