The effect of extracorporeal shock wave therapy in coccydynia: a systematic review and meta-analysis

IF 0.2 Q4 ORTHOPEDICS

Current Orthopaedic Practice Pub Date : 2022-09-05 DOI:10.1097/BCO.0000000000001154

Farshad Nikouei, M. Shakeri, Hasan Ghandhari, M. Motalebi, E. Ameri

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引用次数: 0

Abstract

Background: Extracorporeal shock wave therapy (ESWT) has been used in the treatment of coccydynia. However, it has not yet been validated due to the dispersion of studies, the low number of patients, and the use of different measuring instruments. This meta-analysis was performed with the aim of collecting homogeneous studies to achieve a reliable result. Methods: The authors searched electronic databases including Google Scholar, Scopus, ScienceDirect, ISI Web of Science, Embase, and PubMed to find studies in which the effect of ESWT on coccydynia using visual analog scale (VAS) scores was evaluated starting in January 1990 through August 2021. All search procedures were performed by two authors. Results: The mean pain changes of 81 patients from four studies in 1 mo, 2 to 4 mo, and 6 to 12 mo after using ESWT were analyzed. Overall mean change of VAS score in 1 mo, 2 to 4 mo, and 6 to 12 mo after applying ESWT was -42.41 (I2=86.96%, 95% confidence interval [CI] of −56.88, −27.94, P=0.001), −41.01 (I2=0.0%, 95% CI of −46.98, −35.04, P=0.001) and −50.13 (I2=82.41%, 95% CI of −67.33; −32.94, P=0.001), respectively. Conclusions: The authors showed that ESWT lessened pain in patients with coccydynia. This effect did not diminish during a year; instead, it further reduced pain in patients. However, more research is needed to verify the results. Level of Evidence: Level I.

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体外冲击波治疗球虫的疗效：系统综述和荟萃分析

背景：体外冲击波治疗（ESWT）已被用于治疗球虫。然而，由于研究的分散性、患者数量少以及使用不同的测量仪器，它尚未得到验证。进行这项荟萃分析的目的是收集同质研究，以获得可靠的结果。方法：作者搜索了包括Google Scholar、Scopus、ScienceDirect、ISI Web of Science、Embase和PubMed在内的电子数据库，以寻找从1990年1月到2021年8月使用视觉模拟量表（VAS）评分评估ESWT对球虫影响的研究。所有搜索程序均由两名作者执行。结果：分析了四项研究中81名患者在使用ESWT后1个月、2至4个月和6至12个月的平均疼痛变化。应用ESWT后1个月、2个月至4个月和6个月至12个月VAS评分的总体平均变化分别为-42.41（I2=86.96%，95%置信区间[CI]为−56.88、−27.94，P=0.001）、−41.01（I2=0.0%，95%可信区间为−46.98、−35.04，P=0.000）和−50.13（I2=82.41%，95%CI为−67.33；−32.94，P=0.01）。结论：作者表明ESWT减轻了球虫患者的疼痛。这种影响在一年中没有减弱；相反，它进一步减轻了患者的疼痛。然而，还需要更多的研究来验证结果。证据级别：一级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Orthopaedic Practice ORTHOPEDICS-

CiteScore

0.60

自引率

0.00%

发文量

107

期刊介绍： Lippincott Williams & Wilkins is a leading international publisher of professional health information for physicians, nurses, specialized clinicians and students. For a complete listing of titles currently published by Lippincott Williams & Wilkins and detailed information about print, online, and other offerings, please visit the LWW Online Store. Current Orthopaedic Practice is a peer-reviewed, general orthopaedic journal that translates clinical research into best practices for diagnosing, treating, and managing musculoskeletal disorders. The journal publishes original articles in the form of clinical research, invited special focus reviews and general reviews, as well as original articles on innovations in practice, case reports, point/counterpoint, and diagnostic imaging.