Evidence map›Paper›PMID 26361756›Full record

Trial reportBMC musculoskeletal disorders2015

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.

Elisabeth Kvalvaag, Jens Ivar Brox, Kaia Beck Engebretsen, Helene Lundgaard Søberg, Erik Bautz-Holter, Cecilie Røe

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01441830 (Treatment of Subacromial Shoulder Pain), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT01441830 phase3unknown statusnot on this map

Treatment of Subacromial Shoulder Pain

TypeinterventionalSponsorOslo University HospitalRan2011Enrolled150ConditionsShoulder Impingement Syndrome, Subacromial Shoulder PainArmsRadial extracorporeal shock wave therapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Shock wave therapy for rotator cuff disease with or without calcification.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Trial
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Elisabeth KvalvaagDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevål, Postboks 4956, Nydalen, 0424, Oslo, Norway. ekvalv@ous-hf.no.
Jens Ivar BroxDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevål, Postboks 4956, Nydalen, 0424, Oslo, Norway. jbrox@ous-hf.no.
Kaia Beck EngebretsenDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevål, Postboks 4956, Nydalen, 0424, Oslo, Norway. uxaien@ous-hf.no.
Helene Lundgaard SøbergDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevål, Postboks 4956, Nydalen, 0424, Oslo, Norway. uxheob@ous-hf.no.
Erik Bautz-HolterDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevål, Postboks 4956, Nydalen, 0424, Oslo, Norway. uxerba@ous-hf.no.
Cecilie RøeDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital HF, Ullevål, Postboks 4956, Nydalen, 0424, Oslo, Norway. ceroee@ous-hf.no.
Oslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubacromial shoulder pain is a common complaint. Radial Extracorporeal Shock Wave Therapy (rESWT) has being increasingly used to treat calcific and non-calcific tendinosis, although there is no evidence of the effectiveness of rESWT in non-calcific tendinosis of the rotator cuff. A randomised single blind study showed that the short-term effect of supervised exercises (SE) was significantly better than rESWT on subacromial shoulder pain, but both groups improved. In a clinical trial on achilles tendinopathy rESWT improved the effectiveness of treatment with eccentric loading. The objective of this present study is to evaluate if rESWT in addition to SE is more effective in improving shoulder pain and function compared with sham rESWT and SE in patients with subacromial shoulder pain. METHODS/

designThis is a double blind, randomised sham-controlled trial which is performed at the shoulder clinic at the Department of Physical Medicine and Rehabilitation in Oslo University Hospital, Norway. One-hundred-forty-four patients with subacromial shoulder pain lasting at least 3 months, age from 25 to 70 years old are included in the trial. Patients are randomly allocated in 1:1 ratio to receive either rESWT or sham rESWT once a week in addition to SE once a week for the initial 4 weeks. Subsequently SE are provided twice a week for 8 weeks. The primary outcome measure is a change in the Shoulder Pain and Disability Index (SPADI) at 24 weeks follow-up. Secondary outcomes include return to work, pain at rest and on activity, function, and health related quality of life. The patients, the physiotherapist providing the exercise regimen and the outcome assessor are blinded to group assignment. The physiotherapist providing the rESWT is not blinded. DISCUSSION: Because of the extensive use of rESWT in the treatment of subacromial shoulder pain the results of this trial will be of importance and have impact on clinical practice.

trial registrationClinicalTrials.gov NCT01441830.

Indexed as

AdultAgedDouble-Blind MethodExercise TherapyFemaleFollow-Up StudiesHigh-Energy Shock WavesHumansMaleMiddle AgedPlacebosShoulder PainTreatment OutcomePlacebos

Identifiers

PMID26361756
PMCPMC4567817
OpenAlexW1871982581

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.