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Journal ArticleDOI

The Effectiveness of Extracorporeal Shock Wave Therapy in Lower Limb Tendinopathy A Systematic Review

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TLDR
Extracorporeal shock wave therapy is an effective intervention and should be considered for GTPS, PT, and AT particularly when other nonoperative treatments have failed.
Abstract
Background:There is accumulating evidence for the effectiveness of extracorporeal shock wave therapy (ESWT) when treating lower limb tendinopathies including greater trochanteric pain syndrome (GTPS), patellar tendinopathy (PT), and Achilles tendinopathy (AT).Purpose:To evaluate the effectiveness of ESWT for lower limb tendinopathies.Study Design:Systematic review and meta-analysis.Methods:PubMed (Medline), Embase, Web of Knowledge, Cochrane, and CINAHL were searched from inception to February 2013 for studies of any design investigating the effectiveness of ESWT in GTPS, PT, and AT. Citation tracking was performed using PubMed and Google Scholar. Animal and non–English language studies were excluded. A quality assessment was performed by 2 independent reviewers, and effect size calculations were computed when sufficient data were provided.Results:A total of 20 studies were identified, with 13 providing sufficient data to compute effect size calculations. The energy level, number of impulses, number of se...

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Citations
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Journal ArticleDOI

Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research?

TL;DR: The continuum model of tendon pathology, proposed in 2009, synthesised clinical and laboratory-based research to guide treatment choices for the clinical presentations of tendinopathy and may help guide targeted treatments and improved patient outcomes.
Journal ArticleDOI

Shock wave as biological therapeutic tool: From mechanical stimulation to recovery and healing, through mechanotransduction.

TL;DR: ESWT can be nowadays considered an effective, safe, versatile, repeatable, nonin invasive therapy for the treatment of many musculo-skeletal diseases, and for some pathological conditions where regenerative effects are desirable, especially when some other noninvasive/conservative therapies have failed.
Journal ArticleDOI

The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of patient-rated pain reduction

TL;DR: Low level of evidence suggests that ESWT may be effective for some lower limb conditions in all phases of the rehabilitation.
Journal ArticleDOI

Tendinopathy: injury, repair, and current exploration.

TL;DR: The clinical importance of tendinopathy, the structure of healthy tendons, tendon injury, and healing, and a discussion of current approaches for treatment that highlight the need for the development of new nonsurgical interventions are focused on.
Journal ArticleDOI

In vivo biological response to extracorporeal shockwave therapy in human tendinopathy

TL;DR: It is suggested that the mechanical stimulus provided by ESWT might aid tendon remodelling in tendinopathy by promoting the inflammatory and catabolic processes that are associated with removing damaged matrix constituents.
References
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Journal ArticleDOI

The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions.

TL;DR: It is shown that it is feasible to develop a checklist that can be used to assess the methodological quality not only of randomised controlled trials but also non-randomised studies and it is possible to produce a Checklist that provides a profile of the paper, alerting reviewers to its particular methodological strengths and weaknesses.
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Updated method guidelines for systematic reviews in the cochrane collaboration back review group.

TL;DR: The recommendations are divided in five categories: literature search, inclusion criteria, methodologic quality assessment, data extraction, and data analysis, and additional recommendations are included regarding assessment of clinical relevance, and reporting of results and conclusions.
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Tendon injury and tendinopathy: healing and repair.

TL;DR: There is limited and mixed high-level evidence to support the, albeit common, clinical use of these modalities and further research and scientific evaluation are required before biological solutions become realistic options.
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Prevalence of Jumper's Knee among Elite Athletes from Different Sports: A Cross-sectional Study:

TL;DR: Jumper’s knee is almost twice as common among male nonelite athletes compared with female athletes and varies between 14.4% and 2.5% for different sports, showing a significant difference between sports with different loading characteristics.
Journal ArticleDOI

Hip and Groin Injuries in Athletes

TL;DR: Several common hip and groin conditions affecting athletic patients are reviewed and intraarticular lesions that may be amenable to hip arthroscopy are focused on.
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