AI Article Synopsis
- The study aimed to assess how effective extracorporeal shockwave therapy (ESWT) is for athletes and active individuals dealing with injuries.
- A systematic review included 56 relevant studies, which considered various types of research designs and involved a total of 1,874 participants.
- The findings suggest that ESWT can be beneficial for certain conditions like plantar fasciitis and can also complement exercise therapy, although more high-quality research is necessary to clarify its effectiveness and outcomes.
Article Abstract
Objective: To determine the efficacy of extracorporeal shockwave therapy (ESWT) and investigate outcomes following the use of ESWT for athletes and physically active individuals.
Design: Systematic review.
Data Sources: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and searched four databases: PubMed (NLM), Embase (Elsevier), CINAHL Complete (EBSCO) and Web of Science (Clarivate).
Eligibility Criteria For Selecting Studies: Included studies were randomised controlled trials, cohort and case-control studies, cases series and reports that evaluated outcomes following ESWT for athletes, physically active individuals and occupational groups requiring regular physical activity such as military cadets.
Results: 56 studies with 1874 athletes or physically active individuals were included. Using the Oxford level of evidence rating, included studies were 18 level I (32.1%), 3 level II (5.4%), 10 level III (17.9%), 13 level IV (23.2%) and 12 level V (21.4%). Based on the level I studies, ESWT may be effective alone in plantar fasciitis, lateral epicondylitis and proximal hamstring tendinopathy and as an adjunct to exercise treatment in medial tibial stress syndrome and osteitis pubis in athletes or physically active individuals. In most studies, athletes were allowed to continue activities and training and tolerated ESWT with minimal side effects.
Conclusion: ESWT may offer an efficacious treatment alone or as an adjunct to concurrent exercise therapy in selected sports-related injuries and without major adverse events. Further high-level research is needed to better define the role and clinical outcomes of ESWT.
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| http://dx.doi.org/10.1136/bjsports-2023-107567 | DOI Listing |
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