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Effect of extracorporeal shockwave therapy on adhesive capsulitis in patients with type 2 diabetes mellitus: A systematic review

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International Journal of Diabetes in Developing Countries Aims and scope Submit manuscript

Abstract

Objective

To investigate the effectiveness of extracorporeal shockwave therapy (ESWT) on pain, range of motion (ROM) and disability on adhesive capsulitis (AC) in patients with type 2 diabetes mellitus (DM).

Method

Clinical trials assessing the effectiveness of extracorporeal shockwave therapy on adhesive capsulitis in diabetes mellitus patients were included. Academic databases of Pubmed, Scopus, Web of Science, Cochrane Library, Science Direct, PEDro and grey literature sources such as Clinical trials.gov and Google Scholar were searched from the year 2000 to 2021.Physiotherapy Evidence Database (PEDro) scale was used to determine overall quality of each included article.

Result

The search yielded eight studies evaluating the effectiveness of ESWT plus shoulder exercises and mobilization on AC in type 2 DM patient population. Compared to control treatment groups in majority of included studies ESWT appeared to be effective in managing pain, ROM and disability and showed large to very large treatment effects. Two of included studies reported positive effects of ESWT on inflammatory markers and blood glucose levels.

Conclusion

Findings from this review suggested that ESWT combined with shoulder exercises and mobilization may be a useful treatment modality in shoulder AC for type 2 DM patients for pain reduction, disability and ROM improvement. There was insufficient data to confirm the findings of ESWT on blood glucose and inflammatory markers in diabetic patients. Therefore, future studies are needed to evaluate its effectiveness on these outcomes.

Trial registration number: #CRD4202127949.

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Acknowledgments

The author would like to express our sincere thanks to Associate Professor Dr. Zubia Veqar, Assistant Professors Dr. Zainy Khan and Dr. Shabnam for their valuable, guidance, suggestions and encouragement from the beginning and final of this study.

Funding

No funding was received for conducting this study.

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Authors and Affiliations

  1. Centre for Physiotherapy And Rehabilitation Sciences (CPRS), Jamia Millia Islamia, New Delhi, India

    Ali Abbas, Shabnam Khan, Zainy Khan & Zubia Veqar

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  1. Ali Abbas
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  2. Shabnam Khan
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  4. Zubia Veqar
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Contributions

Ali Abbas contributed in conceptualization, methodology, writing original draft Zainy Khan, Shabnam and Zubia Veqar, contributed in supervision, drafting and analysis of the manuscript.

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Correspondence to Shabnam Khan.

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Abbas, A., Khan, S., Khan, Z. et al. Effect of extracorporeal shockwave therapy on adhesive capsulitis in patients with type 2 diabetes mellitus: A systematic review. Int J Diabetes Dev Ctries 44, 20–31 (2024). https://doi.org/10.1007/s13410-023-01215-2

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