Extracorporeal Shock Wave Therapy for the Treatment of Osteoarthritis: A Systematic Review and Meta-Analysis

Background. Osteoarthritis is the most common musculoskeletal disease. Extracorporeal shockwave therapy had shown an effect on osteoarthritis in both some animal experiments and clinical studies, but there was no systematic review to confirm the value of shockwave therapy in the treatment of all typ...

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Bibliographic Details
Published in:BioMed research international 2020, Vol.2020 (2020), p.1-15
Main Authors: Yang, Pingliang, Liu, Hui, Ye, Ling, Chen, Lu, Yang, Bangxiang
Format: Article
Language:English
Subjects:
Analysis
Animal experimentation
Animal research
Animals
Antiarthritic agents
Arthritis
Bias
Biomedical materials
Biomedical research
Care and treatment
Cartilage
Chinese medicine
Clinical trials
Collaboration
Corticosteroids
Databases, Factual
Disease
Experiments
Extracorporeal Shockwave Therapy - methods
Fumigation
Health aspects
Herbal medicine
Humans
Hyaluronic Acid
Injections, Intra-Articular - methods
Lithotripsy
Medical research
Medicine, Chinese Traditional - methods
Medicine, Experimental
Meta-analysis
Musculoskeletal diseases
Osteoarthritis
Osteoarthritis - physiopathology
Osteoarthritis - radiotherapy
Osteoarthritis - surgery
Osteoarthritis, Knee - radiotherapy
Pain
Pain Measurement
Placebos
Platelet-Rich Plasma
Review
Safety
Shock waves
Side effects
Statistical analysis
Statistics
Surgery
Systematic review
Therapy
Traditional Chinese medicine
Ultrasonic imaging
Ultrasonic Therapy
Ultrasound
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Summary:Background. Osteoarthritis is the most common musculoskeletal disease. Extracorporeal shockwave therapy had shown an effect on osteoarthritis in both some animal experiments and clinical studies, but there was no systematic review to confirm the value of shockwave therapy in the treatment of all types of osteoarthritis and compare it with other traditional therapies (especially traditional Chinese medicine). Method. PubMed, Medline, the Cochrane Central Register of Controlled Trials, Web of Science, Chinese National Knowledge Infrastructure, WANFANG database, and VIP database were searched up to December 10, 2019, to identify randomized controlled trials comparing shockwave therapy and other treatments for osteoarthritis. Visual analogue scale and the Western Ontario and McMaster Universities Osteoarthritis Index were extracted and analyzed by RevMan and STATA software as outcomes of pain reduction and functional improvement. Adverse reactions were recorded to evaluate the safety of shockwave therapy. Results. Shockwave therapy had significant improvement in both pain reduction and functional improvement compared with placebo, corticosteroid, hyaluronic acid, medication, and ultrasound (P
ISSN:2314-6133
2314-6141
DOI:10.1155/2020/1907821