Article

OBJECTIVES: To evaluate the effectiveness of shock wave therapy (SWT) for
functional improvement and the reduction of pain in patients with calcific
tendinitis of the shoulder, and to determine the rate of disappearance of
calcifications after therapy at 6 months' follow-up. DATA SOURCES: Articles were
searched from the Cochrane Library, MEDLINE, Embase, CINAHL, and Ovid database.
STUDY SELECTION: We included randomized controlled trials from 1992 to 2011, and
their quality was assessed using the Physiotherapy Evidence Database (PEDro)
scale. DATA EXTRACTION: Studies were evaluated by 2 independent reviewers for
their methodologic quality. Disagreements were settled by a third reviewer. Data
were then extracted and cross-checked for accuracy. The reviewers were not
blinded to the authors of the articles. DATA SYNTHESIS: In 4 of the 6 studies
included for review, the resorption of calcifications was evaluated using
meta-analysis because the studies had 2 treatment groups, while the other 2
studies were analyzed descriptively because they had 3 treatment groups. Fixed-
and random-effects models were used to meta-analyze total and partial resorption
ratios, and I(2) statistics were calculated to assess heterogeneity. CONCLUSIONS:
We found a clinical improvement with a pooled total resorption ratio of 27.19
(95% confidence interval [CI], 7.20-102.67) and a pooled partial resorption ratio
of 16.22 (95% CI, 3.33-79.01). SWT increases shoulder function, reduces pain, and
is effective in dissolving calcifications. These results were maintained over the
following 6 months.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS