Evidence map›Paper›PMID 39704142›Full record

Trial reportClinical rehabilitation2025

Does shockwave therapy lead to better pain and function than sham over 12 weeks in people with insertional Achilles tendinopathy? A randomised controlled trial.

Baraa Alsulaimani, Luke Perraton, Patrick Vallance, Tim Powers, Peter Malliaras

Abstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Clinical rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Achilles tendinopathy.Nature reviews. Disease primers · 2025
    Review
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

5 authors.

Baraa AlsulaimaniDepartment of Physiotherapy, School of Primary Health Care, Monash University, Frankston, Victoria, Australia.ORCID 0000-0003-0345-3948
Luke PerratonDepartment of Physiotherapy, School of Primary Health Care, Monash University, Frankston, Victoria, Australia.ORCID 0000-0003-3854-1390
Patrick VallanceDepartment of Physiotherapy, School of Primary Health Care, Monash University, Frankston, Victoria, Australia.
Tim PowersFaculty of Education, Monash Data Futures Institute, Melbourne, Victoria, Australia.
Peter MalliarasDepartment of Physiotherapy, School of Primary Health Care, Monash University, Frankston, Victoria, Australia.ORCID 0000-0001-5879-4139

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the efficacy of adding radial extracorporeal shockwave therapy or sham to exercise for people with insertional Achilles tendinopathy.

designA two-armed, parallel-group, explanatory, single-centre, randomised controlled trial within a superiority framework.

settingPrivate clinic.

participantsPeople diagnosed with insertional Achilles tendinopathy who were over 18 years old with a symptom duration of greater than 3 months.

interventionA total of 76 people were randomly assigned (one-to-one ratio) to receive three sessions of radial extracorporeal shockwave therapy or sham to the affected side (or most affected side if bilateral). All participants received identical education and exercise. OUTCOME MEASURES: The primary outcome was the Victorian Institute of Sports Assessment - Achilles questionnaire. Measures were recorded at baseline, 6 weeks and 12 weeks.

resultsAt 12 weeks, the questionnaire data were available for 37 people (96%) in the radial extracorporeal shockwave therapy group and 36 people (95%) in the sham group. For the primary outcome, we found no evidence for between-group differences at 6 (3, 95% confidence interval -4.6-10.5) or 12 weeks (4.6, 95% confidence interval -2.5-11.6). There was also no evidence for a between-group difference for any secondary outcome measures at either 6 or 12 weeks (

conclusionThe addition of radial extracorporeal shockwave therapy to exercise and education did not lead to improvements in pain, function or other outcomes compared to sham at 6 or 12 weeks among people with insertional Achilles tendinopathy.

Indexed as

Achilles TendonExtracorporeal Shockwave TherapyTendinopathyAdultFemaleHumansMaleMiddle AgedPain ManagementPain MeasurementTreatment Outcomeextracorporeal shockwave therapyInsertional Achilles tendinopathytendinopathy

Identifiers

PMID39704142
PMCPMC11846266

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Registered trials

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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.