Extracorporeal shockwave therapy for the treatment of chronic wound of lower extremity: current perspective and systematic review
| Autor: | Mohammed Ta Omar, Raoul Saggini, Rehab F M Gwada, Afaf Am Shaheen |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Chronic wound
medicine.medical_specialty Extracorporeal shock wave therapy business.industry medicine.medical_treatment Dermatology Evidence-based medicine Clinical trial 030207 dermatology & venereal diseases 03 medical and health sciences Wound care 0302 clinical medicine Extracorporeal shockwave therapy Adjuvant therapy medicine Physical therapy Combined Modality Therapy Surgery 030212 general & internal medicine medicine.symptom business |
| Zdroj: | International Wound Journal. 14:898-908 |
| ISSN: | 1742-4801 |
| DOI: | 10.1111/iwj.12723 |
| Popis: | The purpose of this study was to provide an up-to-date review for the accurate estimation of the efficacy of extracorporeal shock wave therapy (ESWT) on the healing of chronic wounds on the lower extremity (CWLE). A systematic review of 10 databases for clinical trials about ESWT in the management of CWLE published between 2000 and 2016 was performed. A total of 11 studies with 925 patients were found. Expert therapists assessed the methodological qualities of the selected studies using the Physiotherapy Evidence Database (PEDro) scale and categorised each study according to Sackett's levels of evidence. Eight studies were categorised as level II; two studies were categorised as level III and one study was categorised as level V. In conclusion, this review demonstrated mild to moderate evidence to support the use of ESWT as an adjuvant therapy with a standardised wound care programme. However, it is difficult to draw firm conclusions about the efficacy of ESWT. So, future researches with high methodological quality are required to assess the efficacy and cost-effectiveness of this relatively new physical therapy application. |
| Databáze: | OpenAIRE |
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