| Abstract [eng] |
The aim of this study is to review past 10 year clinical trials, which focus on shockwave therapy application as treatment for chronic low back pain, recognize and assess the relevance of this health problem, evaluate and present conclusions on therapy‘s effectiveness in treating chronic low back pain, based on the selected articles. Chronic low back pain is defined as pain in the lower back, lumbosacral region, and buttocks. This disorder represents a highly relevant health issue globally. Surveys indicate that 84 percent of the population have experienced back pain at least once in their lifetime (1,2). According to a 2002 study in the United States of America, it was determined that 26,4 percent of 30,000 participants experienced at least one full day of back pain episode in the past 3 months (3). In 2019, chronic back pain was named as one of the most common causes of disability, peaking at ages 45-54 (4). This shows that chronic back pain is a burden both personally and socially (5). Shock wave therapy is a modern, non-invasive, and widely accessible treatment method for various musculoskeletal disorders. The method's principle of action is associated with the generation of acoustic waves and the transmission of impulse through a sensor into the tissue. While the effectiveness of shock waves has been widely studied for such pathologies as lateral epicondylitis, tendinopathies, and plantar fasciitis, the effectiveness in treating chronic low back pain remains undefined. In this extended systematic literature review, based on article selection criteria, 8 clinical trials were selected, aiming to investigate the impact of shockwaves on chronic low back pain and function restoration. The main object of analysis are the presented results of clinical trials, based on which conclusions and recommendations for the application of shockwave therapy in treating chronic back pain were formulated. 1. Strath LJ, Sims AM, Overstreet DS, Penn TM, Bakshi RJ, Stansel BK, et al. Dietary Inflammatory Index (DII) is Associated with Movement-Evoked Pain Severity in Adults with Chronic Low Back Pain: Sociodemographic Differences. J Pain. 2022 Aug 1;23(8):1437–47. 2. Ge L, Huang H, Yu Q, Li Y, Li X, Li Z, et al. Effects of core stability training on older women with low back pain: a randomized controlled trial. Eur Rev Aging Phys Act. 2022 Apr 15;19(1):10. 3. Predictors of Pain and Disability Outcomes Following Spinal... : Topics in Pain Management [Internet]. [cited 2024 Mar 27]. Available from: https://journals.lww.com/topicsinpainmanagement/citation/2022/07000/predictors_of_pain_and_disability_outcomes.1.aspx 4. Chen S, Chen M, Wu X, Lin S, Tao C, Cao H, et al. Global, regional and national burden of low back pain 1990–2019: A systematic analysis of the Global Burden of Disease study 2019. J Orthop Transl. 2022 Jan 1;32:49–58. 5. Chenot JF, Greitemann B, Kladny B, Petzke F, Pfingsten M, Gabriele Schorr S. Non-Specific Low Back Pain. Dtsch Ärztebl Int. 2017 Dec;114(51–52):883–90. |
