Article

A systematic review and meta-analysis of randomized placebo or active-treatment controlled trials. OBJECTIVE: To assess the efficacy of extracorporeal shockwave therapy (ESWT) and
provide clinicians with an evidence base for their clinical decision making. DATA SOURCES: PubMed, MEDLINE, Embase, Cochrane Central Register of Controlled Trials,
and Evidence-Based Medicine Reviews. STUDY SELECTION:
All randomized or
quasi-randomized controlled trials of ESWT for chronic recalcitrant plantar
fasciitis were searched. Searching identified 108 potentially relevant articles;
of these, 7 studies with 550 participants met inclusion criteria. DATA EXTRACTION: Number of patients, population, body mass index, duration of
symptoms, adverse effects, blinding method, and details of shockwave therapy were
extracted. DATA SYNTHESIS: For intervention success rate, ESWT of low intensity
was more effective than control treatment of low intensity. For pain relief, the
pooled data showed a significant difference between the ESWT and control groups.
For function, only low-intensity ESWT was significantly superior over the control treatment. CONCLUSIONS: The efficacy of low-intensity ESWT is worthy of
recognition. The short-term pain relief and functional outcomes of this treatment
are satisfactory. However, owing to the lack of a long-term follow-up, its
long-term efficacy remains unknown.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS