Review Article

Efficacy of Extracorporeal Shock Wave Therapy for Lateral Epicondylitis: A Systematic Review and Meta-Analysis

Table 1

Summary of study and patient characteristics.

Study (year)CountrySubjects per interventionInterventionAge (year)M/FMedical historyOutcomePulsesEnergy density/pressure

Rompe [21] (1996)Germany50/50ESWT
Placebo
43.9
41.9
42/5824.8 m
21.9 m
VAS10000.08 mJ/mm2
Haake [22] (2002)Germany134/137ESWT
Placebo
46.9
46.3
128/14327.6 m
22.8 m
VAS20000.07-0.09 mJ/mm2
Speed [23] (2002)England40/35ESWT
Placebo
46.5
48.2
33/4215.9 m
12 m
VAS15000.12 mJ/mm2
Rompe [24] (2004)Germany34/36ESWT
Placebo
45.9
46.2
36/34>12 mVAS, grip strength20000.09 mJ/mm2
Pettrone [25] (2005)America56/58ESWT
Placebo
>18
>18
>6 mVAS, grip strength20000.06 mJ/mm2
Staples [26] (2008)America33/30ESWT
Placebo
49.8
49.1
37/2652.6w
68w
VAS20000.03 mJ/mm2
Ozturan [27] (2010)Turkey19/18/20ESWT/ABI/CSI47/44/45.825/329.6 m/10 m/9.5 mVAS, grip strength20000.17 mJ/mm2
Devrimsel [28] (2014)Turkey30/30ESWT
Laser
37.76
40.30
14.16 m
13.43 m
VAS, grip strength
Capan [29] (2016)Turkey23/22ESWT
Placebo
48.4
46.2
10/357.9 m
7.7 m
VAS, grip strength20001.8 bar
Yang [15] (2017)China15/13ESWT
Physiotherapy
50.93
51.08
12/166.53 m
7.31 m
VAS, grip strength20000.7 mJ/mm2
Aydin [1] (2018)Turkey32/35ESWT
WESs
38.84
37.94
34/33VAS, grip strength20001.6-1.8 bar
Eraslan [30] (2018)Turkey15/15/15ESWT/physiotherapy/kinesiotaping48/47.2/48.5VAS20000.06-0.12 mJ/mm2
Guler [31] (2018)Turkey20/20ESWT
Placebo
46.3/45.812/28>3 mVAS, grip strength15002.4 bar

ESWT: extracorporeal shock wave therapy; ABI: autologous blood injection; CSI: corticosteroid injection; WESs: wrist-extensor splints; VAS: visual analogue scale.