Journal
BRITISH MEDICAL BULLETIN
Volume 116, Issue 1, Pages 115-138Publisher
OXFORD UNIV PRESS
DOI: 10.1093/bmb/ldv047
Keywords
ESWT; RSWT; PEDRo; musculoskeletal system
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Funding
- Electro Medical Systems (Nyon, Switzerland)
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Background: Extracorporeal shock wave therapy (ESWT) is an effective and safe non-invasive treatment option for tendon and other pathologies of the musculoskeletal system. Sources of data:This systematic review used data derived from the Physiotherapy Evidence Database (PEDro; , 23 October 2015, date last accessed). Areas of agreement:ESWT is effective and safe. An optimum treatment protocol for ESWT appears to be three treatment sessions at 1-week intervals, with 2000 impulses per session and the highest energy flux density the patient can tolerate. Areas of controversy:The distinction between radial ESWT as 'low-energy ESWT' and focused ESWT as 'high-energy ESWT' is not correct and should be abandoned. Growing points:There is no scientific evidence in favour of either radial ESWT or focused ESWT with respect to treatment outcome. Areas timely for developing research:Future randomized controlled trials should primarily address systematic tests of the aforementioned optimum treatment protocol and direct comparisons between radial and focused ESWT.
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