The Efficacy of Electromagnetic Diathermy for the Treatment of Musculoskeletal Disorders: A Systematic Review with Meta-Analysis.

diathermy musculoskeletal diseases physical therapy modalities

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
09 Jun 2023
Historique:
received: 28 04 2023
revised: 29 05 2023
accepted: 05 06 2023
medline: 28 6 2023
pubmed: 28 6 2023
entrez: 28 6 2023
Statut: epublish

Résumé

This study aims to establish the effect of electromagnetic diathermy therapies (e.g., shortwave, microwave, capacitive resistive electric transfer) on pain, function, and quality of life in treating musculoskeletal disorders. We conducted a systematic review according to the PRISMA statement and Cochrane Handbook 6.3. The protocol has been registered in PROSPERO: CRD42021239466. The search was conducted in PubMed, PEDro, CENTRAL, EMBASE, and CINAHL. We retrieved 13,323 records; 68 studies were included. Many pathologies were treated with diathermy against placebo, as a standalone intervention or alongside other therapies. Most of the pooled studies did not show significant improvements in the primary outcomes. While the analysis of single studies shows several significant results in favour of diathermy, all comparisons considered had a GRADE quality of evidence between low and very low. The included studies show controversial results. Most of the pooled studies present very low quality of evidence and no significant results, while single studies have significant results with a slightly higher quality of evidence (low), highlighting a critical lack of evidence in the field. The results did not support the adoption of diathermy in a clinical context, preferring therapies supported by evidence.

Identifiants

pubmed: 37373650
pii: jcm12123956
doi: 10.3390/jcm12123956
pmc: PMC10299724
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Références

Int J Environ Res Public Health. 2021 Nov 26;18(23):
pubmed: 34886180
J Back Musculoskelet Rehabil. 2018;31(5):963-971
pubmed: 30103299
Rheumatol Int. 2006 Aug;26(10):873-8
pubmed: 16416102
Joint Bone Spine. 2005 Mar;72(2):150-5
pubmed: 15797496
Swiss Med Wkly. 2004 Jun 12;134(23-24):353-8
pubmed: 15318285
Arthritis Rheum. 2005 Apr 15;53(2):214-22
pubmed: 15818640
Lancet. 2021 Dec 19;396(10267):2006-2017
pubmed: 33275908
Am J Phys Med Rehabil. 2022 Aug 1;101(8):801-807
pubmed: 35859290
Phys Ther. 2011 Jul;91(7):1009-17
pubmed: 21642511
Mymensingh Med J. 2008 Jul;17(2 Suppl):S32-8
pubmed: 18946448
J Back Musculoskelet Rehabil. 2015;28(2):221-8
pubmed: 25061038
Minerva Med. 2021 Sep 29;:
pubmed: 34586762
Electromagn Biol Med. 2020 Oct 1;39(4):282-289
pubmed: 32683992
Clin Rehabil. 2022 Nov;36(11):1450-1462
pubmed: 35702007
Arch Phys Med Rehabil. 2022 Mar;103(3):505-522
pubmed: 34283996
BMJ Open. 2019 Oct 7;9(10):e032329
pubmed: 31591090
J Altern Complement Med. 2020 Apr;26(4):316-322
pubmed: 32017856
Eur J Phys Rehabil Med. 2010 Sep;46(3):325-36
pubmed: 20926998
Physiotherapy. 2010 Jun;96(2):137-43
pubmed: 20420960
J Bodyw Mov Ther. 2020 Jan;24(1):69-76
pubmed: 31987565
Pain Physician. 2004 Jul;7(3):395-9
pubmed: 16858479
Technol Health Care. 2013;21(5):433-40
pubmed: 24004650
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Cochrane Database Syst Rev. 2011 Jun 15;(6):CD001250
pubmed: 21678332
J Back Musculoskelet Rehabil. 2009;22(3):179-88
pubmed: 20023348
J Bodyw Mov Ther. 2022 Jan;29:232-238
pubmed: 35248276
J Clin Epidemiol. 2020 Oct;126:37-44
pubmed: 32562833
BMC Musculoskelet Disord. 2020 Apr 20;21(1):258
pubmed: 32312265
Postgrad Med. 2015 Jan;127(1):57-65
pubmed: 25526231
BMC Med Res Methodol. 2014 Dec 19;14:135
pubmed: 25524443
Am J Phys Med Rehabil. 2008 Jun;87(6):443-51
pubmed: 18496246
Int Rehabil Med. 1982;4(2):101-6
pubmed: 7174213
Med J Aust. 1982 Feb 20;1(4):160-4
pubmed: 6210835
J Orthop Sports Phys Ther. 2017 May;47(5):297-300
pubmed: 28459192
J Biol Regul Homeost Agents. 2017 Apr-Jun;31(2):509-515
pubmed: 28685560
Arch Physiother. 2020 Jan 15;10:1
pubmed: 31956433
IEEE Trans Biomed Eng. 2019 Oct;66(10):2704-2718
pubmed: 30596564
Mil Med Res. 2017 Jul 20;4:24
pubmed: 28729909
Clin Rehabil. 2020 Aug;34(8):1048-1055
pubmed: 32567357
Rheumatol Rehabil. 1974 Nov;13(4):190-7
pubmed: 4445714
Pain. 1996 Sep;67(1):121-127
pubmed: 8895239
Physiother Res Int. 2018 Apr;23(2):e1700
pubmed: 29266633
Injury. 1992;23(5):323-7
pubmed: 1644464
Osteoarthritis Cartilage. 2008 Jul;16(7):823-8
pubmed: 18178111
J Rehabil Med. 2008 Feb;40(2):145-50
pubmed: 18509580
J Back Musculoskelet Rehabil. 2014;27(4):435-43
pubmed: 24614832
Knee Surg Sports Traumatol Arthrosc. 2011 Jun;19(6):980-7
pubmed: 21161171
Reumatismo. 2007 Apr-Jun;59(2):140-5
pubmed: 17603694
Am J Phys Med Rehabil. 2018 Mar;97(3):178-186
pubmed: 28885231
Arch Phys Med Rehabil. 1978 Aug;59(8):383-6
pubmed: 687051
Rheumatol Int. 2013 Nov;33(11):2811-8
pubmed: 23832291
Br Med Bull. 2007;83:379-96
pubmed: 17942453
J Sports Med Phys Fitness. 2001 Dec;41(4):521-7
pubmed: 11687773
J Clin Med. 2021 Apr 10;10(8):
pubmed: 33920165
Ann Rheum Dis. 1964 Sep;23:389-91
pubmed: 14206217
Eur J Phys Rehabil Med. 2012 Dec;48(4):549-59
pubmed: 22820824
Int J Environ Res Public Health. 2022 May 08;19(9):
pubmed: 35565117
J Sports Med Phys Fitness. 2019 May;59(5):822-827
pubmed: 30293411
Spine J. 2014 Aug 1;14(8):1712-21
pubmed: 24184641
Hong Kong Physiother J. 2016 Oct 26;36:1-9
pubmed: 30931033
BMC Musculoskelet Disord. 2020 Jan 20;21(1):46
pubmed: 31959172
Rheumatol Int. 2012 Oct;32(10):3007-16
pubmed: 21898066
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
Clin Rehabil. 2017 May;31(5):660-671
pubmed: 28118736
J Pak Med Assoc. 2019 Oct;69(10):1421-1424
pubmed: 31622290
Int J Rehabil Res. 2019 Jun;42(2):106-111
pubmed: 30362981
Int J Sports Med. 2002 Apr;23(3):207-11
pubmed: 11914985
Electromagn Biol Med. 2022 Apr 3;41(2):222-229
pubmed: 35435089
Physiotherapy. 2019 Mar;105(1):98-107
pubmed: 30269963
BMC Musculoskelet Disord. 2021 Jun 19;22(1):563
pubmed: 34147077
Rheumatol Int. 2007 Apr;27(6):523-9
pubmed: 17106661
Am J Sports Med. 2006 Aug;34(8):1247-53
pubmed: 16636345
Bangladesh Med Res Counc Bull. 2009 Apr;35(1):18-20
pubmed: 19637541
Eur J Phys Rehabil Med. 2022 Feb;58(1):137-143
pubmed: 34042412
Int J Rehabil Res. 2020 Dec;43(4):291-298
pubmed: 32909988
Clin Rehabil. 2011 Dec;25(12):1109-18
pubmed: 21937521
Lancet. 1985 Jun 1;1(8440):1258-61
pubmed: 2860453
Ann Otol Rhinol Laryngol. 1986 May-Jun;95(3 Pt 1):225-8
pubmed: 3717846
J Strength Cond Res. 2009 Dec;23(9):2651-9
pubmed: 19858754
Arch Phys Med Rehabil. 2012 May;93(5):748-56
pubmed: 22459699
J Orthop Sports Phys Ther. 2012 Apr;42(4):363-70
pubmed: 22281781
Int J Low Extrem Wounds. 2020 Dec;19(4):350-358
pubmed: 32856521
Sci Rep. 2022 Jul 27;12(1):12792
pubmed: 35896688
J Neurophysiol. 1998 Sep;80(3):1533-46
pubmed: 9744957

Auteurs

Joel Pollet (J)

IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.

Giorgia Ranica (G)

IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.

Paolo Pedersini (P)

IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.

Stefano G Lazzarini (SG)

IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.

Simone Pancera (S)

IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.

Riccardo Buraschi (R)

IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.

Classifications MeSH