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Effectiveness of non-surgical interventions for rotator cuff calcific tendinopathy: a systematic review

journal contribution
posted on 10.12.2020, 06:03 by M SIMPSON, Tania PizzariTania Pizzari, T COOK, S WILDMAN, J LEWIS
© 2020 Foundation for Rehabilitation Information. All rights reserved. Objective: To evaluate the effectiveness of non-surgical interventions for rotator cuff calcific tendinopathy. Data sources: Medline, EMBASE, CINAHL, Cochrane Register of Clinical Trials, PEDro and SPORTDiscus from inception to March 2018, and accompanying reference lists. Peer-reviewed randomized clinical trials of non-surgical interventions for adults with rotator cuff calcific tendinopathy were included. Data extraction: The same 2 reviewers independently evaluated eligibility, extracted data and evaluated risk of bias of the included randomized clinical trials. A system to resolve any disagreements was established a priori. Short-term, medium-term and long-term outcomes for pain, shoulder function and calcific morphology related to rotator cuff calcific tendinopathy were extracted. Due to diversity in outcome measures a meta-analyses was not conducted. Data synthesis: Of the 2,085 articles identified, 18 met the inclusion criteria, all of which had high risk of bias. Five non-surgical interventions were identified (extracorporeal shockwave therapy, ultrasound- guided percutaneous intervention, pulsed ultrasound, acetic acid iontophoresis, and transcutaneous electrical nerve stimulation). Conclusion: There was moderate evidence for the benefit of high energy extracorporeal shockwave therapy over low energy extracorporeal shockwave therapy for pain and function between 3 and 6 months follow-up, and benefit over placebo for improved function at up to 6 months follow-up. There was moderate evidence for the benefit of ultrasound-guided percutaneous intervention over medium/high-energy extracorporeal shockwave therapy for reduced pain and calcific morphology when followed up over a one-year period. Methodological concerns preclude definitive recommendations.

History

Publication Date

01/10/2020

Journal

Journal of Rehabilitation Medicine

Volume

52

Issue

10

Article Number

jrm00119

Pagination

15p. (p. 1-15)

Publisher

Foundation for Rehabilitation Information

ISSN

1650-1977

Rights Statement

The Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.

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