{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T21:08:23Z","timestamp":1761253703227,"version":"3.41.2"},"reference-count":79,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Evidence is lacking for the efficacy of shockwave therapy (SWT) in the treatment of greater trochanteric pain syndrome (GTPS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the efficacy of SWT on pain and function in the management of GTPS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic search of electronic databases and grey literature was conducted up to May 2023. Studies utilising SWT on adults for GTPS, providing measures of pain and\/or function at baseline and at follow\u2010up were considered for inclusion. Meta\u2010analysis was undertaken using converted pain and functional outcomes. Studies were assessed for quality and risk of bias, and assigned a level of evidence as per the Grading of Recommendations, Assessment, Development and Evaluations criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve articles (<jats:italic>n<\/jats:italic>\u00a0=\u00a01121 subjects) were included, including five randomised controlled trials (RCTs) and seven non\u2010RCTs. No statistical differences were observed for pain over time <jats:italic>f<\/jats:italic>(1,5)\u00a0=\u00a01.349 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.298) or between SWT and control <jats:italic>f<\/jats:italic>(1,5)\u00a0=\u00a01.782 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.238). No significant differences in functional outcomes in short\u2010 (<jats:italic>H<\/jats:italic>\u00a0=\u00a02.591, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.181) and medium\u2010term follow\u2010up (<jats:italic>H<\/jats:italic>\u00a0=\u00a00.189, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.664) were identified between SWT and control. Moderate magnitude treatment effects for pain (Hedges\u2010G [HG] 0.71) favouring SWT groups over control was identified, decreasing to low for function (HG 0.20). Further pain and functional treatment effects were identified at higher magnitudes across follow\u2010up time\u2010points in SWT groups compared to control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Moderate\u2010quality evidence demonstrated no statistically significant improvements in pain and function post\u2010SWT compared to control. Low\u2010quality evidence established clinical improvements throughout all included studies favouring SWT over control. Consequently, owing to relatively low incidence of side effects, SWT should be considered a viable option for the management of GTPS. Issues with both clinical and statistical heterogeneity of studies and during meta\u2010analysis require consideration, and more robust RCTs are recommended if the efficacy of SWT for the management of GTPS is to be comprehensively determined.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1892","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T01:38:33Z","timestamp":1716428313000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Is shockwave therapy effective in the management of greater trochanteric pain syndrome? 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