Trial reportBMJ (Clinical research ed.)2009
Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study.
Trial report in BMJ (Clinical research ed.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00653081 (Supervised Exercises Compared With Radial Extracorporal Shock Wave Therapy), which is not on this map. Cited by 31 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Supervised Exercises Compared With Radial Extracorporal Shock Wave Therapy (rESWT) in Patients With Subacromial Impingement Syndrome: A Single Blind Clinical Randomized Study
Who cites it
31 citing papers in PubMed, 7 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Exercise therapy for tendinopathy: a mixed-methods evidence synthesis exploring feasibility, acceptability and effectiveness.Health technology assessment (Winchester, England) · 2023Pooled it
- Shock wave therapy for rotator cuff disease with or without calcification.The Cochrane database of systematic reviews · 2020Pooled it
- Surgery for rotator cuff tears.The Cochrane database of systematic reviews · 2019Pooled it
- Subacromial decompression surgery for rotator cuff disease.The Cochrane database of systematic reviews · 2019Pooled it
- Manual therapy and exercise for rotator cuff disease.The Cochrane database of systematic reviews · 2016Pooled it
- Treatments for shoulder impingement syndrome: a PRISMA systematic review and network meta-analysis.Medicine · 2015Pooled it
- Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database.British medical bulletin · 2015Pooled it
- Effect of high-intensity laser therapy on supraspinatus tendon elasticity in subacromial impingement syndrome: A double-blind randomized controlled study.Lasers in medical science · 2025Trial
- Trial
- Comparison of low-level laser treatment and extracorporeal shock wave therapy in subacromial impingement syndrome: a randomized, prospective clinical study.Lasers in medical science · 2021Trial
- Optimising outcomes of exercise and corticosteroid injection in patients with subacromial pain (impingement) syndrome: a factorial randomised trial.British journal of sports medicine · 2021Trial
- Trial
- Is radial Extracorporeal Shock Wave Therapy (rEWST) combined with supervised exercises (SE) more effective than sham rESWT and SE in patients with subacromial shoulder pain? Study protocol for a double-blind randomised, sham-controlled trial.BMC musculoskeletal disorders · 2015Trial
- Subacromial impingement syndrome and pain: protocol for a randomised controlled trial of exercise and corticosteroid injection (the SUPPORT trial).BMC musculoskeletal disorders · 2014Trial
- Does adding heavy load eccentric training to rehabilitation of patients with unilateral subacromial impingement result in better outcome? A randomized, clinical trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Trial
- Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial.BMC medicine · 2011Trial
- Predictors of shoulder pain and disability index (SPADI) and work status after 1 year in patients with subacromial shoulder pain.BMC musculoskeletal disorders · 2010Trial
- Exercise therapy after corticosteroid injection for moderate to severe shoulder pain: large pragmatic randomised trial.BMJ (Clinical research ed.) · 2010Trial
- Efficacy of Transcutaneous Pulsed Radiofrequency Treatment in Subacromial Impingement Syndrome: A Randomized Controlled Study.Journal of clinical medicine · 2024Article
- Effects of Yi Jin Bang versus conventional exercise therapy in people with subacromial pain syndrome: A randomized controlled trial.Journal of exercise science and fitness · 2024Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the effectiveness of radial extracorporeal shockwave treatment with that of supervised exercises in patients with shoulder pain.
designSingle blind randomised study.
settingOutpatient clinic of physical medicine and rehabilitation department in Oslo, Norway.
participants104 patients with subacromial shoulder pain lasting at least three months.
interventionsRadial extracorporeal shockwave treatment: one session weekly for four to six weeks. Supervised exercises: two 45 minute sessions weekly for up to 12 weeks. Primary outcome measure Shoulder pain and disability index.
resultsA treatment effect in favour of supervised exercises at 6, 12, and 18 weeks was found. The adjusted treatment effect was -8.4 (95% confidence interval -16.5 to -0.6) points. A significantly higher proportion of patients in the group treated with supervised exercises improved-odds ratio 3.2 (1.3 to 7.8). More patients in the shockwave treatment group had additional treatment between 12 and 18 weeks-odds ratio 5.5 (1.3 to 26.4).
conclusionSupervised exercises were more effective than radial extracorporeal shockwave treatment for short term improvement in patients with subacromial shoulder pain.
trial registrationClinical trials NCT00653081.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.