Evidence map›Paper›PMID 27493955›Full record

ReviewBioMed research international2016

Historical ESWT Paradigms Are Overcome: A Narrative Review.

Heinz Lohrer, Tanja Nauck, Vasileios Korakakis, Nikos Malliaropoulos

Open access · hybridAbstract readReview
In one paragraph

Review in BioMed research international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. State of shock - a systematic review of extracorporeal shockwave therapy in hand surgery.GMS Interdisciplinary plastic and reconstructive surgery DGPW · 2025
    Review
  3. Review
  4. Are Extracorporeal Shock Waves Just a Therapeutic Tool?Diagnostics (Basel, Switzerland) · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Extracorporeal shock wave therapy in the supportive care and rehabilitation of cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

4 authors at 4 institutions in 3 countries.

Heinz LohrerEuropean Sportscare Network (ESN), Zentrum für Sportorthopädie, Borsigstrasse 2, 65205 Wiesbaden-Nordenstadt, Germany; Institute for Sport and Sport Sciences, Albert-Ludwigs-Universität Freiburg im Breisgau, Schwarzwaldstraße 175, 79117 Freiburg, Germany; European SportsCare, 68 Harley Street, London W1G 7HE, UK.ORCID 0000-0001-5949-4867
Tanja NauckEuropean Sportscare Network (ESN), Zentrum für Sportorthopädie, Borsigstrasse 2, 65205 Wiesbaden-Nordenstadt, Germany; European SportsCare, 68 Harley Street, London W1G 7HE, UK.
Vasileios KorakakisAspetar Orthopaedic and Sports Medicine Hospital, Sport City Street, P.O. Box 29222, Doha, Qatar; Institute for Postgraduate Studies in Manual Therapy, 111528 Athens, Greece.
Nikos MalliaropoulosEuropean SportsCare, 68 Harley Street, London W1G 7HE, UK; Thessaloniki Sports and Exercise Medicine Clinic, Asklipiou 17, 54639 Thessaloniki, Greece; National Track and Field Centre, Sports Medicine Clinic of S.E.G.A.S., Kautatzoglion Stadion, Agiou Dimitriou 100, 54636 Thessaloniki, Greece; Sports Clinic, Rheumatology Department, Barts Health NHS Trust, Bancroft Road, London E1 4DG, UK; Centre for Sports and Exercise Medicine, Queen Mary, University of London, Bancroft Road, London E1 4DG, UK.
Qatar Orthopaedic and Sports Medicine Hospital · QAQueen Mary University of London · GBUnited Kingdom Sport · GBUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extracorporeal Shock Wave Therapy (ESWT) is a conservative treatment modality with still growing interest in musculoskeletal disorders. This narrative review aims to present an overview covering 20-year development in the field of musculoskeletal ESWT. Eight historical paradigms have been identified and put under question from a current perspective: energy intensity, focus size, anesthesia, imaging, growth plates, acuteness, calcifications, and number of sessions. All paradigms as set in a historical consensus meeting in 1995 are to be revised. First, modern musculoskeletal ESWT is divided into focused and radial technology and the physical differences are about 100-fold with respect to the applied energy. Most lesions to be treated are easy to reach and clinical focusing plays a major role today. Lesion size is no longer a matter of concern. With the exception of nonunion fractures full, regional, or even local anesthesia is not helpful in musculoskeletal indications. Juvenile patients can also effectively be treated without risk of epiphyseal damage. Further research is needed to answer the question about if and which acute injuries can be managed effectively. Treatment parameters like the number of sessions are still relying on empirical data and have to be further elucidated.

Indexed as

Fractures, BoneHigh-Intensity Focused Ultrasound AblationLithotripsyMusculoskeletal DiseasesNarrationPractice Guidelines as TopicRisk AssessmentTreatment Outcome

Identifiers

PMID27493955
PMCPMC4967434
OpenAlexW2491047381

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.