Treatment of Jumper’s Knee with Extracorporeal Shockwave Therapy: A Systematic Review and Meta-Analysis
Article (PDF)
Authors
Magdalena Stania, Tomasz Krol, Wojciech Marszalek, Justyna Michalska, Piotr Krol
Abstract
The aim of this systematic review and meta-analysis was to determine the therapeutic efficacy of extracorporeal shockwave therapy (ESWT) for athletes with patellar tendinopathy. We searched PubMed, EBSCOHost and Ovid for randomized controlled trials (RCTs) which evaluated the therapeutic efficacy of ESWT in athletes with jumper’s knee. The methodological quality of RCTs was rated with the Physiotherapy Evidence Database scale. Data in the meta-analysis were expressed as standardized mean difference (SMDs) and 95% confidence intervals (CIs). Heterogeneity was assessed with I2 statistics. Of 192 records identified, a total of seven articles met the inclusion criteria. The ESWT and control groups with any other conservative treatment did not differ significantly with respect to the Visual Analogue Scale (VAS) long-term scores obtained at ≥ 6 months of therapy completion (SMD: -0.33; 95% CI: -4.64 to 3.98; p = 0.87; I² = 98%). Furthermore, no significant differences were found between the ESWT and control groups regarding the pooled Victorian Institute of Sports Assessment for Patella (VISA-P) scores for long-term outcomes (SMD: 8.21; 95% CI: -39.3 to 55.73; p = 0.73; I² = 99%). The ESWT and control groups did not differ significantly on the VAS and VISA-P scores for long-term outcomes. In both cases, heterogeneity was considered to be high. Hence, no clear and generalized conclusions can be drawn regarding ESWT effectiveness in athletes with patellar tendinopathy.
DOI
DOI: 10.2478/hukin-2022-0089
Citation
APA
Stania, M., Król, T., Marszałek, W., Michalska, J., Król, P. (2022). Treatment of Jumper’s Knee with Extracorporeal Shockwave Therapy: A Systematic Review and Meta-Analysis. Journal of Human Kinetics, 84, 124-134. https://doi.org/10.2478/hukin-2022-0089
Harvard Stania, M., Król, T., Marszałek, W., Michalska, J., and Król, P. (2022). Treatment of Jumper’s Knee with Extracorporeal Shockwave Therapy: A Systematic Review and Meta-Analysis. Journal of Human Kinetics, 84, pp.124-134. https://doi.org/10.2478/hukin-2022-0089
MLA Stania, Magdalena et al. “Treatment of Jumper’s Knee with Extracorporeal Shockwave Therapy: A Systematic Review and Meta-Analysis.” Journal of Human Kinetics, vol. 84, 2022, pp. 124-134. doi:10.2478/hukin-2022-0089.
Vancouver Stania M, Król T, Marszałek W, Michalska J, Król P. Treatment of Jumper’s Knee with Extracorporeal Shockwave Therapy: A Systematic Review and Meta-Analysis. Journal of Human Kinetics. 2022;84:124-134. https://doi.org/10.2478/hukin-2022-0089
Key words
patellar ligament, physical therapy modalities, musculoskeletal system, athletes