Shockwave Therapy Clinical Evidence

Silva 2023 | Knee OA | Review

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Silva AC, Almeida VS, Veras PM, Carnaúba F, Filho JE, Garcia M, Fonseca DS. Effect of extracorporeal shock wave therapy on pain and function in patients with knee osteoarthritis: a systematic review with meta-analysis and grade recommendations. Clin Rehabil. 2023 Jun;37(6):760-773.

Systematic review with meta-analysis. 12 randomised clinical trials (734 subjects) were included

• 9 studies used RSW, 1 used FSW, 2 didn’t specify

• 5 compared to sham, 7 compared ESWT + PT to PT only

Results: Compared to sham treatment - ESWT was both statistically and clinically signif. more effective for pain improvement in short, mid and long term. - ESWT was both statistically and clinically signif. more effective for function improvement in short term. ESWT added to PT treatment versus PT only - Addition of ESWT was statistically more effective for pain improvement at all time points and for function improvement in short term; although the pain improvement may not be clinically significant. The quality of available studies is low

Key message ESWT compared to sham or added to PT is effective for pain and function improvement, although the quality of the available evidence is low.

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