Radial shockwave therapy versus short-wave diathermy for pain, neuromechanical, and functional outcomes in older adults with lumbar spondylosis: a randomized controlled trial.
Clin RheumatolAug 12, 2026 (epub)
Wimon Thinlampang, Weerasak Tapanya, Waratchaya Intajak et al.
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In 30 seconds
This randomized controlled trial compared radial shockwave therapy (RSWT) and short-wave diathermy (SWD) in 30 older adults (≥60 years) with lumbar spondylosis. Both treatments reduced pain, but RSWT showed a significant increase in pressure pain threshold and greater improvement in lumbar flexion range of motion. Notably, RSWT had a transient advantage at week 2.
Key findings
- Both RSWT and SWD significantly reduced pain after four weeks (p < 0.05).
- RSWT showed a significant increase in pressure pain threshold at week 2 (p = 0.049).
- RSWT produced greater improvement in lumbar flexion range of motion with significant effects (p < 0.05).
- Oswestry Disability Index improved in both groups, with a significant Group × Time interaction (p = 0.014).
Why it matters
Understanding the comparative effectiveness of RSWT and SWD can help clinicians make informed decisions for managing pain and functional limitations in older adults with lumbar spondylosis, potentially enhancing patient outcomes.