scholarly journals Effectiveness of Radial Shockwave Therapy in Calcific and Non-Calcific Tendinopathy of the Shoulder: a Systematic Review and Meta-Analysis

2020 ◽  
Vol 10 (01) ◽  
pp. 40 ◽  
Author(s):  
A. Ammendolia ◽  
N. Marotta ◽  
A. Demeco ◽  
C. Marinaro ◽  
L. Moggio ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Calcific Tendinopathy ◽  
Shockwave Therapy

scholarly journals Is ultrasound-guided lavage an effective intervention for rotator cuff calcific tendinopathy? A systematic review with a meta-analysis of randomised controlled trials

2019 ◽  
Vol 5 (1) ◽  
pp. e000506 ◽  
Author(s):  
Simon Lafrance ◽  
Patrick Doiron-Cadrin ◽  
Marie Saulnier ◽  
Martin Lamontagne ◽  
Nathalie J Bureau ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Corticosteroid Injection ◽  
Meta Analysis ◽  
Bibliographic Databases ◽  
Ultrasound Guided ◽  
Calcific Tendinopathy ◽  
Shockwave Therapy ◽  
Randomised Control Trials

BackgroundRotator cuff calcific tendinopathy is characterised by the deposition of hydroxyapatite crystals in one of the rotator cuff tendons and can be managed by ultrasound-guided lavage. However, evidence regarding the efficacy of ultrasound-guided lavage for rotator cuff calcific tendinopathy remains inconclusive. The aim of this systematic review and meta-analysis is to update the available evidence on the efficacy of ultrasound-guided lavage in adults with rotator cuff calcific tendinopathy.MethodsA literature search was conducted up to April 2018 in four bibliographic databases to identify randomised control trials that compared ultrasound-guided lavage alone with other interventions to treat rotator cuff calcific tendinopathy. Randomised control trials were assessed with the Cochrane Risk of Bias Tool. Meta-analyses and/or qualitative synthesis of the evidence were performed.ResultsThree randomised control trials were included. Pooled results for pain (n=226) indicated that ultrasound-guided lavage may significantly decrease pain when compared with shockwave therapy, with a mean difference of −1.98 out of 10 points (95% CI −2.52 to −1.45) in the short term and of −1.84 (95% CI −2.63 to −1.04) in the long term. Based on one trial (n=25), ultrasound-guided lavage significantly improved function when compared with shockwave therapy (p<0.05). Based on another trial (n=48), the addition of ultrasound-guided lavage to a corticosteroid injection significantly improves function in the long term (p<0.05).ConclusionFor individuals with rotator cuff calcific tendinopathy, low-quality evidence suggests that ultrasound-guided lavage is more effective than shockwave therapy or a corticosteroid injection alone. Future trials could modify the present conclusions.Trial registration numberCRD42018095858.

Extracorporeal Shockwave Therapy for Diabetic Foot Ulcers Protocol for a Systematic Review and Meta Analysis

2021 ◽  
Author(s):  
Wenhui Li ◽  
Xvhong Wang ◽  
Changgeng Fu ◽  
Weijing Fan ◽  
Guobin Liu
Keyword(s):  
Systematic Review ◽  
Ulcer Healing ◽  
Diabetic Foot ◽  
Meta Analysis ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Extracorporeal Shockwave Therapy ◽  
Extracorporeal Shockwave ◽  
Shockwave Therapy

Abstract Introduction: The purpose of this paper is to evaluate the efficacy and safety of extracorporeal shockwave therapy for Diabetic foot ulcers.Methods and analysis: The databases of China Science and Technology Journal Database, PubMed, EMBASE, Ovid MEDLINE, Web of Science, Embase, Cochrane Central Registry of Controlled Trials and China National Knowledge Infrastructure Database were searched to find the relevant studies. Keywords included the shockwave therapy, diabetic ulcers and related terms. References identified through the electronic search were screened, the data were extracted, and the methodological quality of the included studies was assessed. The meta-analysis was performed for the following outcomes: closure of diabetic foot ulcers, ulcer healing rate, ulcer healing time, ulcer recurrence rate, pain, Participant health-related quality of life/health score, hospital charges and amputation. Two authors independently screened search results, extracted data and appraised studies using the Cochrane risk of bias tool.Ethics and dissemination: The protocol of this systematic review (SR) does not require ethical approval because it does not involve humans. We will publish this article in peer-reviewed journals and presented at relevant conferences.PROSPERO and INPLASY registration number: CRD42020176959 ; INPLASY2020110001

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