Cochrane · systematic review · CD008962

Shock wave therapy for rotator cuff disease with or without calcification

Surace, SJ, Deitch, J, Johnston, RV, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 57.1%Moderate 2 · 28.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Shock wave therapy versus placebo for rotator cuff disease with or without calcification

Population: rotator cuff disease with or without calcification
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain relief > 50%a
Shock wave therapy vs placebo
RR 1.1 [0.62, 1.94]1 study · 74 participantsLow
Downgraded: risk of bias
Pain Multiple scalese translated to VAS 0–10 (10 was severe pain)f
Shock wave therapy vs placebo
no estimate extracted9 studies · 608 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Function Multiple scalese translated to Constant 0–100 scale (100 was best function)f
Shock wave therapy vs placebo
SMD 0.62 [0.13, 1.11]9 studies · 612 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Participant‐reported success
Shock wave therapy vs placebo
RR 1.59 [0.87, 2.91]6 studies · 287 participantsLow
Downgraded: risk of bias
Quality of life
Shock wave therapy vs placebo
no estimate extractedNRNo studies
Number of participant withdrawals due to adverse events or treatment intolerance
Shock wave therapy vs placebo
RR 0.75 [0.43, 1.31]7 studies · 581 participantsLow
Downgraded: risk of bias
Number of participants experiencing any adverse event
Shock wave therapy vs placebo
RR 3.61 [2, 6.52]5 studies · 295 participantsLow
Downgraded: risk of bias