{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:09:42Z","timestamp":1791324582544,"version":"4.3.1"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the potential prognostic role of sonographic parameters such as glenohumeral joint effusion, subacromial\u2010subdeltoid bursitis, and the type of intratendinous calcific deposition to predict the clinical and functional outcomes of focal extracorporeal shockwave therapy (fESWT) in patients with calcific tendinopathy of the shoulder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective observational study included 18 patients (6\u2009men and 12\u2009women, mean age 63.5\u2009\u00b1 10.8\u2009years) with shoulder calcific tendinopathy. Prior to treatment with fESWT the sonographic features of the shoulder were assessed and these findings were compared with\u00a0the clinical and functional scores (Numeric Rating Scale [NRS]; Disabilities of the Arm, Shoulder and Hand [DASH]; and Shoulder Pain and Disability Index [SPADI]) measured before and 90\u2009days after treatment. Each fESWT session was performed using a technical setting of 1500 hits with a 3\u2009Hz frequency and 0.45\u2009mJ\/mm\n                      <jats:sup>2<\/jats:sup>\n                      of maximal flux energy delivered by an electromagnetic shockwave generator.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The average posttreatment NRS, DASH, and SPADI values were significantly higher in patients with subacromial\u2010subdeltoid bursitis than in patients without (6.29\u2009\u00b1\u20092.21 vs. 3.36\u2009\u00b1\u20091.75 for NRS, 44.09\u2009\u00b1\u20098.72 vs. 19.35\u2009\u00b1 7.13 for DASH, 44.08% vs. 27.38% for SPADI, with a\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05 for all the scores), indicating worse clinical and functional outcomes. In patients with glenohumeral joint effusion, mean posttreatment clinical and functional scores were also higher than in patients without (5.40\u2009\u00b1\u20092.15 vs. 3.38\u2009\u00b1\u20091.70 for NRS, 33.64\u2009\u00b1\u20097.93 vs. 23.14\u2009\u00b1\u20096.12 for DASH, 39.64% vs. 33.14% for SPADI); but the results did not reach statistical significance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u2009.05 for all the scores). Lastly, in patients with hard calcification and complete acoustic shadow, mean posttreatment clinical and functional scores were higher than in patients with soft calcification showing incomplete acoustic shadow and\/or multiple calcific spots inside the tendon (5.44\u2009\u00b1\u20092.20 vs. 3.56\u2009\u00b1\u20091.20 for NRS, 35.31\u2009\u00b1\u20099.21 vs. 22.63\u2009\u00b1 7.44 for DASH, 42.31% vs. 33.88% for SPADI). However, the results did not reach statistical significance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u2009.05 for all the scores).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In patients with shoulder calcific tendinopathy who are referred for fESWT, the presence of subacromial\u2010subdeltoid bursitis appears to be a potential negative prognostic factor for pain relief and functional improvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.13454","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T12:15:12Z","timestamp":1754482512000},"page":"181-188","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Focal extracorporeal shockwave therapy in shoulder calcific tendinopathy: A retrospective observational study of sonographic prognostic factors"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2782-0177","authenticated-orcid":false,"given":"Arianna","family":"Pesaresi","sequence":"first","affiliation":[{"name":"Physical and Rehabilitation Medicine Unit Luigi Sacco University Hospital, ASST Fatebenefratelli\u2010Sacco  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2576-2039","authenticated-orcid":false,"given":"Vincenzo","family":"Ricci","sequence":"additional","affiliation":[{"name":"Physical and Rehabilitation Medicine Unit Luigi Sacco University Hospital, ASST Fatebenefratelli\u2010Sacco  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo","family":"Far\u00ec","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine (Di.Me.S) University of Salento  Lecce Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danilo","family":"Donati","sequence":"additional","affiliation":[{"name":"Physical Therapy and Rehabilitation Unit Policlinico di Modena  Modena Italy"},{"name":"Clinical and Experimental Medicine PhD Program University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7558-5651","authenticated-orcid":false,"given":"Ke\u2010Vin","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation National Taiwan University Hospital, Bei\u2010Hu Branch  Taipei Taiwan"},{"name":"Department of Physical Medicine and Rehabilitation, College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Gervasoni","sequence":"additional","affiliation":[{"name":"Physical and Rehabilitation Medicine Unit Luigi Sacco University Hospital, ASST Fatebenefratelli\u2010Sacco  Milan Italy"},{"name":"Industrial Engineering PhD Program, Industrial Engineering Technologies for Sports Medicine and Rehabilitation University of Rome Tor Vergata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2713-4071","authenticated-orcid":false,"given":"Levent","family":"\u00d6z\u00e7akar","sequence":"additional","affiliation":[{"name":"Hacettepe University Medical School Department of Physical and Rehabilitation Medicine  Ankara 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