Comparison of Extracorporeal Shock Wave Therapy and Ultrasound-Guided Shoulder Injection Therapy in Patients with Supraspinatus Tendinitis
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2023;11(3):12 Clin Orthop Surg . 2022 Dec;14(4):585-592.What this means for my practice?
Overall, ESWT may be effective in improving pain scores and function from baseline to 3 months in patients with supraspinatus tendinitis. However, no significant differences were reported within this trial between ESWT and US groups at the final follow-up. A small sample size and short follow-up limited the results of this trial. Future trials should consider assessing long-term outcomes as well as comparing these treatments against a placebo arm.
Study Summary
Twenty-six patients with supraspinatus tendinitis were randomized to receive either extracorporeal shock wave therapy (ESWT; n=13) or ultrasound-guided injection therapy (US; n=13). Outcomes of interest were pain measured using the Visual Analog Scale (VAS), and function measured using the Constant Shoulder Score and the American Shoulder and Elbow Surgeons (ASES) score. No differences were apparent between the two groups at 3 months with regard to pain scores and function.
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