Evidence map›Paper›PMID 26585999›Full record

SynthesisBritish medical bulletin2015

Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database.

Christoph Schmitz, Nikolaus B M Császár, Stefan Milz, Matthias Schieker, Nicola Maffulli, Jan-Dirk Rompe, John P Furia

4 registry-linked trialsOpen access · bronzeAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in British medical bulletin, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 107 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 10 pooled it
15.7field-weighted citation impact, top 1% 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.

NCT05702606 nacompletednot on this mapstarted 2021, after this paper: background citation

Radial Extracorporeal Shock Wave Therapy for Management of Spasticity in Patients With Cerebral Palsy

TypeinterventionalSponsorFundacio Aspace CatalunyaRan2021 to 2022Enrolled73ConditionsCerebral Palsy, Spasticity, Muscle, Extracorporeal Shock Wave TherapyArmsRadial extracorporeal shock wave therapy (rESWT)
NCT05907239 narecruitingnot on this mapstarted 2023, after this paper: background citation

Effects of Focal Extracorporeal Shock Wave Therapy in the Treatment of Temporomandibular Disorders of Muscular Origin: a Randomized, Double-blind, Controlled Clinical Trial

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2023 to 2029Enrolled100ConditionsTemporomandibular Joint Disorders, Extracorporeal Shockwave TherapyArmsFocused Extracorporeal Shockwave Therapy, Placebo Focused Extracorporeal Shockwave Therapy
NCT06987721 completednot on this mapstarted 2022, after this paper: background citation

Comparison of the Efficacy of Radial and Focused Extracorporeal Shock-wave Therapy (ESWT) in Myofascial Pain Syndrome: Prospective, Randomized, Sham Controlled Study

Typeobservational_patient_registrySponsorAnkara City Hospital BilkentRan2022 to 2024Enrolled57ConditionsMyofacial Pain SyndromeArmsModus ESWT-Focused, Modus ESWT-Radial, Modus ESWT-Sham
NCT07660523 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of Second-Generation Focused Extracorporeal Shockwave Therapy Combined With Ultrasonographic Assessment in Myofascial Pain Syndrome of the Neck and Shoulder: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorCishan Hospital, Ministry of Health and WelfareRan2026 to 2027Enrolled60ConditionsMyofascial Pain SyndromeArmsSecond-Generation Focused Extracorporeal Shockwave Therapy, Home-Based Neck Exercise Program
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 10 syntheses or guidelines pooled it, 254 citations in OpenAlex.

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47 more citing papers are in PubMed but not listed here.

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

7 authors at 3 institutions in 4 countries.

Christoph SchmitzExtracorporeal Shock Wave Research Unit, Department of Anatomy II, Ludwig-Maximilians-University of Munich, Pettenkoferstr. 11, Munich 80336, Germany christoph_schmitz@med.uni-muenchen.de.
Nikolaus B M CsászárExtracorporeal Shock Wave Research Unit, Department of Anatomy II, Ludwig-Maximilians-University of Munich, Pettenkoferstr. 11, Munich 80336, Germany.
Stefan MilzExtracorporeal Shock Wave Research Unit, Department of Anatomy II, Ludwig-Maximilians-University of Munich, Pettenkoferstr. 11, Munich 80336, Germany.
Matthias SchiekerDepartment of Surgery, Experimental Surgery and Regenerative Medicine, Ludwig-Maximilians-University of Munich, Nussbaumstr. 20, Munich 80336, Germany.
Nicola MaffulliDepartment of Musculoskeletal Disorders, University of Salerno School of Medicine, Salerno, Italy Queen Mary University of London, Centre for Sports and Excercise Medicine, Mile End Hospital, Mann Ward, 275 Bancroft Road, London E1 4DG, UK.
Jan-Dirk RompeOrthoTrauma Evaluation Institute, Oppenheimer Str. 70, Mainz 55130, Germany.
John P FuriaSUN Orthopaedics and Sports Medicine, Division of Evangelical Community Hospital, 900 Buffalo Road, Lewisburg, PA 17837, USA.
Ludwig-Maximilians-Universität München · DECommunity Hospital · USQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtracorporeal shock wave therapy (ESWT) is an effective and safe non-invasive treatment option for tendon and other pathologies of the musculoskeletal system. SOURCES OF DATA: This systematic review used data derived from the Physiotherapy Evidence Database (PEDro; www.pedro.org.au, 23 October 2015, date last accessed). AREAS OF AGREEMENT: ESWT is effective and safe. An optimum treatment protocol for ESWT appears to be three treatment sessions at 1-week intervals, with 2000 impulses per session and the highest energy flux density the patient can tolerate. AREAS OF CONTROVERSY: The distinction between radial ESWT as 'low-energy ESWT' and focused ESWT as 'high-energy ESWT' is not correct and should be abandoned. GROWING POINTS: There is no scientific evidence in favour of either radial ESWT or focused ESWT with respect to treatment outcome. AREAS TIMELY FOR DEVELOPING RESEARCH: Future randomized controlled trials should primarily address systematic tests of the aforementioned optimum treatment protocol and direct comparisons between radial and focused ESWT.

Indexed as

Databases, FactualHigh-Energy Shock WavesHumansMusculoskeletal DiseasesRandomized Controlled Trials as TopicTendinopathyESWTmusculoskeletal systemPEDRoRSWT

Identifiers

PMID26585999
PMCPMC4674007
OpenAlexW2246071658

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.