Efficacy of Extracorporeal Shock Wave Therapy for Achilles Tendinopathy: A Meta-analysis. Scientific Literature Overview RPW - Therapeutic
Authors Published Date Place of orgin
Fan Y, Feng Z, Cao J, Fu W.
Orthop J Sports Med. 27;8
Feb 2020
West China School of Medicine, Sichuan University, Chengdu, Sichuan, China
Background
Achilles tendinopathy is a frequent sports injury, and extracorporeal shock wave therapy (ESWT) has been proposed as a treatment.
Objective
To compare outcomes between ESWT and other nonsurgical intervention (including sham shock wave therapy) in Achilles tendinopathy patients.
Tested products
Focused and Radial Pressure Wave devices
Study design & methods
Systematic review and meta analysis; Level of evidence, 2. Methods:
• A total of 766 related studies were identified: Duplicates were removed. • After we reviewed titles, abstracts, and full text of the remaining 467 studies, 8 were included; these involved 442 cases of midportion Achilles tendinopathy, of which half received ESWT and the other half received a comparison treatment, including sham ESWT (2 studies), eccentric loading (4 studies), traditional nonoperative measures (2 studies), or wait and-see • 5 randomized controlled trials and 3 case-control studies published between 2005 and 2018. • We analyzed pain scores and other outcomes that were reported in more than 3 of the 8 studies. Inclusion criteria • A controlled design, randomized or not • Involve patients with Achilles tendinopathy of any age treated with ESWT or, as the control arm, traditional nonsurgical treatments or sham ESWT • Evaluate pain and functional outcomes using any accepted instrument • Be written in English. Exclusion criteria
• Involved animals or cadavers • Were reviews or case reports • Did not report treatment or clinical outcomes.
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