Efficacy of Extracorporeal Shockwave Therapy on Calcified and Noncalcified Shoulder Tendinosis: A Propensity Score Matched Analysis
Background. Extracorporeal shock wave therapy (ESWT) had been proved to be beneficial in calcific tendinosis; however, the treatment efficacy in noncalcific tendinosis of rotator cuff still remains controversial. The present study was to compare the outcomes ESWT among the noncalcific rotator cuff t...
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| description | Background. Extracorporeal shock wave therapy (ESWT) had been proved to be beneficial in calcific tendinosis; however, the treatment efficacy in noncalcific tendinosis of rotator cuff still remains controversial. The present study was to compare the outcomes ESWT among the noncalcific rotator cuff tendinosis and different types of calcific tendinosis on the basis of similar shoulder functional status. Methods. A retrospective, comparative study was conducted with the enrollment of 20 patients in each group through propensity score matching in a 1:1:1 ratio from 291 patients who underwent single ESWT for painful shoulder tendinosis. The patients were divided into three groups which included noncalcified tendinosis (NCTS), type I dense calcified tendinosis of shoulder (DCTS), and type II and type III translucent calcified tendinosis of shoulder (TCTS) according to Gartner and Heyer classification. The clinical evaluation included the subjective pain score with visual analog scale (VAS) and functional outcome with Constant and Murley score (CMS). Results. Twelve months after ESWT, the VAS in TCTS (1.5 ± 2.48) was statistically significant lower than NCTS (2.9 ± 2.86) and DCTS (3.8 ± 2.46) (p=.011). For the functional outcome, the overall CMS was superior in TCTS than the NCTS and DCTS (86.9 ± 19.7 versus 78.7 ± 18.3 and 71.1 ± 17.8, p=.014). Besides, the subscales of pain score, strength, and range of motion in TCTS improved significantly better than NCTS and DCTS. 70% of patients were complaint-free in TCTS group, which was higher than the NCTS group (15%) and DCTS group (25%) (p |
| doi_str_mv | 10.1155/2019/2958251 |
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| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6437753</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A624417385</galeid><sourcerecordid>A624417385</sourcerecordid><originalsourceid>FETCH-LOGICAL-c499t-faf6c8af06765000b49f33abb44d795882ccdd8d75cc37f6f1ee983c902b97b93</originalsourceid><addsrcrecordid>eNqN0s9v0zAUB_AIgdg0duOMLHFBgjL_ihNzQKqqDpDGD2nlbDnO8-KR2pmdbPS8fxxXLR1wwpdYzidf-eW9onhO8FtCyvKMYiLPqCxrWpJHxTFlhM8E4eTxYc_YUXGa0jXOqyYCS_G0OGIE4_w5Oy7ul9Y6o80GBYuWP8eoTYhDiKB7dNkF8-NO3wJadRD1kI1HC90bZx20SPsWfQneHA6yn_oWIlqBb50PyaV3aI6-xTCAT27coMscDuizHk2X_dzrfpPRs-KJ1X2C0_3zpPh-vlwtPs4uvn74tJhfzAyXcpxZbYWptcWiEmWupuHSMqabhvO2yr-gpsa0bd1WpTGsssISAFkzIzFtZNVIdlK83-UOU7OG1oDP5fZqiG6t40YF7dTfb7zr1FW4VYKzqipZDni1D4jhZoI0qrVLBvpeewhTUpQSInmNSZ3py3_odZhiLjgrIgUXuWP8QV3pHpTzNmwbsA1Vc0E5JxWry6ze7JSJIaUI9nBlgtV2DNR2DNR-DDJ_8WeZB_y76Rm83oHO-Vbfuf-Mg2zA6gdNKKdUsF8II8Sb</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2196468254</pqid></control><display><type>article</type><title>Efficacy of Extracorporeal Shockwave Therapy on Calcified and Noncalcified Shoulder Tendinosis: A Propensity Score Matched Analysis</title><source>MEDLINE</source><source>Wiley Online Library Open Access</source><source>PubMed Central(OpenAccess)</source><source>Alma/SFX Local Collection</source><source>PubMed Central Open Access</source><creator>Yang, Ya-Ju ; Chen, Po-Cheng ; Ko, Jih-Yang ; Chen, Chen-Yu ; Wang, Ching-Jen ; Chou, Wen-Yi ; Wu, Kuan-Ting ; Cheng, Jai-Hong</creator><contributor>Berger, Vance W. ; Vance W Berger</contributor><creatorcontrib>Yang, Ya-Ju ; Chen, Po-Cheng ; Ko, Jih-Yang ; Chen, Chen-Yu ; Wang, Ching-Jen ; Chou, Wen-Yi ; Wu, Kuan-Ting ; Cheng, Jai-Hong ; Berger, Vance W. ; Vance W Berger</creatorcontrib><description>Background. Extracorporeal shock wave therapy (ESWT) had been proved to be beneficial in calcific tendinosis; however, the treatment efficacy in noncalcific tendinosis of rotator cuff still remains controversial. The present study was to compare the outcomes ESWT among the noncalcific rotator cuff tendinosis and different types of calcific tendinosis on the basis of similar shoulder functional status. Methods. A retrospective, comparative study was conducted with the enrollment of 20 patients in each group through propensity score matching in a 1:1:1 ratio from 291 patients who underwent single ESWT for painful shoulder tendinosis. The patients were divided into three groups which included noncalcified tendinosis (NCTS), type I dense calcified tendinosis of shoulder (DCTS), and type II and type III translucent calcified tendinosis of shoulder (TCTS) according to Gartner and Heyer classification. The clinical evaluation included the subjective pain score with visual analog scale (VAS) and functional outcome with Constant and Murley score (CMS). Results. Twelve months after ESWT, the VAS in TCTS (1.5 ± 2.48) was statistically significant lower than NCTS (2.9 ± 2.86) and DCTS (3.8 ± 2.46) (p=.011). For the functional outcome, the overall CMS was superior in TCTS than the NCTS and DCTS (86.9 ± 19.7 versus 78.7 ± 18.3 and 71.1 ± 17.8, p=.014). Besides, the subscales of pain score, strength, and range of motion in TCTS improved significantly better than NCTS and DCTS. 70% of patients were complaint-free in TCTS group, which was higher than the NCTS group (15%) and DCTS group (25%) (p<0.05). Conclusion. The present study indicated that the high-dose ESWT posed superior clinical efficacy in type II/III calcification tendinosis rather than type I calcification and noncalcific shoulder tendinosis.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2019/2958251</identifier><identifier>PMID: 31001553</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adult ; Age ; Aged ; Analgesics ; Calcification ; Comparative studies ; Effectiveness ; Elbow ; Extracorporeal Shockwave Therapy ; Female ; Humans ; Lithotripsy ; Male ; Manipulative therapy ; Middle Aged ; Nonsteroidal anti-inflammatory drugs ; Pain ; Patients ; Propensity Score ; Range of Motion, Articular ; Retrospective Studies ; Rotator cuff ; Rotator Cuff - pathology ; Rotator Cuff - physiopathology ; Shock waves ; Shoulder ; Shoulder - pathology ; Shoulder - physiopathology ; Statistical analysis ; Surgery ; Systematic review ; Tendinitis ; Tendinopathy - pathology ; Tendinopathy - physiopathology ; Tendinopathy - therapy ; Therapy ; Treatment Outcome</subject><ispartof>BioMed research international, 2019-01, Vol.2019 (2019), p.1-8</ispartof><rights>Copyright © 2019 Kuan-Ting Wu et al.</rights><rights>COPYRIGHT 2019 John Wiley & Sons, Inc.</rights><rights>Copyright © 2019 Kuan-Ting Wu et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2019 Kuan-Ting Wu et al. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-faf6c8af06765000b49f33abb44d795882ccdd8d75cc37f6f1ee983c902b97b93</citedby><cites>FETCH-LOGICAL-c499t-faf6c8af06765000b49f33abb44d795882ccdd8d75cc37f6f1ee983c902b97b93</cites><orcidid>0000-0003-3953-7860 ; 0000-0002-8400-3457</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437753/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437753/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31001553$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Berger, Vance W.</contributor><contributor>Vance W Berger</contributor><creatorcontrib>Yang, Ya-Ju</creatorcontrib><creatorcontrib>Chen, Po-Cheng</creatorcontrib><creatorcontrib>Ko, Jih-Yang</creatorcontrib><creatorcontrib>Chen, Chen-Yu</creatorcontrib><creatorcontrib>Wang, Ching-Jen</creatorcontrib><creatorcontrib>Chou, Wen-Yi</creatorcontrib><creatorcontrib>Wu, Kuan-Ting</creatorcontrib><creatorcontrib>Cheng, Jai-Hong</creatorcontrib><title>Efficacy of Extracorporeal Shockwave Therapy on Calcified and Noncalcified Shoulder Tendinosis: A Propensity Score Matched Analysis</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Background. Extracorporeal shock wave therapy (ESWT) had been proved to be beneficial in calcific tendinosis; however, the treatment efficacy in noncalcific tendinosis of rotator cuff still remains controversial. The present study was to compare the outcomes ESWT among the noncalcific rotator cuff tendinosis and different types of calcific tendinosis on the basis of similar shoulder functional status. Methods. A retrospective, comparative study was conducted with the enrollment of 20 patients in each group through propensity score matching in a 1:1:1 ratio from 291 patients who underwent single ESWT for painful shoulder tendinosis. The patients were divided into three groups which included noncalcified tendinosis (NCTS), type I dense calcified tendinosis of shoulder (DCTS), and type II and type III translucent calcified tendinosis of shoulder (TCTS) according to Gartner and Heyer classification. The clinical evaluation included the subjective pain score with visual analog scale (VAS) and functional outcome with Constant and Murley score (CMS). Results. Twelve months after ESWT, the VAS in TCTS (1.5 ± 2.48) was statistically significant lower than NCTS (2.9 ± 2.86) and DCTS (3.8 ± 2.46) (p=.011). For the functional outcome, the overall CMS was superior in TCTS than the NCTS and DCTS (86.9 ± 19.7 versus 78.7 ± 18.3 and 71.1 ± 17.8, p=.014). Besides, the subscales of pain score, strength, and range of motion in TCTS improved significantly better than NCTS and DCTS. 70% of patients were complaint-free in TCTS group, which was higher than the NCTS group (15%) and DCTS group (25%) (p<0.05). Conclusion. The present study indicated that the high-dose ESWT posed superior clinical efficacy in type II/III calcification tendinosis rather than type I calcification and noncalcific shoulder tendinosis.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Analgesics</subject><subject>Calcification</subject><subject>Comparative studies</subject><subject>Effectiveness</subject><subject>Elbow</subject><subject>Extracorporeal Shockwave Therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Lithotripsy</subject><subject>Male</subject><subject>Manipulative therapy</subject><subject>Middle Aged</subject><subject>Nonsteroidal anti-inflammatory drugs</subject><subject>Pain</subject><subject>Patients</subject><subject>Propensity Score</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Rotator cuff</subject><subject>Rotator Cuff - pathology</subject><subject>Rotator Cuff - physiopathology</subject><subject>Shock waves</subject><subject>Shoulder</subject><subject>Shoulder - pathology</subject><subject>Shoulder - physiopathology</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Systematic review</subject><subject>Tendinitis</subject><subject>Tendinopathy - pathology</subject><subject>Tendinopathy - physiopathology</subject><subject>Tendinopathy - therapy</subject><subject>Therapy</subject><subject>Treatment Outcome</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqN0s9v0zAUB_AIgdg0duOMLHFBgjL_ihNzQKqqDpDGD2nlbDnO8-KR2pmdbPS8fxxXLR1wwpdYzidf-eW9onhO8FtCyvKMYiLPqCxrWpJHxTFlhM8E4eTxYc_YUXGa0jXOqyYCS_G0OGIE4_w5Oy7ul9Y6o80GBYuWP8eoTYhDiKB7dNkF8-NO3wJadRD1kI1HC90bZx20SPsWfQneHA6yn_oWIlqBb50PyaV3aI6-xTCAT27coMscDuizHk2X_dzrfpPRs-KJ1X2C0_3zpPh-vlwtPs4uvn74tJhfzAyXcpxZbYWptcWiEmWupuHSMqabhvO2yr-gpsa0bd1WpTGsssISAFkzIzFtZNVIdlK83-UOU7OG1oDP5fZqiG6t40YF7dTfb7zr1FW4VYKzqipZDni1D4jhZoI0qrVLBvpeewhTUpQSInmNSZ3py3_odZhiLjgrIgUXuWP8QV3pHpTzNmwbsA1Vc0E5JxWry6ze7JSJIaUI9nBlgtV2DNR2DNR-DDJ_8WeZB_y76Rm83oHO-Vbfuf-Mg2zA6gdNKKdUsF8II8Sb</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Yang, Ya-Ju</creator><creator>Chen, Po-Cheng</creator><creator>Ko, Jih-Yang</creator><creator>Chen, Chen-Yu</creator><creator>Wang, Ching-Jen</creator><creator>Chou, Wen-Yi</creator><creator>Wu, Kuan-Ting</creator><creator>Cheng, Jai-Hong</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3953-7860</orcidid><orcidid>https://orcid.org/0000-0002-8400-3457</orcidid></search><sort><creationdate>20190101</creationdate><title>Efficacy of Extracorporeal Shockwave Therapy on Calcified and Noncalcified Shoulder Tendinosis: A Propensity Score Matched Analysis</title><author>Yang, Ya-Ju ; Chen, Po-Cheng ; Ko, Jih-Yang ; Chen, Chen-Yu ; Wang, Ching-Jen ; Chou, Wen-Yi ; Wu, Kuan-Ting ; Cheng, Jai-Hong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-faf6c8af06765000b49f33abb44d795882ccdd8d75cc37f6f1ee983c902b97b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Analgesics</topic><topic>Calcification</topic><topic>Comparative studies</topic><topic>Effectiveness</topic><topic>Elbow</topic><topic>Extracorporeal Shockwave Therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Lithotripsy</topic><topic>Male</topic><topic>Manipulative therapy</topic><topic>Middle Aged</topic><topic>Nonsteroidal anti-inflammatory drugs</topic><topic>Pain</topic><topic>Patients</topic><topic>Propensity Score</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Rotator cuff</topic><topic>Rotator Cuff - pathology</topic><topic>Rotator Cuff - physiopathology</topic><topic>Shock waves</topic><topic>Shoulder</topic><topic>Shoulder - pathology</topic><topic>Shoulder - physiopathology</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Systematic review</topic><topic>Tendinitis</topic><topic>Tendinopathy - pathology</topic><topic>Tendinopathy - physiopathology</topic><topic>Tendinopathy - therapy</topic><topic>Therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Ya-Ju</creatorcontrib><creatorcontrib>Chen, Po-Cheng</creatorcontrib><creatorcontrib>Ko, Jih-Yang</creatorcontrib><creatorcontrib>Chen, Chen-Yu</creatorcontrib><creatorcontrib>Wang, Ching-Jen</creatorcontrib><creatorcontrib>Chou, Wen-Yi</creatorcontrib><creatorcontrib>Wu, Kuan-Ting</creatorcontrib><creatorcontrib>Cheng, Jai-Hong</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Ya-Ju</au><au>Chen, Po-Cheng</au><au>Ko, Jih-Yang</au><au>Chen, Chen-Yu</au><au>Wang, Ching-Jen</au><au>Chou, Wen-Yi</au><au>Wu, Kuan-Ting</au><au>Cheng, Jai-Hong</au><au>Berger, Vance W.</au><au>Vance W Berger</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Extracorporeal Shockwave Therapy on Calcified and Noncalcified Shoulder Tendinosis: A Propensity Score Matched Analysis</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>2019</volume><issue>2019</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Background. Extracorporeal shock wave therapy (ESWT) had been proved to be beneficial in calcific tendinosis; however, the treatment efficacy in noncalcific tendinosis of rotator cuff still remains controversial. The present study was to compare the outcomes ESWT among the noncalcific rotator cuff tendinosis and different types of calcific tendinosis on the basis of similar shoulder functional status. Methods. A retrospective, comparative study was conducted with the enrollment of 20 patients in each group through propensity score matching in a 1:1:1 ratio from 291 patients who underwent single ESWT for painful shoulder tendinosis. The patients were divided into three groups which included noncalcified tendinosis (NCTS), type I dense calcified tendinosis of shoulder (DCTS), and type II and type III translucent calcified tendinosis of shoulder (TCTS) according to Gartner and Heyer classification. The clinical evaluation included the subjective pain score with visual analog scale (VAS) and functional outcome with Constant and Murley score (CMS). Results. Twelve months after ESWT, the VAS in TCTS (1.5 ± 2.48) was statistically significant lower than NCTS (2.9 ± 2.86) and DCTS (3.8 ± 2.46) (p=.011). For the functional outcome, the overall CMS was superior in TCTS than the NCTS and DCTS (86.9 ± 19.7 versus 78.7 ± 18.3 and 71.1 ± 17.8, p=.014). Besides, the subscales of pain score, strength, and range of motion in TCTS improved significantly better than NCTS and DCTS. 70% of patients were complaint-free in TCTS group, which was higher than the NCTS group (15%) and DCTS group (25%) (p<0.05). Conclusion. The present study indicated that the high-dose ESWT posed superior clinical efficacy in type II/III calcification tendinosis rather than type I calcification and noncalcific shoulder tendinosis.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>31001553</pmid><doi>10.1155/2019/2958251</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3953-7860</orcidid><orcidid>https://orcid.org/0000-0002-8400-3457</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Age Aged Analgesics Calcification Comparative studies Effectiveness Elbow Extracorporeal Shockwave Therapy Female Humans Lithotripsy Male Manipulative therapy Middle Aged Nonsteroidal anti-inflammatory drugs Pain Patients Propensity Score Range of Motion, Articular Retrospective Studies Rotator cuff Rotator Cuff - pathology Rotator Cuff - physiopathology Shock waves Shoulder Shoulder - pathology Shoulder - physiopathology Statistical analysis Surgery Systematic review Tendinitis Tendinopathy - pathology Tendinopathy - physiopathology Tendinopathy - therapy Therapy Treatment Outcome |
| title | Efficacy of Extracorporeal Shockwave Therapy on Calcified and Noncalcified Shoulder Tendinosis: A Propensity Score Matched Analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T06%3A26%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Efficacy%20of%20Extracorporeal%20Shockwave%20Therapy%20on%20Calcified%20and%20Noncalcified%20Shoulder%20Tendinosis:%20A%20Propensity%20Score%20Matched%20Analysis&rft.jtitle=BioMed%20research%20international&rft.au=Yang,%20Ya-Ju&rft.date=2019-01-01&rft.volume=2019&rft.issue=2019&rft.spage=1&rft.epage=8&rft.pages=1-8&rft.issn=2314-6133&rft.eissn=2314-6141&rft_id=info:doi/10.1155/2019/2958251&rft_dat=%3Cgale_pubme%3EA624417385%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2196468254&rft_id=info:pmid/31001553&rft_galeid=A624417385&rfr_iscdi=true |