Evidence map›Paper›PMID 41480502›Full record

ArticleWorld journal of orthopedics2025

Evaluating the efficacy of extracorporeal shockwave therapy in postoperative rehabilitation after anterior cruciate ligament reconstruction: A meta-analysis.

Maryam Salimi, Alireza Keshtkar, Seyedarad Mosalamiaghili, Walter Lowe, Aamir Ahmad, Arash Sharafatvaziri

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Article in World journal of orthopedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maryam SalimiDepartment of Orthopedic Surgery, University of Texas Health Sciences Center, McGovern Medical School, Houston, TX 77030, United States. salimimaryam7496@gmail.com.
Alireza KeshtkarResearch Center for Noncommunicable Diseases, Jahrom University of Medical Sciences, Jahrom 7414846199, Iran.
Seyedarad MosalamiaghiliRheumatology Research Center, Biomedical Research Institute, Golestan University of Medical Sciences, Gorgan 4918936316, Iran.
Walter LoweUniversity of Texas Health Sciences Center, McGovern Medical School, Houston, TX 75080, United States.
Aamir AhmadOrthopedic Surgery, University of Texas Rio Grande Valley SOM, Edinburg, TX 78541, United States.
Arash SharafatvaziriCenter for Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran 1914953616, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecovering from anterior cruciate ligament (ACL) reconstruction can be challenging. While standard rehabilitation helps restore knee function, many patients still face a slow or incomplete recovery. Extracorporeal shockwave therapy (ESWT) has recently gained attention as a potential way to speed up healing and improve outcomes when added to traditional rehab.

aimTo explore whether combining ESWT with standard postoperative rehabilitation truly leads to better recovery compared with rehab alone.

methodsA systematic review and meta-analysis were conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, evaluating participant status following ACL reconstruction with standard rehabilitation and without augmented ESWT. This meta-analysis included six studies (five randomized controlled trials, one non-randomized clinical study). The outcome measures were the Lysholm score, International Knee Documentation Committee score, visual analog score, and KT-1000 measurements. To compare the control and intervention groups, the weighted mean differences were calculated along with the 95% confidence intervals. The heterogeneity of the studies and publication bias were analyzed.

resultsESWT modestly improved Lysholm scores (weighted mean difference: 3.72; 95% confidence interval: -0.27 to 7.71) with high heterogeneity (

conclusionESWT improved Lysholm scores but did not show other significant benefits. Due to the limited evidence, further standardized, placebo-controlled trials are needed to confirm its effectiveness in ACL reconstruction.

Indexed as

Anterior cruciate ligamentAnterior cruciate ligament reconstructionExtracorporeal shock wave therapyRehabilitation

Identifiers

PMID41480502
PMCPMC12754467

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.