Evidence map›Paper›PMID 41892829›Full record

ArticleMedical sciences (Basel, Switzerland)2026

Clinical and Metabolic Predictors of Response to Focused Extracorporeal Shockwave Therapy in Rotator Cuff Tendinopathy: A Retrospective Cohort Study.

Sveva Maria Nusca, Eleonora Latini, Gabriele Santilli, Gioia Beccarini, Valerio Bova, Flavia Santoboni, Valter Santilli, Giorgio Felzani, Fabrizio Perroni, Mariachiara Vulpiani and 2 more

Abstract read
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Article in Medical sciences (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Sveva Maria NuscaPhysical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.ORCID 0000-0003-1746-7398
Eleonora LatiniPhysical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.
Gabriele SantilliDepartment of Movement, Human and Health Sciences, University of Rome 'Foro Italico', 00135 Rome, Italy.ORCID 0000-0003-2658-4860
Gioia BeccariniPhysical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.
Valerio BovaPhysical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.
Flavia SantoboniPhysical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.
Valter SantilliSan Raffaele Sulmona, Viale dell'Agricoltura, 67039 Sulmona, Italy.
Giorgio FelzaniSan Raffaele Sulmona, Viale dell'Agricoltura, 67039 Sulmona, Italy.
Fabrizio PerroniDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, 61029 Urbino, Italy.ORCID 0000-0003-2094-4351
Mariachiara VulpianiPhysical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.
Davide SistiDepartment of Biomolecular Sciences, University of Urbino Carlo Bo, 61029 Urbino, Italy.ORCID 0000-0002-7925-7495
Mario VetranoPhysical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.ORCID 0000-0002-8680-4004

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRotator cuff tendinopathy is a major cause of shoulder pain and disability. Focused extracorporeal shockwave therapy (ESWT) is an established conservative treatment option; however, the predictive factors influencing the treatment response remain poorly characterized.

objectivesTo identify clinical, demographic, and metabolic predictors of pain reduction and functional improvement at four months following focused ESWT in patients with supraspinatus tendinopathy, with the goal of informing individualized treatment planning and early prognostic counseling.

methodsThis retrospective cohort study analyzed patients with supraspinatus tendinopathy (calcific and non-calcific) treated with focused ESWT at a university rehabilitation center between June 2020 and December 2025. Outcomes were assessed at baseline and 4-month follow-up using the Visual Analog Scale (VAS), Roles and Maudsley, and Constant-Murley scores. Change score analysis with covariate adjustment and backward stepwise selection were performed to identify predictors of clinical improvement.

resultsA total of 239 patients (97 males [40.6%], 142 females [59.4%]; mean age 60.2 ± 11.5 years; mean BMI 25.5 ± 4.0 kg/m

conclusionsBaseline clinical severity and body mass index were consistent predictors of ESWT effectiveness in rotator cuff tendinopathy. A lower BMI was associated with greater functional improvement, highlighting a potentially modifiable factor for treatment optimization. These findings support personalized treatment planning and early prognostic counseling in clinical practices.

Indexed as

Extracorporeal Shockwave TherapyRotator CuffRotator Cuff InjuriesTendinopathyAgedFemaleHumansMaleMiddle AgedPain MeasurementRetrospective StudiesTreatment Outcomebody mass indexextracorporeal shockwave therapypredictive factorsrehabilitationrotator cuff tendinopathysupraspinatus

Identifiers

PMID41892829
PMCPMC13027989

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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.