SHOCKWAVE BACK PAIN RESEARCH
Extracorporeal shock wave therapy for low back pain: A systematic review and meta-analysis. Wu Z, Zhou T, Ai S. College of Health and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
Read the full study at pubmed.ncbi.nlm.nih.gov/38206739/
This study aimed to systematically evaluate the effectiveness and safety of ESWT for low back pain (LBP) by meta-analysis to judge the quality of evidence objectively and rigorously and to provide high quality evidence for LBP.
Study design & methods Systematic review and meta-analysis. Methods: • Randomised controlled trials comparing the effect of ESWT or ESWT combined with other modalities with standard treatment or sham were included in the computerized search. Outcomes: • Primary outcomes were pain, dysfunction and psychological conditions • Secondary outcomes included adverse reactions and valid cases • Meta-analysis was completed using Revman 5.4 and Stata 15 software, and GRADEpro software quantitated rate the evidence and assigned a recommendation strength.
At the 3-month follow-up, • The VAS and ODI remained lower; adverse reactions were less, and the valid cases were more. Sensitivity analyses revealed that the results were stable and robust. ESWT for LBP has efficacy and safety in improving pain, dysfunction, and psychological conditions compared to other therapies. • ESWT has shown advantages in terms of long-term efficacy. • Conclusion • Randomized controlled trials with larger sample sizes and more objective outcomes are required.
Results •
This meta-analysis included 22 Random Controlled Trails (RCTs) involving 1749 patients. 13 studies used RPW and 9 used FSW.
Key message ESWT was shown to improve pain and function in low back pain patients
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After treatment, patients in the ESWT group had, • Significantly lower scores in the visual analog scale (VAS) ,Oswestry disability index (ODI) and Beck depression inventory; • Significantly shorter finger-floor distance • Significantly higher Japanese orthopedic association (JOA) scores
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