Article Text

other Versions

PDF
A systematic review of shockwave therapies in soft tissue conditions: focusing on the evidence
  1. Cathy Speed
  1. Cambridge Centre for Health and Performance, Vision Park, Histon, Cambridge, UK
  1. Correspondence to Dr Cathy Speed, Rheumatology, Sport & Exercise Medicine, Cambridge Centre for Health and Performance, Conqueror House, Vision Park, Cambridge CB24 9ZR, UK; cathy.speed{at}btinternet.com

Abstract

Background ‘Shock wave’ therapies are now extensively used in the treatment of musculoskeletal injuries. This systematic review summarises the evidence base for the use of these modalities.

Methods A thorough search of the literature was performed to identify studies of adequate quality to assess the evidence base for shockwave therapies on pain in specific soft tissue injuries. Both focused extracorporeal shockwave therapy (F-ESWT) and radial pulse therapy (RPT) were examined.

Results 23 appropriate studies were identified. There is evidence for the benefit of F-ESWT and of RPT in a number of soft tissue musculoskeletal conditions, and evidence that both treatment modalities are safe. There is evidence that F-ESWT is effective in the treatment of plantar fasciitis, calcific tendinitis, and that RPT is effective in plantar fasciitis. Where benefit is seen in F-ESWT, it appears to be dose dependent, with greater success seen with higher dose regimes. There is low level evidence for lack of benefit of low-dose F-ESWT and RPT in non-calcific rotator cuff disease and mixed evidence in lateral epicondylitis.

  • Tendons
  • Soft tissue injuries
  • Intervention effectiveness
  • Evidence based reviews
  • Orthopaedics

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles