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Table 4 Summary of measurable outcomes on pain, function, quality of life and compliance for SAM clinical studies in the peer-reviewed literature

From: Sustained acoustic medicine for the treatment of musculoskeletal injuries: a systematic review and meta-analysis

Author

Pain reduction VAS/NRS

Improved function (WOMAC/ROM/dynamometry)

Improved health (GROC)

Mechanistic outcomes included

Clinical trail registration number

Safety profile

Subject receptivity and compliance to treatment

Lewis et al. [53]

YES: 16–21% p < 0.05, p = 0.03

Not measured

YES: 60% p = 0.05

NA

NA

Excellent

YES: 100% compliance to treatment

Lewis et al. [65]

YES: 30–52% p < 0.05

Not measured

YES: 52% p < 0.05

NA

NA

Excellent

NA

Langer et al. [67]

YES: 52% p < 0.05

YES: 20% improvement in mobility

Not measured

NA

NCT01993693

Excellent

NA

Taggart et al. [71]

NA

NA

NA

NA

NA

Excellent

YES: 87–95% ease of use, receptive and positive experience

Rigby et al. [55]

NA

NA

NA

YES: Diathermic temperature increase by 3.22–4.45C

NA

Excellent

NA

Best et al. [50]

YES: 3.94 points p = 0.002

YES: 2.83 kg improvement in strength p = 0.04

Not measured

NA

NCT02466308

Good, n = 3 skin response

YES: 92% use of the device and 72% compliance with study

Langer et al. [51]

YES: 2.5 points p < 0.03

Not measured

Not measured

NA

NCT01993693

Excellent

NA

Langer et al. [68]

NA

YES: Power p = 0.024, torque p = 0.031 and work p = 0.031 improvement

NA

YES: Blood lactate reduction p = 0.002

NA

Excellent

NA

Langer et al. [69]

NA

NA

NA

YES: Diathermic temperature increase by 12–13C

NA

Excellent

NA

Draper et al. [52]

YES: 1.96 point p < 0.001

YES: 505 point function p = 0.02, 3.2 N strength p = 0.03

Not measured

NA

NCT02083861

Excellent, less than 0.1% reported irritation

YES: 93% study retention

Petterson et al. [64]

YES: 2.61 points p < 0.001

Not measured

YES: 2.84 points p < 0.01

NA

NCT02135094

Excellent, no reportable

YES: 100% compliance

Draper et al. [70]

YES: 3.33 points p < 0.05

YES: 87% improvement

Not measured

NA

NCT04177537

Excellent

YES: 55% able to return to work

Madzia et al. [66]

YES: 2.06–2.96 point p < 0.001

YES: 510 point function p < 0.001

Not measured

NA

NCT04391842

Excellent

YES: 95% receptive and continuation of treatment

N = 13 Studies, N = 372 subjects

N = 9 Studies significant pain reduction

N = 6 studies significant functional improvement

N = 3 studies significant health improvement

N = 3 studies mechanisms of action measured

N = 7 studies registered

N = 13 studies no adverse events

N = 7 high compliance and treatment receptivity

  1. Numeric Rate of Pain Scale (NRS, 0–10), Visual Analogy Scale (VAS, 0–100 mm), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC, 0–960), Range of Motion (ROM), Global Rate of Change (GROC)