Effectiveness of ESWT in treating greater trochanteric bursitis
WorkSafeBC Evidence-Based Practice Group, Martin CW
Record ID 32018013212
English
Authors' objectives:
To determine whether there is any evidence on the efficacy or effectiveness of extra corporeal shock wave therapy (ESWT), either low or high energy, in treating greater trochanteric bursitis.
Authors' results and conclusions:
Of the 227 published studies were identified through the search, after duplicates were removed, 161 published studies were identified. Upon examination of the titles and abstracts of these published studies, 46 studies were thought to be relevant to ESWT use in treating greater trochanteric bursitis, 22 were excluded due to incorrect population, 68 due to incorrect interventions, 24 due to incorrect study design, and one was a duplicate study. Overall, study quality was medium-low: two studies showed medium-high quality, four studies showed moderate quality while the other 10 had low study quality. Study quality was lowered due to imprecision for several studies because most studies had a low number of participants. There is some moderate-low quality, low-level evidence pointing toward the efficacy of extra corporeal shockwave therapy for treating greater trochanteric bursitis, particularly compared to minimal or no treatment. However, when compared to active treatment, ESWT generally has no significant difference for both pain and functional outcomes. Overall, there is some moderate-low evidence, pointing towards the use of ESWT in treating greater trochanteric bursitis patients, particularly compared to minimal or no treatment. However, due to the comparable pain and functional outcomes from the use of other active treatments, and the lack of long-term studies, that evidence should be interpreted with caution. Therefore, there is still no conclusive evidence reporting on the efficacy of ESWT in the treatment of greater trochanteric bursitis.
Authors' methods:
A comprehensive and systematic literature search was conducted on November 27, 2023. The search was done on commercial and non-commercial medical literature databases. A combination of keywords was employed on this search. No limitation, such as on the language or date of publication, was implemented in this search. A manual search was also done on the references of the articles that were retrieved in full.
Details
Project Status:
Completed
URL for project:
https://www.worksafebc.com/en/about-us/research-services/evidence-based-medicine-and-systematic-reviews
Year Published:
2024
English language abstract:
An English language summary is available
Publication Type:
Mini HTA
Country:
Canada
MeSH Terms
- Bursitis
- Femur
- Hip
- Pain Management
- Extracorporeal Shockwave Therapy
Keywords
- Ultrasonic Surgical Procedures
- therapy
- waves
- high-energy shock waves
- ESWT
- greater trochanteric pain syndrome
- gluteal bursitis
- trochanteric bursitis
Contact
Organisation Name:
WorkSafeBC
Contact Address:
6591 Westminster Highway, Richmond, BC, V7C 1C6 Canada. Tel: 604-231-8417; Fax: 604-279-7698
Contact Name:
ebpg@worksafebc.com
Contact Email:
ebpg@worksafebc.com
Copyright:
WorkSafe BC
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.