Two articles on PainSci cite Ebadi 2014: 1. The Complete Guide to Low Back Pain 2. Does Ultrasound Therapy Work?
PainSci commentary on Ebadi 2014: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
An inconclusive but underwhelming review of 7 small trials of ultrasound for chronic low back pain … none of them good quality. “There is some evidence that therapeutic ultrasound has a small effect on improving low-back function in the short term, but this benefit is unlikely to be clinically important.”
~ Paul Ingraham
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
AUTHORS' CONCLUSIONS: No high quality evidence was found to support the use of ultrasound for improving pain or quality of life in patients with non-specific chronic LBP. There is some evidence that therapeutic ultrasound has a small effect on improving low-back function in the short term, but this benefit is unlikely to be clinically important. Evidence from comparisons between other treatments and therapeutic ultrasound for chronic LBP were indeterminate and generally of low quality. Since there are few high quality randomised trials and the available trials are very small, future large trials with valid methodology are likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
- “The effectiveness of therapeutic ultrasound for musculoskeletal conditions of the lower limb: A literature review,” Shanks et al, Foot (Edinb), 2010.
- “Therapeutic ultrasound for osteoarthritis of the knee or hip,” Rutjes et al, Cochrane Database of Systematic Reviews, 2010.
- “Effect of therapeutic ultrasound on tendons,” Tsai et al, Am J Phys Med Rehabil, 2011.
- “Therapeutic ultrasound for carpal tunnel syndrome,” Page et al, Cochrane Database of Systematic Reviews, 2013.
- “Therapeutic ultrasound for acute ankle sprains,” van den Bekerom et al, Cochrane Database of Systematic Reviews, 2011.
- “The efficacy of therapeutic ultrasound for rotator cuff tendinopathy: A systematic review and meta-analysis,” Desmeules et al, Physical Therapy in Sport, 2015.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Cannabidiol (CBD) products for pain: ineffective, expensive, and with potential harms. Moore 2023 J Pain.
- Inciting events associated with lumbar disc herniation. Suri 2010 Spine J.
- Prediction of an extruded fragment in lumbar disc patients from clinical presentations. Pople 1994 Spine (Phila Pa 1976).
- Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study. Konstantinou 2015 BMC Musculoskelet Disord.
- Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: the MYRIAD cluster randomised controlled trial. Kuyken 2022 Evid Based Ment Health.