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[Musculoskeletal shock wave therapy--current database of clinical research]
J D Rompe1, M Buch, L Gerdesmeyer
1Orthopädische Universitätsklinik Mainz, Germany.
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|June 27, 2002
Summary
Extracorporeal shock wave therapy (ESWT) is established for musculoskeletal conditions like tennis elbow. Recent trials show conflicting results, necessitating a review of the current clinical evidence for ESWT effectiveness.
Area of Science:
- Orthopedics
- Biomedical Engineering
- Physical Medicine
Context:
- Extracorporeal shock wave treatment (ESWT) has gained prominence in Germany over the last decade for musculoskeletal disorders.
- Established applications include plantar fasciitis, lateral epicondylitis (tennis elbow), and calcifying tendinitis of the rotator cuff.
Purpose:
- To review the current clinical evidence and database for extracorporeal shock wave treatment (ESWT).
- To address recent conflicting results from randomized controlled trials.
Summary:
- Positive outcomes from prospective randomized controlled trials support ESWT for specific conditions.
- Recent high-quality trials have reported contradictory findings, questioning efficacy.
- A comprehensive review of the existing clinical data is needed.
Impact:
- Provides an updated overview of ESWT efficacy for musculoskeletal conditions.
- Highlights the need for critical evaluation of recent trial data.
- Informs clinical practice and future research directions in shock wave therapy.