Shock-wave therapy improved outcome with plantar fasciitis: a meta-analysis of randomized controlled trials

Li, Hui; Xiong, Yuan; Zhou, Wu; Liu, Yi; Liu, Jing; Xue, Hang; Hu, Liangcong; Mi, Bobin; Liu, Guohui

doi:10.1007/s00402-019-03262-z

Cited by 21 publications

(23 citation statements)

References 35 publications

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“…Extracorporeal shock wave (ESW), a sound wave characterized with fast pressure rise and high peak-pressure in a short lifecycle, 19 has been applied in treating multiple orthopaedic disorders. 20 - 22 The possible mechanisms of ESW treatment include mechanical force stimulation, signalling pathway transduction, biomolecule secretion, ion channel alteration, and cytokine and growth factor release. 23 , 24 ESW treatment potentiates soft tissue regeneration.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal shock wave promotes activation of anterior cruciate ligament remnant cells and their paracrine regulation of bone marrow stromal cells’ proliferation, migration, collagen synthesis, and differentiation

Chou

Shen

et al. 2020

Bone & Joint Research

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Aims Proliferation, migration, and differentiation of anterior cruciate ligament (ACL) remnant and surrounding cells are fundamental processes for ACL reconstruction; however, the interaction between ACL remnant and surrounding cells is unclear. We hypothesized that ACL remnant cells preserve the capability to regulate the surrounding cells’ activity, collagen gene expression, and tenogenic differentiation. Moreover, extracorporeal shock wave (ESW) would not only promote activity of ACL remnant cells, but also enhance their paracrine regulation of surrounding cells. Methods Cell viability, proliferation, migration, and expression levels of Collagen-I (COL-I) A1, transforming growth factor beta (TGF-β), and vascular endothelial growth factor (VEGF) were compared between ACL remnant cells untreated and treated with ESW (0.15 mJ/mm2, 1,000 impulses, 4 Hz). To evaluate the subsequent effects on the surrounding cells, bone marrow stromal cells (BMSCs)’ viability, proliferation, migration, and levels of Type I Collagen, Type III Collagen, and tenogenic gene ( Scx, TNC) expression were investigated using coculture system. Results ESW-treated ACL remnant cells presented higher cell viability, proliferation, migration, and increased expression of COL-I A1, TGF-β, and VEGF. BMSC proliferation and migration rate significantly increased after coculture with ACL remnant cells with and without ESW stimulation compared to the BMSCs alone group. Furthermore, ESW significantly enhanced ACL remnant cells’ capability to upregulate the collagen gene expression and tenogenic differentiation of BMSCs, without affecting cell viability, TGF-β, and VEGF expression. Conclusion ACL remnant cells modulated activity and differentiation of surrounding cells. The results indicated that ESW enhanced ACL remnant cells viability, proliferation, migration, and expression of collagen, TGF-β, VEGF, and paracrine regulation of BMSC proliferation, migration, collagen expression, and tenogenesis. Cite this article: Bone Joint Res 2020;9(8):458–468.

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Section: Introductionmentioning

confidence: 99%

Extracorporeal shock wave promotes activation of anterior cruciate ligament remnant cells and their paracrine regulation of bone marrow stromal cells’ proliferation, migration, collagen synthesis, and differentiation

Chou

Shen

et al. 2020

Bone & Joint Research

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“…Most of the patients' symptoms are relieved by conservative treatments such as corticosteroid injection, NSAIDS, rest, and using orthotics [17]. Sometimes, therapeutic modalities can be used such as therapeutic ultrasound [18].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of plantar fasciitis improvement after shock wave therapy in calcaneal spur patients by musculoskeletal ultrasonography

Molla

Fahmy

Gamil

et al. 2021

Egypt Rheumatol Rehabil

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Background Plantar fasciitis due to calcaneal spur is a common cause of heel pain and functional disability, and its management presents a huge challenge for clinicians which results sometimes in unpleasant clinical outcomes. The efficacy of extracorporeal shock wave therapy (ESWT) as an alternative therapeutic option to surgical management after failure of conservative treatment has been addressed. Our aim was to evaluate the efficacy of ESWT in the treatment of plantar fasciitis in calcaneal spur patients using ultrasonography. Results The mean plantar fascia (PF) thickness was statistically significantly higher in the calcaneal spur patient group (5.66 ± 1.14 mm) than in the healthy control group (2.40 ± 0.35 mm), (P = 0.001). Significant PF thickness reduction, visual analog scale (VAS), and Roles and Maudsley score (RMS) improvement were observed (P < 0.001) after 4 sessions of ESWT. Conclusion PF thickness increases significantly in calcaneal spur patients and responds to treatment. ESWT decreases the thickness of the PF and improves pain and function significantly.

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“…However, due to inadequate long-term outcomes of treatment, more effective treatments are required [163,164]. Several systematic reviews and metaanalyses have concluded there is long-term safety and efficacy of ESWT, recommending its use for PHP [165][166][167][168][169][170][171][172][173][174][175][176][177][178][179][180].…”

Section: Plantar Heel Painmentioning

confidence: 99%

“…For all seven outcomes ESWT ranked first and was recommended as the optimal treatment [176]. Systematic reviews and metaanalysis have also directly compared ESWT versus corticosteroid injections [177][178][179], and ultrasound [180], with all finding ESWT superior.…”

Section: Plantar Heel Painmentioning

confidence: 99%

Extracorporeal Shockwave Therapy for the Treatment of Tendinopathies: Current Evidence on Effectiveness, Mechanisms, Limitations and Future Directions

Burton

2021

Curr Phys Med Rehabil Rep

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Tendinopathy is a chronic degenerative tendon disorder which is characterised by pain, swelling and impaired physical function and performance, presenting in both athletes and the general population. Extracorporeal shockwave therapy (ESWT) is an increasingly common treatment for tendinopathy, which can initiate tendon healing and regeneration. The review presents current understanding of mechanisms of action of ESWT and provides a brief overview of its history and development. The central purpose of the review is to synthesise research findings investigating the effectiveness of ESWT for seven common tendinopathies (plantar 2 heel pain, rotator cuff, lateral elbow, Achilles, gluteal, hamstring and patellar tendinopathy) and provide recommendations on clinical applicability. Collectively, the available evidence indicates that ESWT is effective and can be recommended in treatment for the seven tendinopathies. However, the evidence is stronger for certain tendinopathies compared to others and uncertainties remain regarding the optimal ESWT treatment parameters. The consensus from recent literature is that although ESWT can be effective in isolation it should be combined with other treatments in tendinopathy, which needs to be addressed in future research.

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Shock-wave therapy improved outcome with plantar fasciitis: a meta-analysis of randomized controlled trials

Cited by 21 publications

References 35 publications

Extracorporeal shock wave promotes activation of anterior cruciate ligament remnant cells and their paracrine regulation of bone marrow stromal cells’ proliferation, migration, collagen synthesis, and differentiation

Extracorporeal shock wave promotes activation of anterior cruciate ligament remnant cells and their paracrine regulation of bone marrow stromal cells’ proliferation, migration, collagen synthesis, and differentiation

Evaluation of plantar fasciitis improvement after shock wave therapy in calcaneal spur patients by musculoskeletal ultrasonography

Extracorporeal Shockwave Therapy for the Treatment of Tendinopathies: Current Evidence on Effectiveness, Mechanisms, Limitations and Future Directions

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