SUMMARY
Background. Greater Trochanteric Pain Syndrome (GTPS) poses significant challenges in clinical management due to its multifactorial etiology and limited treatment options. Extracorporeal Shockwave Therapy (ESWT) has emerged as a promising intervention in the recent past. This review aimed to evaluate the clinical efficacy of ESWT in managing GTPS symptoms.
Methods. Systematic searches were conducted on PubMed, Scopus, PEDro, and Web of Science. For quality assessment we utilized the PEDro scale, while Cochrane Risk-of-bias tool version 2 (RoB 2) helped evaluate the risk of bias. Meta-analysis was performed on six out of seven included studies. The primary outcome studied was pain intensity, and secondary outcome was lower extremity function. The analysis was done for r-ESWT and f-ESWT separately, wherever applicable.
Results. Seven trials with 714 participants were analyzed; six included in the meta-analysis. The meta-analysis of trials where f-ESWT was given showed that f-ESWT was significantly more effective than control/alternative treatments (SMD = -1.96; 95%CI -3.22 to -0.71; Z = 3.06, p = 0.002) in reducing pain, with significant results obtained in the medium, but not in the long term. f-ESWT was found to be
more effective in improving lower extremity function in GTPS (SMD = 0.61; 95%CI 0.41 to 0.81; Z = 6.02 p < 0.00001). r-ESWT did not offer any significant benefit for reducing pain intensity over control/alternative treatments in either short, medium, or long-term follow-ups (SMD = -0.03; 95%CI -0.41 to 0.35; Z = 0.16, p = 0.87).
Conclusions. f-ESWT can improve pain intensity and lower extremity function more significantly when compared to control/alternative treatment groups.
Study registration. The procedure used for analysis and the pre-determined eligibility criteria was registered at the International Prospective Register of Systematic Reviews (PROSPERO) on March 04, 2024, registration ID: CRD42024515778.
KEY WORDS
ESWT; extracorporeal shockwave therapy; GTPS; lateral hip pain; shockwave.
Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome: A Systematic Review and Meta-Analysis
Arhan Datt Anand, Abhishek Goswami, Chhavi Arora Sehgal, Saurabh Sharma, Shahid Raza, Shalini Sharma
Original Article, 91-106
Table of Content: Vol. 15 (No.1) 2025 January/March
-
Enhancing Foot Posture and Balance in Flexible Flatfoot: Short Foot Exercise, Balance Training, and Plyometrics Approach
Varsha Kathiresan, Kamalakannan MohananOriginal Article, 2-10 -
Dislocation/Fracture of Proximal 5th Metatarsal: New Protocol with Self-Assessment Scale and Specific Plantar Orthosis
Nicola Manocchio, Stefano Faraci, Giulia Vita, Silvia Silvestri, Lucia Cicchi, Concetta Ljoka, Calogero FotiOriginal Article, 11-17 -
Evaluating Shoulder Rotation Strength Asymmetry in Elite Wheelchair Basketball and Sitting Volleyball Players
Mohammadreza Mahmoudkhani, Fatemeh Alizadeh, Mehdi Norouzi, Narges AhdenoOriginal Article, 18-25 -
Relationship Between the Use of Androgenic- Anabolic Steroids and the Incidence of Myoarticular Injuries
Valmir Oliveira Silvino, Bruno Viana Rosa, Hugo José Sousa Sales da Silva, Marcos Antonio Pereira dos SantosReview, 26-32 -
Effect of the Low Pressure Fitness (LPF®) Technique on Diastasis Recti Abdominis in Postpartum Women: Protocol for A Blinded Randomized Clinical Trial
Ana Beatriz da Fonseca Nunes, Thawan da Luz Matias, Emádia Bezerra Campelo, Maria Gabrielly da Silva, Clara Cecília de Oliveira Candido, Larissa Ramalho Dantas Varella Dutra, Caio Alano de Almeida Lins, Vanessa Patrícia Soares de SousaOriginal Article, 33-41 -
Acute Structural Repercussions of Vertical Ladder Training on the Muscle Belly of Wistar Rats after Joint Immobilization
Bruna Aléxia Cristofoletti Grillo, André Neri Tomiate, Jurandyr Pimentel Neto, José Roberto Rodrigues da Silva, Adriano Polican CienaOriginal Article, 42-56 -
Development and Validation of the Musculoskeletal Health Questionnaire (MSK-HQ) on an Italian Population of Padel and Tennis Players: A Cross-Sectional Study
Luca Leone, Mattia Coniglio, Ilaria Ruotolo, Rachele Simeon, Francescaroberta Panuccio, Anna Berardi, Giovanni Galeoto, Giovanni SellittoOriginal Article, 57-65 -
Change in Polygon Shapes of Atrophic and Small Angular Fibers in Disuse Muscle Atrophy
Katsuhito NaganoOriginal Article, 66-70 -
Histopathological Changes of Extensor Digitorum Longus Muscle Following Sciatic Nerve Transection: The Role of Mast Cells and Mesenchymal Stem Cells
Zahra Bakhtiary, Rasoul Shahrooz, Rahim Hobbenaghi, Saeed Azizi, Farhad Soltanalinejad, Ali Baradar Khoshfetrat, Saeede AmaniOriginal Article, 71-78 -
Comparative Efficacy of Exercise Therapy versus Non Steroidal Anti-Inflammatory Drugs in Treating Lateral Epicondylitis
Junaid Ahmad Parrey, Mohd Arshad Bari, Abdul Qayyum Khan, Arish Ajhar, Shivani SinghOriginal Article, 79-90 -
Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome: A Systematic Review and Meta-Analysis
Arhan Datt Anand, Abhishek Goswami, Chhavi Arora Sehgal, Saurabh Sharma, Shahid Raza, Shalini SharmaOriginal Article, 91-106 -
Circulating Levels of microRNA-122 and Weight Change in Response to Combined Exercise Interventions In Metabolic Syndrome
Saeid Shamlou Kazemi, Ali Heidarianpour, Hanieh Naddaf, Roya Nafaji-Vosough, Fereshteh Mehri, Homa NaderifarOriginal Article, 107-112 -
Sonophoresis with Nanostructured Lipid Carrier Gel Containing Quercetin for Muscle Injury Treatment in Rats
Jefferson Potiguara de Moraes, Luis Ulisses Signori, Rodrigo Pereira Martins, Bianca Vedoin Copês Rambo, Gustavo Orione Puntel, Manuela Bianchin Marcuzzo, Darcieli Lima Ramos, Ricardo Evandro Mendes, Jaqueline Santana da Rosa, Ingrid Wentzel Souza, Thiago Durand Mussoi, Camila Franco, Virgínia Cielo RechOriginal Article, 113-120