Wu 2017 | Shoulder tendinopathy | Review
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Wu YC, Tsai WC, Tu YK, Yu TY. Comparative Effectiveness of Nonoperative Treatments for Chronic Calcific Tendinitis of the Shoulder: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials. Arch Phys Med Rehabil. 2017 Aug;98(8):1678-1692.e6.
SystematicReview& Meta-analysis • 14 studies, 1105 subjects • Modalities compared: RSW, F-SW, Ultrasound guided needling (UGN), Therapeutic Ultrasound, TENS. Results • Pain reduction (8 studies) • The modality that was most likely to be ranked the best in pain reduction was UGN (94.2%), followed by RSW and H-FSW. • Resorption of calcifications (14 studies) • The treatment most likely to be ranked the best in achieving complete resolution of calcific deposition was UGN (93.9%), followed by RSW and H-FSW • Functional improvement (7 studies) • The treatment most likely to be ranked the best in the CMS was H-FSW (94.3%)
Key message Based on this meta-analysis, RSW therapy is the second best option (after ultrasound guided needling) for pain decrease and calcifications resorption. FSW therapy is the first choice for functional improvement.
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