Comparative analysis shows shockwave therapy improves pain and function in trapezitis, suggesting its superiority over ultrasound therapy.
Background: Badminton is a sport associated with a high incidence of musculoskeletal injuries, particularly affecting the shoulder and upper extremity due to repetitive overhead movements. Overhead athletes, including badminton players, often develop shoulder conditions such as rotator cuff tendinopathy and myofascial pain syndrome, primarily in the upper trapezius. Treatment modalities like extracorporeal shock wave therapy (ESWT) and ultrasound therapy (US) have been explored for managing these conditions, with mixed results. Previous studies have compared these interventions to determine their effectiveness in reducing pain and improving function in overhead athletes. Methodology: Muscle stiffness, pain intensity, and functional outcomes were evaluated using clinical and sonographic measures. Participants typically included athletes with shoulder impingement, myofascial pain syndrome, or rotator cuff tendinopathy. Treatment sessions varied in duration and frequency, with some studies combining interventions like ESWT with trigger point injections for enhanced efficacy. Results: Research indicated that ESWT was generally more effective than US in reducing pain and improving function in conditions such as lateral epicondylitis and myofascial pain syndrome. ESWT showed significant reductions in muscle stiffness, increased range of motion, and improved athletic performance. Some studies also found that combined therapy approaches provided superior outcomes compared to single-modality treatments. However, variations in study designs and treatment protocols led to inconsistent findings across trials. Conclusion: The evidence suggests that ESWT is an effective treatment for musculoskeletal injuries in overhead athletes, including badminton players. Future studies should focus on optimizing treatment protocols and exploring combination therapies for enhanced recovery in sports-related injuries.
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Sahu et al. (2025) studied this question.
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