Table 4b

Long-term results (>1-year follow-up)

Treatment modesTendon affectedFirst author (year)PainFunctionROMForceSatisfactionTreatment SuccessQoLComplications
Surgery versus detuned laser or no treatment (evidence level)Rotator cuffBrox36– (4)– (4)– (4)– (4)– (4)↑ (3)– (4)– (4)
Surgery versus sham surgery (evidence level)Wrist extensorsKroslak22 ↔ (3)↔ (3)↔ (3)↔ (3)– (4)– (4)– (4)↔ (3)
Surgery versus physiotherapyRotator cuffBrox36
Rotator cuffKetola29
Rotator cuffHaahr35 ; Haahr38
Rotator cuffFarfaras28
Overall surgery versus physiotherapy (evidence level)↔ (2)↑ (3)↑ (3)↔ (3)- (4)↔ (2)↔ (2)↔ (3)
Surgery versus ESWTRotator cuffRompe30
Wrist extensorsRadwan31
Overall surgery versus ESWT (evidence level)↔ (2)– (4)– (4)↔ (3)– (4)↑ (3)– (4)– (4)
Surgery versus botox (evidence level)Wrist extensorsKeizer32↔ (3) – (4)↔ (3)↔ (3)– (4)↔ (3)– (4)– (4)
  • Significant results (strong or moderate evidence) are highlighted in bold. Strong evidence (Level 1) is provided by generally consistent findings in multiple high-quality RCTs. Moderate evidence (Level 2) is provided by generally consistent findings in one high-quality RCT and one or more low-quality RCTs, or by generally consistent findings in multiple low-quality or moderate-quality RCTs. Limited or conflicting evidence (Level 3) is provided by only one RCT (either high or low quality), or by inconsistent findings in multiple RCTs. No evidence (Level 4) is defined by the absence of RCTs (van Tulder et al26, 2003).

  • ESWT, extracorporeal shock wave therapy; RCTs, randomised controlled trials.