Tang Zhi Yin, Wee Jewel Jing Yi, Lim Hanniel Han Rong
Department of Allied Health, SingHealth Polyclinics, Singapore.
JBI Evid Synth. 2021 Jul 1;19(7):1645-1650. doi: 10.11124/JBIES-20-00169.
The objective of this study is to systematically review randomized controlled trials comparing the effect of shockwave therapy with other forms of interventions on pain and disability in individuals with rotator cuff tendinopathy.
Shoulder pain is a common musculoskeletal complaint in which rotator cuff tendons are usually affected. Shockwave therapy is a novel conservative treatment option for rotator cuff-related shoulder pain. A systematic review in 2004 reported conflicting results on the effectiveness of shockwave therapy in treating chronic rotator cuff tendonitis, whereby it is effective for calcific rotator cuff tendonitis but not for non-calcific ones. Hence, it is timely to review this topic with the addition of results from studies published since 2004.
This review will consider randomized controlled trials that have evaluated shockwave therapy delivered via radial or focused extracorporeal means in individuals with rotator cuff tendinopathy without restrictions of race, gender, and age. Studies comparing individuals receiving shockwave therapy of varying dosages will be excluded in this review.
A three-step search strategy will be used to locate studies published in English from databases. No search restrictions will be applied regarding the year of publication. Study selection, assessment of methodological quality, and data extraction will be conducted by two independent reviewers. Data will be pooled in a statistical meta-analysis, where possible. A funnel plot will be generated to detect any potential publication bias. The quality of the evidence will be analyzed using the Grading of Recommendations, Assessment, Development, and Evaluation approach.
PROSPERO CRD42020160166.
本研究的目的是系统评价随机对照试验，比较冲击波疗法与其他形式的干预措施对肩袖肌腱病患者疼痛和功能障碍的影响。
肩痛是一种常见的肌肉骨骼疾病，肩袖肌腱通常会受到影响。冲击波疗法是治疗与肩袖相关的肩痛的一种新型保守治疗选择。2004年的一项系统评价报告了冲击波疗法治疗慢性肩袖肌腱炎有效性的相互矛盾的结果，即它对钙化性肩袖肌腱炎有效，但对非钙化性肩袖肌腱炎无效。因此，随着2004年以来发表的研究结果的增加，及时对这一主题进行综述是很有必要的。
本综述将考虑评估通过径向或聚焦体外方式进行冲击波疗法治疗肩袖肌腱病患者的随机对照试验，不受种族、性别和年龄限制。本综述将排除比较接受不同剂量冲击波疗法个体的研究。
将采用三步检索策略在数据库中查找英文发表的研究。对发表年份不设检索限制。研究选择、方法学质量评估和数据提取将由两名独立的评审员进行。如有可能，数据将汇总进行统计荟萃分析。将生成漏斗图以检测任何潜在的发表偏倚。将使用推荐分级、评估、制定和评价方法分析证据质量。
PROSPERO CRD42020160166。
